NRNP 6540 Didactic Midterm Practice Questions
and Summaries 2026
1. There are benign and lethal murmurs. Which of hospitalization is required when
the following are true of lethal murmurs arrhythmias result from hemo-
dynamic compromise
Cardioversion pre hospitaliza-
tion may be needed
Aggressive therapeutic treat-
ment is needed when sympto-
matic
Underlying cardiac problems
need to be discovered
2. What are the classes of BMI for obesity Class 1 30-35
Class II 35-39.9
Class morbid >40
3. What is the screening tool for alcohol Cage
It is positive if they answer yes to
two or more and then perform a
SMAST-G screening tool
4. What are the hypertension guidelines for patients 150/90 for patients without DM
greater than 60 years of age or CKD
140/90 for patients with DM or
CKD
5. Why would you initiate statins on elderly patients 1-cvd
2 - LDL >190
3-in patients age 40-75, LDL of
70-189
, NRNP 6540 Didactic Midterm Practice Questions
and Summaries 2026
6. Was what is a positive malnutrition score Greater than 10 lb weight loss
in 6 months
Use the MUST tool
7. Elderly population should you screen for hyperlipi- Patients that have known hyper-
demia tension, smoking, or diabetes
8. What is the scales nutrition screening tool S-sadness, C-cholesterol, A-al-
bumin, L- loss of weight E-
eating problems, S - shopping
problems
9. What are the vision screening requirements of pa- Snelling chart - annually
tients > 65 Patients with hypertension or
diabetes must have a dilated
exam annually
10. What are the hearing screening requirements of Asking questions about
patients > 65 whether people say they appear
to have problems with turning
the volume up
11. When should you screen for osteoporosis Women >65
Men > 70
You must use a dual energy dxa
x-ray
And perform at-score
12. What is the T score for osteoporosis? Normal 1.0
Osteopenia -1 to -2.5
Osteoporosis -2.5
Severe osteoporosis < 2.5 and
fragility fracture
, NRNP 6540 Didactic Midterm Practice Questions
and Summaries 2026
13. What are the mammogram screening require- Age greater than 40-74
ments
14. What are the colon cancer screening recommen- All patients over the age of 50
dations Colonoscopy every 10 years
Sigmoidoscopy every 5 years
Occult blood yearly
15. What are the cervical cancer screening recommen- Age 21-65
dations > age 65 is not required
16. What are the requirements for counseling patients Exercise, nutrition, tobacco, al-
> 65 cohol
17. What are the requirements of exercise for patients Aerobic exercise for 30 minutes
65 three times a week
Strength exercise two times a
week
18. What are the alcohol recommendations for an one per day for women
adult Per day for men
19. What are the pneumonia immunization recom- Pcv13 first
mendations for patients >65 PPS 23 one year later
20. What are the zoster immunization recommenda- All patients over the age of
tions 60-regardless if they have had
shingles or chicken pox in the
past
Contraindications-allergy to
neomycin or gelatin
Bone marrow cancer - such as
, NRNP 6540 Didactic Midterm Practice Questions
and Summaries 2026
lymphoma
Current chemotherapy or
steroids
AIDS patients
21. the major impact of the physiological changes that Reduced physiological Re-
occur with aging is serve-Particularly the cardiac,
respiratory, and renal systems
Reduced homeostatic mecha-
nisms-That fail to adjust regula-
tory systems such as tempera-
ture control and fluid and elec-
trolyte balance
Changes in the sympathetic re-
sponse-which contribute to or-
thostasis and Falls as well as a
lack of hypoglycemic response
Impaired immunologic re-
sponse
22. the strongest evidence regarding normal physio- Longitudinal studies
logical aging is available through
23. the following statements are true about laborato- Reference ranges are prefer-
ry values in older adults able
Normal ranges may not be ap-
plicable for older adults
and Summaries 2026
1. There are benign and lethal murmurs. Which of hospitalization is required when
the following are true of lethal murmurs arrhythmias result from hemo-
dynamic compromise
Cardioversion pre hospitaliza-
tion may be needed
Aggressive therapeutic treat-
ment is needed when sympto-
matic
Underlying cardiac problems
need to be discovered
2. What are the classes of BMI for obesity Class 1 30-35
Class II 35-39.9
Class morbid >40
3. What is the screening tool for alcohol Cage
It is positive if they answer yes to
two or more and then perform a
SMAST-G screening tool
4. What are the hypertension guidelines for patients 150/90 for patients without DM
greater than 60 years of age or CKD
140/90 for patients with DM or
CKD
5. Why would you initiate statins on elderly patients 1-cvd
2 - LDL >190
3-in patients age 40-75, LDL of
70-189
, NRNP 6540 Didactic Midterm Practice Questions
and Summaries 2026
6. Was what is a positive malnutrition score Greater than 10 lb weight loss
in 6 months
Use the MUST tool
7. Elderly population should you screen for hyperlipi- Patients that have known hyper-
demia tension, smoking, or diabetes
8. What is the scales nutrition screening tool S-sadness, C-cholesterol, A-al-
bumin, L- loss of weight E-
eating problems, S - shopping
problems
9. What are the vision screening requirements of pa- Snelling chart - annually
tients > 65 Patients with hypertension or
diabetes must have a dilated
exam annually
10. What are the hearing screening requirements of Asking questions about
patients > 65 whether people say they appear
to have problems with turning
the volume up
11. When should you screen for osteoporosis Women >65
Men > 70
You must use a dual energy dxa
x-ray
And perform at-score
12. What is the T score for osteoporosis? Normal 1.0
Osteopenia -1 to -2.5
Osteoporosis -2.5
Severe osteoporosis < 2.5 and
fragility fracture
, NRNP 6540 Didactic Midterm Practice Questions
and Summaries 2026
13. What are the mammogram screening require- Age greater than 40-74
ments
14. What are the colon cancer screening recommen- All patients over the age of 50
dations Colonoscopy every 10 years
Sigmoidoscopy every 5 years
Occult blood yearly
15. What are the cervical cancer screening recommen- Age 21-65
dations > age 65 is not required
16. What are the requirements for counseling patients Exercise, nutrition, tobacco, al-
> 65 cohol
17. What are the requirements of exercise for patients Aerobic exercise for 30 minutes
65 three times a week
Strength exercise two times a
week
18. What are the alcohol recommendations for an one per day for women
adult Per day for men
19. What are the pneumonia immunization recom- Pcv13 first
mendations for patients >65 PPS 23 one year later
20. What are the zoster immunization recommenda- All patients over the age of
tions 60-regardless if they have had
shingles or chicken pox in the
past
Contraindications-allergy to
neomycin or gelatin
Bone marrow cancer - such as
, NRNP 6540 Didactic Midterm Practice Questions
and Summaries 2026
lymphoma
Current chemotherapy or
steroids
AIDS patients
21. the major impact of the physiological changes that Reduced physiological Re-
occur with aging is serve-Particularly the cardiac,
respiratory, and renal systems
Reduced homeostatic mecha-
nisms-That fail to adjust regula-
tory systems such as tempera-
ture control and fluid and elec-
trolyte balance
Changes in the sympathetic re-
sponse-which contribute to or-
thostasis and Falls as well as a
lack of hypoglycemic response
Impaired immunologic re-
sponse
22. the strongest evidence regarding normal physio- Longitudinal studies
logical aging is available through
23. the following statements are true about laborato- Reference ranges are prefer-
ry values in older adults able
Normal ranges may not be ap-
plicable for older adults
