NR 601 Final Exam 2026 | 400 Questions with Correct
Answers | 4 Newest Versions | Latest Update | Exam
Prep | Graded A+
1. Guidelines for the primary prevention of stroke recommend that aspirin be
used in which one of the following?
Individuals whose risk is high enough for the benefits to outweigh
the risks
Females who are also taking antihypertensives
Individuals regardless of risk level
Males regardless of risk level
2. If Mr. Hunter's symptoms were to worsen, what would be an appropriate next
step in his management?
Refer to urology for surgical evaluation
Initiate catheterization immediately
Consider medication for benign prostatic hyperplasia (BPH)
Schedule a prostate biopsy
3. An 80-year-old woman has no weight loss, no pain, and no distention but
over 2 years increasingly complains of constipation despite adequate
medical treatment. A colonoscopy is negative. An abdominal CT is
performed. It reveals well-circumscribed pelvic masses, the largest adherent
to the ovarian ligament. The best first step is:
Referral to a gynecological oncologist.
Invite her to return with a family member and have a long talk about
the diagnostic and therapeutic options.
, Because it is unrelated to her symptoms advise observation.
Transcutaneous CT guided biopsy.
Refer to hospice because massive ovarian cancer is unlikely to be
curable.
4. What are the two specific urinary symptoms experienced by Mr. Hunter that
suggest a progression of his condition?
Frequent urination and urgency
Incontinence and nocturia
Pain during urination and blood in urine
Slow urinary stream and feeling of incomplete emptying
5. Ms. Johnson is an 82 year old female who complains of urine leakage while
playing golf. This has gotten worse over the past year, and she rarely makes it
through 9 holes without feeling like she needs to "run into the bushes and
go". Leakage is usually small volume but causes her extreme embarrassment.
She has tried limiting caffeine in the morning before she golfs and avoids
drinking water while she plays to no avail. She also tried "those Kegeler"
exercises in the past without success. Which of the following is the most
appropriate recommendation?
Bladder training
Trial of solifenacin
Trial of topical estrogen
Referral to biofeedback training in pelvic muscle exercises
6. An older adult female patient informs the nurse that she is sexually active but
has a problem with vaginal dryness. What can the nurse tell the patient that
may help relieve this problem?
Use a water-based lubricant with sexual intercourse.
, Use vaginal douche daily.
Use an over-the-counter antifungal cream to treat the fungal infection
she probably has.
Find other methods of sexual expression.
7. What does an International Prostate Symptom Score (IPSS) of 6 indicate
about Mr. Hunter's urinary symptoms?
Moderate urinary symptoms
Severe urinary symptoms
No urinary symptoms
Mild urinary symptoms
8. In addition to the therapy initiated for chronic obstructive pulmonary disease
to relieve the patient's symptoms, what additional recommendations should
be made?
Referral for bronchoscopy
Smoking cessation
Exercise avoidance
Spiral computed tomography scan of the chest
Heamophilus influenza B vaccination
9. Describe the criteria that determine whether aspirin should be used for
primary prevention of stroke in elderly patients.
Aspirin is only for patients with existing cardiovascular conditions.
Aspirin is recommended for all elderly patients regardless of their
health status.
Aspirin should be used in elderly patients who are identified as
, having a high risk for stroke based on clinical assessments.
Aspirin should be avoided in all elderly patients.
10. An 80-year-old woman that you follow in a nursing home has an acute
decline in her mental status. She has a fever >100° F, but no other focal
complaints or findings on physical examination except for a chronic
indwelling urinary catheter. What statement is true?
Fever in an older adult with an indwelling urinary catheter is an
appropriate indication to start empiric antibiotic therapy.
Older adults with an indwelling urinary catheter are less likely to have
bloodstream infection than olde
11. What medication should be avoided in elderly patients to prevent delirium?
Lorazepam
Mobility encouragement
Hydration
Orientation cues
12. Discuss why tolterodine's twice-daily formulation might lead to a higher risk
of adverse effects in elderly patients.
The twice-daily formulation is less effective than other formulations.
The twice-daily formulation may lead to higher plasma levels and
increased side effects due to altered pharmacokinetics in elderly
patients.
The twice-daily formulation is easier for patients to remember,
reducing adverse effects.
The twice-daily formulation has fewer interactions with other
medications.
Answers | 4 Newest Versions | Latest Update | Exam
Prep | Graded A+
1. Guidelines for the primary prevention of stroke recommend that aspirin be
used in which one of the following?
Individuals whose risk is high enough for the benefits to outweigh
the risks
Females who are also taking antihypertensives
Individuals regardless of risk level
Males regardless of risk level
2. If Mr. Hunter's symptoms were to worsen, what would be an appropriate next
step in his management?
Refer to urology for surgical evaluation
Initiate catheterization immediately
Consider medication for benign prostatic hyperplasia (BPH)
Schedule a prostate biopsy
3. An 80-year-old woman has no weight loss, no pain, and no distention but
over 2 years increasingly complains of constipation despite adequate
medical treatment. A colonoscopy is negative. An abdominal CT is
performed. It reveals well-circumscribed pelvic masses, the largest adherent
to the ovarian ligament. The best first step is:
Referral to a gynecological oncologist.
Invite her to return with a family member and have a long talk about
the diagnostic and therapeutic options.
, Because it is unrelated to her symptoms advise observation.
Transcutaneous CT guided biopsy.
Refer to hospice because massive ovarian cancer is unlikely to be
curable.
4. What are the two specific urinary symptoms experienced by Mr. Hunter that
suggest a progression of his condition?
Frequent urination and urgency
Incontinence and nocturia
Pain during urination and blood in urine
Slow urinary stream and feeling of incomplete emptying
5. Ms. Johnson is an 82 year old female who complains of urine leakage while
playing golf. This has gotten worse over the past year, and she rarely makes it
through 9 holes without feeling like she needs to "run into the bushes and
go". Leakage is usually small volume but causes her extreme embarrassment.
She has tried limiting caffeine in the morning before she golfs and avoids
drinking water while she plays to no avail. She also tried "those Kegeler"
exercises in the past without success. Which of the following is the most
appropriate recommendation?
Bladder training
Trial of solifenacin
Trial of topical estrogen
Referral to biofeedback training in pelvic muscle exercises
6. An older adult female patient informs the nurse that she is sexually active but
has a problem with vaginal dryness. What can the nurse tell the patient that
may help relieve this problem?
Use a water-based lubricant with sexual intercourse.
, Use vaginal douche daily.
Use an over-the-counter antifungal cream to treat the fungal infection
she probably has.
Find other methods of sexual expression.
7. What does an International Prostate Symptom Score (IPSS) of 6 indicate
about Mr. Hunter's urinary symptoms?
Moderate urinary symptoms
Severe urinary symptoms
No urinary symptoms
Mild urinary symptoms
8. In addition to the therapy initiated for chronic obstructive pulmonary disease
to relieve the patient's symptoms, what additional recommendations should
be made?
Referral for bronchoscopy
Smoking cessation
Exercise avoidance
Spiral computed tomography scan of the chest
Heamophilus influenza B vaccination
9. Describe the criteria that determine whether aspirin should be used for
primary prevention of stroke in elderly patients.
Aspirin is only for patients with existing cardiovascular conditions.
Aspirin is recommended for all elderly patients regardless of their
health status.
Aspirin should be used in elderly patients who are identified as
, having a high risk for stroke based on clinical assessments.
Aspirin should be avoided in all elderly patients.
10. An 80-year-old woman that you follow in a nursing home has an acute
decline in her mental status. She has a fever >100° F, but no other focal
complaints or findings on physical examination except for a chronic
indwelling urinary catheter. What statement is true?
Fever in an older adult with an indwelling urinary catheter is an
appropriate indication to start empiric antibiotic therapy.
Older adults with an indwelling urinary catheter are less likely to have
bloodstream infection than olde
11. What medication should be avoided in elderly patients to prevent delirium?
Lorazepam
Mobility encouragement
Hydration
Orientation cues
12. Discuss why tolterodine's twice-daily formulation might lead to a higher risk
of adverse effects in elderly patients.
The twice-daily formulation is less effective than other formulations.
The twice-daily formulation may lead to higher plasma levels and
increased side effects due to altered pharmacokinetics in elderly
patients.
The twice-daily formulation is easier for patients to remember,
reducing adverse effects.
The twice-daily formulation has fewer interactions with other
medications.
