1
NR 601 MIDTERM EXAM 2027 UPDATE
c c c c c
1. The cpercentage cof cthe cFVC cexpired cin cone csecond cis:
a. FEV1/FVC cratio
2. The caging cprocess ccauses cwhat cnormal cphysiological cchanges cin cthe cheart?
a. The cheart cvalve cthickens cand cbecomes crigid, csecondary cto cfibrosis
cand csclerosis.
3. A c55yo cCaucasian cmale cfollows cup cafter creferral cto ccardiologist. cHe cthinks
chis cmed cis ccausing ca ccough cand csometimes che chas cdifficulty cbreathing. cWhich
cmed cwas cmost clikely cprescribed?
a. Lisinopril
4. JM cis ca c68yo cman cwho cpresents cfor ca cphysical. cHe chas cT2DM cx5yrs, csmokes
c1/2 cPPD, cBMI cis c30. cNo cother cprevious cmedical cdx, cno ccurrent ccomplaints.
cAccording cto cthe cAHA/ACC cguidelines, cJM cis cstage cA cHF. cTreatment cgoals
cfor chim cinclude:
a. Heart chealthy clifestyle
5. MJ cpresents cwith ch/o cstructural cdamage cwith ccurrent cs/s cof cHF. cTreatment
cwill cbe cbased con chis cstage cof cHF, cwhich cis:
a. Stage cC
6. 65yo cCaucasian cfemale cpresents cwith cmitral cvalve cstenosis, cphysical
cexam cunremarkable. cYou cknow cher cstage cof cHF cis:
a. c B
7. DG, c65yo cman, cpresents cfor ceval cof cCP cand cL-sided cshoulder cpain, cbeginning
cafter cstrenuous cactivity, cincluding cwalking. cPain cis cdull, caching, c8/10 cduring
cactivity, cotherwise c0/10. cBegan cfew cmo cago, cintermittent, caggravated cby
cexercise, crelieved cby crest. cOccasional cnausea. cPain cis cretrosternal, cradiating
cto cL cshoulder, caffects cQOL cby climiting cactivity. cPain cis cworse ctoday, cdid cnot
cgo caway cafter cstopped cwalking. cBP c120/80, cHR c72 cand cregular. cNormal
cheart csounds, cno cmurmur, cS1, cS2. cWhich cdifferential cdx cwould cbe cmost
clikely?
a. Coronary cartery cdz cw/angina cpectoris
8. The cbest cway cto cdx cstructural cheart cdz/dysfunction cnon-invasively cis:
a. Echocardiogram
messages.downloaded_by
, 2
9. Chronic cpain ccan chave cmajor cimpact con cpt's cability cto cfunction cand
chave cprofound cimpact con coverall cQOL. cOngoing cpain cmay cbe clinked
cto:
a. Depression, csleep cdisturbance, cdecreased csocialization
10. The cBeers ccriteria care cappropriate cfor cuse cin cevaluating cuse cof ccertain cmeds
cin cpts:
a. >65yo
11. Pt cpresents cwith cc/o cincreasing cSOB, ccough cw/occasional cwhite csputum,
cfatigue. cAs cpart cof cthe cplan cyou corder clabs. cYou cknow cthe clikelihood cof cHF cis
clow cif cthe cBNP cis:
a. <100
12. All cof cthe cfollowing cstatements care ctrue cabout clab cvalues cin colder cadults cexcept:
a. Normal cranges cmay cnot cbe capplicable cto colder cadults
b. Abnormal cfindings care coften cdue cto cphysiological caging
c. Reference cranges care cpreferable
d. References cvalues care cnot cnecessarily cacceptable cvalues
a. B
13. According cto cthe c2017 cACC cHTN cguidelines, cthe crecommended cBP cgoal cfor
ca c65yo cAfrican cAmerican cwoman cw/a ch/o cHTN cand cDM cand cno ch/o cCKD
cis:
a. <140/80
14. The cpathophysiology cof cHF cis cdue cto:
a. Inadequate ccardiac coutput cto cmeet cthe cmetabolic cand cO2 cdemands
cof cthe cbody
15. A c60yo cwoman cw/30 cpack cyr chx, cpresents cfor ceval cof cpersistent, cdaily ccough
cw/increased csputum, cworse cin cthe cAM, coccurring cover cpast c3 cmonths. cShe
ctells cyou, c"I chave cthe csame cthing cyear cafter cyear." cWhich cof cthe cfollowing
cchoices cwould cyou cconsider cstrongly cin cyour ccritical cthinking cprocess?
a. Chronic cbronchitis
16. JM cis ca c68yo cman cwho cpresents cfor ca cphysical. cHe chas cT2DM cx5yrs, cdiet
ccontrolled. cHis cBMI cis c32. cHe chas cHTN, csmoker c(10 ccigs/day cx20yrs). cHe
cdenies cother cmedical cproblems. cFam chx cincludes cCAD, cCABG cx4 cfor cdad,
cnow cdeceased; cCHF, cT2DM, cHTN cfor cmom. cHe cis casymptomatic ctoday, cexam
cis
messages.downloaded_by
, 3
normal, cEKG cNSR. cAccording cto cAHA/ACC cguidelines, cJM cis cat crisk cfor cwhat
cstage cof cHF?
a. Stage cA
The cvolume cof cair ca cpt cis cable cto cexhale cfor ctotal cduration cof cthe ctest cduring
cmaximal ceffort cis:
b. FVC
17. According cto cthe c2017 cACC cHTN cguidelines, cnormal cBP cis:
a. <120/80
18. Functional cabilities care cbest cassessed cby:
a. Observed cassessment cof cfunction
19. LB cis ca c77yo cpt cw/chronic cpoorly ccontrolled cHTN. cYou cknow cthat cgoals
cinclude cprevention cof ctarget corgan cdamage. cDuring cyour ceval cyou cwill cassess
cfor cevidence cof:
a. L cventricular chypertrophy
20. Aortic cregurgitation crequires cmedical ctreatment cfor cearly csigns cof cHF cwith:
a. ACEi
21. The cvolume cof cair cin cthe clungs cat cmax cinflation cis:
a. TLC c(total clung ccapacity)
22. Preferred camount cof cexercise cfor colder cadults cis:
a. 30min/day cof caerobic cactivity c5 cdays/wk
23. The ctotal cvolume cof cair ca cpt cis cable cto cexhale cin cthe cfirst csecond cduring
cmax ceffort cis:
a. FEV1
24. You cknow cthe cfollowing cstatements cregarding cthe cpain cof cacute
ccoronary csyndrome care ctrue cexcept:
a. Present catypically cmore coften cin cmen cthan cwomen
messages.downloaded_by
NR 601 MIDTERM EXAM 2027 UPDATE
c c c c c
1. The cpercentage cof cthe cFVC cexpired cin cone csecond cis:
a. FEV1/FVC cratio
2. The caging cprocess ccauses cwhat cnormal cphysiological cchanges cin cthe cheart?
a. The cheart cvalve cthickens cand cbecomes crigid, csecondary cto cfibrosis
cand csclerosis.
3. A c55yo cCaucasian cmale cfollows cup cafter creferral cto ccardiologist. cHe cthinks
chis cmed cis ccausing ca ccough cand csometimes che chas cdifficulty cbreathing. cWhich
cmed cwas cmost clikely cprescribed?
a. Lisinopril
4. JM cis ca c68yo cman cwho cpresents cfor ca cphysical. cHe chas cT2DM cx5yrs, csmokes
c1/2 cPPD, cBMI cis c30. cNo cother cprevious cmedical cdx, cno ccurrent ccomplaints.
cAccording cto cthe cAHA/ACC cguidelines, cJM cis cstage cA cHF. cTreatment cgoals
cfor chim cinclude:
a. Heart chealthy clifestyle
5. MJ cpresents cwith ch/o cstructural cdamage cwith ccurrent cs/s cof cHF. cTreatment
cwill cbe cbased con chis cstage cof cHF, cwhich cis:
a. Stage cC
6. 65yo cCaucasian cfemale cpresents cwith cmitral cvalve cstenosis, cphysical
cexam cunremarkable. cYou cknow cher cstage cof cHF cis:
a. c B
7. DG, c65yo cman, cpresents cfor ceval cof cCP cand cL-sided cshoulder cpain, cbeginning
cafter cstrenuous cactivity, cincluding cwalking. cPain cis cdull, caching, c8/10 cduring
cactivity, cotherwise c0/10. cBegan cfew cmo cago, cintermittent, caggravated cby
cexercise, crelieved cby crest. cOccasional cnausea. cPain cis cretrosternal, cradiating
cto cL cshoulder, caffects cQOL cby climiting cactivity. cPain cis cworse ctoday, cdid cnot
cgo caway cafter cstopped cwalking. cBP c120/80, cHR c72 cand cregular. cNormal
cheart csounds, cno cmurmur, cS1, cS2. cWhich cdifferential cdx cwould cbe cmost
clikely?
a. Coronary cartery cdz cw/angina cpectoris
8. The cbest cway cto cdx cstructural cheart cdz/dysfunction cnon-invasively cis:
a. Echocardiogram
messages.downloaded_by
, 2
9. Chronic cpain ccan chave cmajor cimpact con cpt's cability cto cfunction cand
chave cprofound cimpact con coverall cQOL. cOngoing cpain cmay cbe clinked
cto:
a. Depression, csleep cdisturbance, cdecreased csocialization
10. The cBeers ccriteria care cappropriate cfor cuse cin cevaluating cuse cof ccertain cmeds
cin cpts:
a. >65yo
11. Pt cpresents cwith cc/o cincreasing cSOB, ccough cw/occasional cwhite csputum,
cfatigue. cAs cpart cof cthe cplan cyou corder clabs. cYou cknow cthe clikelihood cof cHF cis
clow cif cthe cBNP cis:
a. <100
12. All cof cthe cfollowing cstatements care ctrue cabout clab cvalues cin colder cadults cexcept:
a. Normal cranges cmay cnot cbe capplicable cto colder cadults
b. Abnormal cfindings care coften cdue cto cphysiological caging
c. Reference cranges care cpreferable
d. References cvalues care cnot cnecessarily cacceptable cvalues
a. B
13. According cto cthe c2017 cACC cHTN cguidelines, cthe crecommended cBP cgoal cfor
ca c65yo cAfrican cAmerican cwoman cw/a ch/o cHTN cand cDM cand cno ch/o cCKD
cis:
a. <140/80
14. The cpathophysiology cof cHF cis cdue cto:
a. Inadequate ccardiac coutput cto cmeet cthe cmetabolic cand cO2 cdemands
cof cthe cbody
15. A c60yo cwoman cw/30 cpack cyr chx, cpresents cfor ceval cof cpersistent, cdaily ccough
cw/increased csputum, cworse cin cthe cAM, coccurring cover cpast c3 cmonths. cShe
ctells cyou, c"I chave cthe csame cthing cyear cafter cyear." cWhich cof cthe cfollowing
cchoices cwould cyou cconsider cstrongly cin cyour ccritical cthinking cprocess?
a. Chronic cbronchitis
16. JM cis ca c68yo cman cwho cpresents cfor ca cphysical. cHe chas cT2DM cx5yrs, cdiet
ccontrolled. cHis cBMI cis c32. cHe chas cHTN, csmoker c(10 ccigs/day cx20yrs). cHe
cdenies cother cmedical cproblems. cFam chx cincludes cCAD, cCABG cx4 cfor cdad,
cnow cdeceased; cCHF, cT2DM, cHTN cfor cmom. cHe cis casymptomatic ctoday, cexam
cis
messages.downloaded_by
, 3
normal, cEKG cNSR. cAccording cto cAHA/ACC cguidelines, cJM cis cat crisk cfor cwhat
cstage cof cHF?
a. Stage cA
The cvolume cof cair ca cpt cis cable cto cexhale cfor ctotal cduration cof cthe ctest cduring
cmaximal ceffort cis:
b. FVC
17. According cto cthe c2017 cACC cHTN cguidelines, cnormal cBP cis:
a. <120/80
18. Functional cabilities care cbest cassessed cby:
a. Observed cassessment cof cfunction
19. LB cis ca c77yo cpt cw/chronic cpoorly ccontrolled cHTN. cYou cknow cthat cgoals
cinclude cprevention cof ctarget corgan cdamage. cDuring cyour ceval cyou cwill cassess
cfor cevidence cof:
a. L cventricular chypertrophy
20. Aortic cregurgitation crequires cmedical ctreatment cfor cearly csigns cof cHF cwith:
a. ACEi
21. The cvolume cof cair cin cthe clungs cat cmax cinflation cis:
a. TLC c(total clung ccapacity)
22. Preferred camount cof cexercise cfor colder cadults cis:
a. 30min/day cof caerobic cactivity c5 cdays/wk
23. The ctotal cvolume cof cair ca cpt cis cable cto cexhale cin cthe cfirst csecond cduring
cmax ceffort cis:
a. FEV1
24. You cknow cthe cfollowing cstatements cregarding cthe cpain cof cacute
ccoronary csyndrome care ctrue cexcept:
a. Present catypically cmore coften cin cmen cthan cwomen
messages.downloaded_by
