NR 601 NR601 MIDTERM EXAM
QUESTIONS AND CORRECT ANSWERS 2026
CHAMBERLAIN UNIVERSITY
COMPREHENSIVE STUDY GUIDE
The Beers criteria are appropriate for use in evaluating use of certain meds
in pts: - CORRECT ANSWER->65yo
Pt presents with c/o increasing SOB, cough w/occasional white sputum,
fatigue. As part of the plan you order labs. You know the likelihood of HF is
low if the BNP is: - CORRECT ANSWER-<100
All of the following statements are true about lab values in older adults
except:
a. Normal ranges may not be applicable to older adults
b. Abnormal findings are often due to physiological aging
c. Reference ranges are preferable
d. References values are not necessarily acceptable values - CORRECT
ANSWER-B
According to the 2017 ACC HTN guidelines, the recommended BP goal for a
65yo African American woman w/a h/o HTN and DM and no h/o CKD is: -
CORRECT ANSWER-<140/80
,The pathophysiology of HF is due to: - CORRECT ANSWER-Inadequate
cardiac output to meet the metabolic and O2 demands of the body
A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough
w/increased sputum, worse in the AM, occurring over past 3 months. She
tells you, "I have the same thing year after year." Which of the following
choices would you consider strongly in your critical thinking process? -
CORRECT ANSWER-Chronic bronchitis
JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet
controlled. His BMI is 32. He has HTN, smoker (10 cigs/day x20yrs). He
denies other medical problems. Fam hx includes CAD, CABG x4 for dad,
now deceased; CHF, T2DM, HTN for mom. He is asymptomatic today,
exam is normal, EKG NSR. According to AHA/ACC guidelines, JM is at risk
for what stage of HF? - CORRECT ANSWER-Stage A
The volume of air a pt is able to exhale for total duration of the test during
maximal effort is: - CORRECT ANSWER-FVC
According to the 2017 ACC HTN guidelines, normal BP is: - CORRECT
ANSWER-<120/80
Functional abilities are best assessed by: - CORRECT ANSWER-Observed
assessment of function
,LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals
include prevention of target organ damage. During your eval you will assess
for evidence of: - CORRECT ANSWER-L ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with: -
CORRECT ANSWER-ACEi
The volume of air in the lungs at max inflation is: - CORRECT ANSWER-
TLC (total lung capacity)
Preferred amount of exercise for older adults is: - CORRECT ANSWER-
30min/day of aerobic activity 5 days/wk
The total volume of air a pt is able to exhale in the first second during max
effort is: - CORRECT ANSWER-FEV1
You know the following statements regarding the pain of acute coronary
syndrome are true except:
a. Present atypically more often in men than women
b. May be retrosternal or poorly localized
c. May last longer than 20min
d. May radiate to arms, back, neck, jaw - CORRECT ANSWER-A
, Elderly pt presents w/new onset of feeling heart race, fatigue. EKG reveals
afib w/rate >100. Pt also has a new tremor in both hands. Which of the
following would you suspect? - CORRECT ANSWER-Hyperthyroidism
62yo female c/o fatigue, lack of energy. Constipation increased, pt gained
10lbs in past 3mo. Depression is denied although pt reports lack of interest
in usual hobbies. VS are WNL, skin is dry/cool. Which of the following
must be included in the DD? - CORRECT ANSWER-Hypothyroidism
Mrs. Black, 87yo, has been taking 100mcg Synthroid x10yrs. She comes for
routine follow-up, feeling well. HR is 90. Your first response is to: -
CORRECT ANSWER-Order TSH
Which pt is most likely to have osteoporosis? - CORRECT ANSWER-80yo
underweight male who smokes and has been on steroids for psoriasis
When evaluating the expected outcome for hypothyroid elderly pt on
levothyroxine, you will: - CORRECT ANSWER-Assess TSH in 4-6wks
Postmenopausal woman w/osteoporosis is taking bisphosphonate daily PO.
What action info statement would indicate she understood your
instructions regarding this med? - CORRECT ANSWER-Take med w/full
glass of water when up in the AM 30min before other food and meds
Primary reason levothyroxine sodium is initiated at low dose in elderly pt
w/hypothyroidism is to prevent which of the following untoward effects? -
CORRECT ANSWER-Angina and arrhythmia
QUESTIONS AND CORRECT ANSWERS 2026
CHAMBERLAIN UNIVERSITY
COMPREHENSIVE STUDY GUIDE
The Beers criteria are appropriate for use in evaluating use of certain meds
in pts: - CORRECT ANSWER->65yo
Pt presents with c/o increasing SOB, cough w/occasional white sputum,
fatigue. As part of the plan you order labs. You know the likelihood of HF is
low if the BNP is: - CORRECT ANSWER-<100
All of the following statements are true about lab values in older adults
except:
a. Normal ranges may not be applicable to older adults
b. Abnormal findings are often due to physiological aging
c. Reference ranges are preferable
d. References values are not necessarily acceptable values - CORRECT
ANSWER-B
According to the 2017 ACC HTN guidelines, the recommended BP goal for a
65yo African American woman w/a h/o HTN and DM and no h/o CKD is: -
CORRECT ANSWER-<140/80
,The pathophysiology of HF is due to: - CORRECT ANSWER-Inadequate
cardiac output to meet the metabolic and O2 demands of the body
A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough
w/increased sputum, worse in the AM, occurring over past 3 months. She
tells you, "I have the same thing year after year." Which of the following
choices would you consider strongly in your critical thinking process? -
CORRECT ANSWER-Chronic bronchitis
JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet
controlled. His BMI is 32. He has HTN, smoker (10 cigs/day x20yrs). He
denies other medical problems. Fam hx includes CAD, CABG x4 for dad,
now deceased; CHF, T2DM, HTN for mom. He is asymptomatic today,
exam is normal, EKG NSR. According to AHA/ACC guidelines, JM is at risk
for what stage of HF? - CORRECT ANSWER-Stage A
The volume of air a pt is able to exhale for total duration of the test during
maximal effort is: - CORRECT ANSWER-FVC
According to the 2017 ACC HTN guidelines, normal BP is: - CORRECT
ANSWER-<120/80
Functional abilities are best assessed by: - CORRECT ANSWER-Observed
assessment of function
,LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals
include prevention of target organ damage. During your eval you will assess
for evidence of: - CORRECT ANSWER-L ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with: -
CORRECT ANSWER-ACEi
The volume of air in the lungs at max inflation is: - CORRECT ANSWER-
TLC (total lung capacity)
Preferred amount of exercise for older adults is: - CORRECT ANSWER-
30min/day of aerobic activity 5 days/wk
The total volume of air a pt is able to exhale in the first second during max
effort is: - CORRECT ANSWER-FEV1
You know the following statements regarding the pain of acute coronary
syndrome are true except:
a. Present atypically more often in men than women
b. May be retrosternal or poorly localized
c. May last longer than 20min
d. May radiate to arms, back, neck, jaw - CORRECT ANSWER-A
, Elderly pt presents w/new onset of feeling heart race, fatigue. EKG reveals
afib w/rate >100. Pt also has a new tremor in both hands. Which of the
following would you suspect? - CORRECT ANSWER-Hyperthyroidism
62yo female c/o fatigue, lack of energy. Constipation increased, pt gained
10lbs in past 3mo. Depression is denied although pt reports lack of interest
in usual hobbies. VS are WNL, skin is dry/cool. Which of the following
must be included in the DD? - CORRECT ANSWER-Hypothyroidism
Mrs. Black, 87yo, has been taking 100mcg Synthroid x10yrs. She comes for
routine follow-up, feeling well. HR is 90. Your first response is to: -
CORRECT ANSWER-Order TSH
Which pt is most likely to have osteoporosis? - CORRECT ANSWER-80yo
underweight male who smokes and has been on steroids for psoriasis
When evaluating the expected outcome for hypothyroid elderly pt on
levothyroxine, you will: - CORRECT ANSWER-Assess TSH in 4-6wks
Postmenopausal woman w/osteoporosis is taking bisphosphonate daily PO.
What action info statement would indicate she understood your
instructions regarding this med? - CORRECT ANSWER-Take med w/full
glass of water when up in the AM 30min before other food and meds
Primary reason levothyroxine sodium is initiated at low dose in elderly pt
w/hypothyroidism is to prevent which of the following untoward effects? -
CORRECT ANSWER-Angina and arrhythmia
