,Maryville NURS 620 Final Exam | Adult-Gerontology
Health Care I (2026) Q&A
1. Which statement by a patient with osteoarthritis indicates a need for further
teaching?
A) "I will avoid high-impact exercises."
B) "I will get adequate intake of calcium and vitamin D."
C) "I will try to limit my use of walkers and assistive devices."
D) "I will lose weight if it turns out that I need to."
Correct Answer: "I will try to limit my use of walkers and assistive devices."
Rationale: Walkers and assistive devices help relieve stress on weight-bearing
joints and improve balance, so limiting their use is inappropriate. Low-impact
exercise, adequate calcium and vitamin D, and weight loss are all appropriate
interventions for osteoarthritis.
2. What is the most common serious gynecologic complication in women?
A) Endometriosis
B) Pelvic inflammatory disease
C) Ovarian cysts
D) Uterine fibroids
Correct Answer: Pelvic inflammatory disease
,Rationale: Pelvic inflammatory disease is the most common serious gynecologic
complication in women, often resulting from untreated sexually transmitted
infections. It can lead to infertility, ectopic pregnancy, and chronic pelvic pain.
3. A 68-year-old man presents with progressive dyspnea, orthopnea, and
paroxysmal nocturnal dyspnea. An S3 gallop is heard at the apex. Which condition
is most likely?
A) Aortic stenosis
B) Heart failure with reduced ejection fraction
C) Pericarditis
D) Mitral valve prolapse
Correct Answer: Heart failure with reduced ejection fraction
Rationale: An S3 gallop with orthopnea and paroxysmal nocturnal dyspnea is
classic for HFrEF. Aortic stenosis presents with a systolic ejection murmur,
pericarditis with a friction rub, and mitral valve prolapse with a mid-systolic click.
4. A 72-year-old woman on warfarin for atrial fibrillation has an INR of 5.8 with
no bleeding. What is the most appropriate next step?
A) Administer vitamin K 10 mg orally
B) Hold warfarin and recheck INR tomorrow
C) Administer fresh frozen plasma
D) Continue warfarin at the current dose
Correct Answer: Hold warfarin and recheck INR tomorrow
, Rationale: An INR of 5.8 without bleeding is managed by holding warfarin and
rechecking the INR. Vitamin K and fresh frozen plasma are reserved for active
bleeding. Continuing the same dose would worsen the coagulopathy.
5. Which medication is an example of a long-acting beta agonist used in asthma
management?
A) Albuterol
B) Salmeterol
C) Ipratropium
D) Fluticasone
Correct Answer: Salmeterol
Rationale: Salmeterol is a long-acting beta agonist (LABA) used for long-term
asthma control. Albuterol is a short-acting beta agonist for rescue. Ipratropium is
a short-acting muscarinic antagonist. Fluticasone is an inhaled corticosteroid.
6. What is the treatment for acute otitis media in a patient with a penicillin
allergy?
A) Amoxicillin
B) Azithromycin
C) Cephalexin
D) Penicillin G
Correct Answer: Azithromycin
Health Care I (2026) Q&A
1. Which statement by a patient with osteoarthritis indicates a need for further
teaching?
A) "I will avoid high-impact exercises."
B) "I will get adequate intake of calcium and vitamin D."
C) "I will try to limit my use of walkers and assistive devices."
D) "I will lose weight if it turns out that I need to."
Correct Answer: "I will try to limit my use of walkers and assistive devices."
Rationale: Walkers and assistive devices help relieve stress on weight-bearing
joints and improve balance, so limiting their use is inappropriate. Low-impact
exercise, adequate calcium and vitamin D, and weight loss are all appropriate
interventions for osteoarthritis.
2. What is the most common serious gynecologic complication in women?
A) Endometriosis
B) Pelvic inflammatory disease
C) Ovarian cysts
D) Uterine fibroids
Correct Answer: Pelvic inflammatory disease
,Rationale: Pelvic inflammatory disease is the most common serious gynecologic
complication in women, often resulting from untreated sexually transmitted
infections. It can lead to infertility, ectopic pregnancy, and chronic pelvic pain.
3. A 68-year-old man presents with progressive dyspnea, orthopnea, and
paroxysmal nocturnal dyspnea. An S3 gallop is heard at the apex. Which condition
is most likely?
A) Aortic stenosis
B) Heart failure with reduced ejection fraction
C) Pericarditis
D) Mitral valve prolapse
Correct Answer: Heart failure with reduced ejection fraction
Rationale: An S3 gallop with orthopnea and paroxysmal nocturnal dyspnea is
classic for HFrEF. Aortic stenosis presents with a systolic ejection murmur,
pericarditis with a friction rub, and mitral valve prolapse with a mid-systolic click.
4. A 72-year-old woman on warfarin for atrial fibrillation has an INR of 5.8 with
no bleeding. What is the most appropriate next step?
A) Administer vitamin K 10 mg orally
B) Hold warfarin and recheck INR tomorrow
C) Administer fresh frozen plasma
D) Continue warfarin at the current dose
Correct Answer: Hold warfarin and recheck INR tomorrow
, Rationale: An INR of 5.8 without bleeding is managed by holding warfarin and
rechecking the INR. Vitamin K and fresh frozen plasma are reserved for active
bleeding. Continuing the same dose would worsen the coagulopathy.
5. Which medication is an example of a long-acting beta agonist used in asthma
management?
A) Albuterol
B) Salmeterol
C) Ipratropium
D) Fluticasone
Correct Answer: Salmeterol
Rationale: Salmeterol is a long-acting beta agonist (LABA) used for long-term
asthma control. Albuterol is a short-acting beta agonist for rescue. Ipratropium is
a short-acting muscarinic antagonist. Fluticasone is an inhaled corticosteroid.
6. What is the treatment for acute otitis media in a patient with a penicillin
allergy?
A) Amoxicillin
B) Azithromycin
C) Cephalexin
D) Penicillin G
Correct Answer: Azithromycin
