NURS 601 FINAL EXAM 2025
NURS 601 FINAL EXAM 2025
QUESTIONS AND CORRECT ANSWERS
An 86-year-old female comes to your office for a wellness visit. Her blood
pressure is 125/70 mmHg, pulse 69 beats per min, and respiratory rate 18 breaths
per min. She is well appearing and reports she is up to date on her routine
vaccinations. She introduces her partner of 35 years whom she would like to make
medical decisions for her in case she becomes unable to make decisions for herself.
She reports that she and her partner are not married. She asks if she needs any
further documentation to ensure her goals of care are followed.
Which one of the following would be the most appropriate recommendation for
this patient and her partner?
They need to file an advance directive
An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times
per night. His other lower urinary tract symptoms are slow stream, occasional
urgency, and urgency-related leakage once weekly. Medical problems include
poorly controlled hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily,
metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg
twice daily, hydrocodone-acetaminophen as needed, and aspirin 81 mg daily.
Amlodipine 5 mg daily was recently added by his cardiologist. On review of
systems, Mr. A complains that nocturia is causing daytime fatigue, and he is more
constipated. Physical examination is notable for blood pressure 162/83 mmHg,
,NURS 601 FINAL EXAM 2025
heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21
pretibial edema. Your next step in management should be to?
Stop amlodipine and increase lisinopril
The daughter of a 79-year-old woman notes that her mother, who has dementia and
lives with her, is wetting herself when she attends her new day program. Program
staff have requested that "something be done" as she is requiring a clothes change
nearly every time she is there. She cannot describe the circumstances of leakage,
saying "it just comes." Leakage is uncommon at home. Her medications include
donepezil and acetaminophen. Physical examination is normal. Initial treatment
approach will require intervention by which of the following
day care staff
Ms. J, who is 82 years old, complains of urine leakage while playing golf. This has
gotten worse over the past year, and she rarely makes it through nine holes without
feeling like she needs to "run into the bushes and go." Leakage is usually small
volume, but causes her extreme embarrassment because she is afraid she will smell
of urine. She has tried limiting caffeine in the morning before she golfs and
avoiding drinking water while playing, to no effect. She also tried "those Kegler"
exercises in the past without success. Which of the following is the most
appropriate recommendation for Ms. J?
Bladder training
,NURS 601 FINAL EXAM 2025
An 81-year-old transgender female with history of depression and hyperlipidemia
presents to your clinic for routine care. She endorses a history of smoking,
currently smoking 1 pack per day, and occasionally drinks a glass of wine,
although she denies illicit drug use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
counseling on smoking cessation
An 84-year-old male with history of stroke without residual deficit, systolic heart
failure, and type 2 diabetes presents to clinic for follow-up. He is independently
living in a retirement community and still works part time on a golf course. He
currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day),
furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy
was 8 years ago, with no abnormality. He reports he is sexually active with men
and women, engaging in receptive oral, receptive anal, and penetrative sex. He
states he has had over three sexual partners in the last year with intermittent
condom use.
What sexually transmitted infection testing should be offered?
Urine testing, blood testing, anal swab, and oropharyngeal swab
What is the most common cause of erectile dysfunction in older men?
Athersclosis
Which is the most reasonable first step in the treatment of older men with erectile
dysfunction
, NURS 601 FINAL EXAM 2025
sildenafil
What is true about tolterodine?
It has greater risk of adverse effects with its twice-daily formulation.
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her
medical history includes type 2 diabetes, hypertension, and osteoarthritis.
Medications are glyburide, chlorthalidone, and acetaminophen. What would be
your first step in therapy?
Stop the chlorthalidone
A 70-year-old woman reports sexual pain with deep penetration only. What is the
most likely cause of her problem?
High-tone pelvic floor dysfunction
A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy.
Pathology revealed ductal carcinoma that is hormone receptor negative (estrogen
receptor 0%, progesterone receptor 1%) and HER2/neu negative. Surgical margins
were adequate and uninvolved with cancer. Sentinel lymph node sampling was
negative for lymph node involvement. She has good performance status and no
activities of daily living (ADL) or instrumental (IADL) dependencies. What
treatment would you recommend?
Hormonal therapy only
NURS 601 FINAL EXAM 2025
QUESTIONS AND CORRECT ANSWERS
An 86-year-old female comes to your office for a wellness visit. Her blood
pressure is 125/70 mmHg, pulse 69 beats per min, and respiratory rate 18 breaths
per min. She is well appearing and reports she is up to date on her routine
vaccinations. She introduces her partner of 35 years whom she would like to make
medical decisions for her in case she becomes unable to make decisions for herself.
She reports that she and her partner are not married. She asks if she needs any
further documentation to ensure her goals of care are followed.
Which one of the following would be the most appropriate recommendation for
this patient and her partner?
They need to file an advance directive
An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times
per night. His other lower urinary tract symptoms are slow stream, occasional
urgency, and urgency-related leakage once weekly. Medical problems include
poorly controlled hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily,
metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg
twice daily, hydrocodone-acetaminophen as needed, and aspirin 81 mg daily.
Amlodipine 5 mg daily was recently added by his cardiologist. On review of
systems, Mr. A complains that nocturia is causing daytime fatigue, and he is more
constipated. Physical examination is notable for blood pressure 162/83 mmHg,
,NURS 601 FINAL EXAM 2025
heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21
pretibial edema. Your next step in management should be to?
Stop amlodipine and increase lisinopril
The daughter of a 79-year-old woman notes that her mother, who has dementia and
lives with her, is wetting herself when she attends her new day program. Program
staff have requested that "something be done" as she is requiring a clothes change
nearly every time she is there. She cannot describe the circumstances of leakage,
saying "it just comes." Leakage is uncommon at home. Her medications include
donepezil and acetaminophen. Physical examination is normal. Initial treatment
approach will require intervention by which of the following
day care staff
Ms. J, who is 82 years old, complains of urine leakage while playing golf. This has
gotten worse over the past year, and she rarely makes it through nine holes without
feeling like she needs to "run into the bushes and go." Leakage is usually small
volume, but causes her extreme embarrassment because she is afraid she will smell
of urine. She has tried limiting caffeine in the morning before she golfs and
avoiding drinking water while playing, to no effect. She also tried "those Kegler"
exercises in the past without success. Which of the following is the most
appropriate recommendation for Ms. J?
Bladder training
,NURS 601 FINAL EXAM 2025
An 81-year-old transgender female with history of depression and hyperlipidemia
presents to your clinic for routine care. She endorses a history of smoking,
currently smoking 1 pack per day, and occasionally drinks a glass of wine,
although she denies illicit drug use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
counseling on smoking cessation
An 84-year-old male with history of stroke without residual deficit, systolic heart
failure, and type 2 diabetes presents to clinic for follow-up. He is independently
living in a retirement community and still works part time on a golf course. He
currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day),
furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy
was 8 years ago, with no abnormality. He reports he is sexually active with men
and women, engaging in receptive oral, receptive anal, and penetrative sex. He
states he has had over three sexual partners in the last year with intermittent
condom use.
What sexually transmitted infection testing should be offered?
Urine testing, blood testing, anal swab, and oropharyngeal swab
What is the most common cause of erectile dysfunction in older men?
Athersclosis
Which is the most reasonable first step in the treatment of older men with erectile
dysfunction
, NURS 601 FINAL EXAM 2025
sildenafil
What is true about tolterodine?
It has greater risk of adverse effects with its twice-daily formulation.
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her
medical history includes type 2 diabetes, hypertension, and osteoarthritis.
Medications are glyburide, chlorthalidone, and acetaminophen. What would be
your first step in therapy?
Stop the chlorthalidone
A 70-year-old woman reports sexual pain with deep penetration only. What is the
most likely cause of her problem?
High-tone pelvic floor dysfunction
A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy.
Pathology revealed ductal carcinoma that is hormone receptor negative (estrogen
receptor 0%, progesterone receptor 1%) and HER2/neu negative. Surgical margins
were adequate and uninvolved with cancer. Sentinel lymph node sampling was
negative for lymph node involvement. She has good performance status and no
activities of daily living (ADL) or instrumental (IADL) dependencies. What
treatment would you recommend?
Hormonal therapy only
