NR 601 Final exam questions with verified answers
A 48 year old male patient screened for diabetes has a fasting plasma glucose
level of 120mg/dl (6.7mmol/L). The nurse practitioner plan includes:
a. prescribe metformin 500mg po BID
b. educate the patient on lifestyle changes to lower blood glucose
c. initiate self monitoring of blood glucose
d. review the effects of oral hypoglycemic medications Ans✓✓✓ b. educate the
patient on lifestyle changes to lower blood glucose
A 52 year old female patient screened for diabetes has a fasting plasma glucose
level of 123 mg/dl. The nurse practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe memformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years Ans✓✓✓ c. repeat fasting plasma glucose
in one year
A 56 year old man is diagnosed with acute prostatitis, he is afebrile without
severe pain and will be managed outpatient. He should initially be treated with
antibiotics for how long?
a. 6-12 weeks
b. 14-21 days
c. 3-6 weeks
,d. 10-14 days Ans✓✓✓ d. 10-14 days
A 56 year old man presents to the office with concerns about low energy, lack of
joy in his life and decreased appetite for 2 weeks. The nurse practitioner assesses
him using SIG-E CAPS, the NP knows that the E stands for
a. energy (decreased)
b. emotional instability
c. ego dystonia
d. enthusiasm (decreased) Ans✓✓✓ a. energy (decreased)
A 56-year old male patient screened for diabetes has a fasting plasma glucose
level of 96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam Ans✓✓✓ a. repeat fasting plasma
glucose in three years
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic
as a new patient. He takes metformin 500mg twice a day. His last Hgb A1c was
7%. He is up to date on eye and foot examinations. His BP is 142/96. According to
ACC 2017 guidelines for high blood pressure in adults, what is the most
appropriate first line medication?
a. lisinopril
,b. furosemide
c. amlodipine
d. clonidine Ans✓✓✓ a. lisinopril
A 58 year old male presents to the clinic with complaints of increasing SOB. The
NP suspects HF. The NP examines the CXR film. The NP knows diagnosis can be
made with a high degree of accuracy if two of the following criteria are met:
1. signs of interstitial edema (Kerley Bs)
2. upper zone redistribution of pulmonary blood flow (cephalization)
3. abnormally enlarged retrosternal apace
4. flattening of the diaphragm with blunting of the costrophrenic angle on PA film
a. 1 & 2
b2&4
c. 1 & 3
d. 2 & 3 Ans✓✓✓ a. 1 & 2
A 60 year old obese male client has type 2 diabetes mellitus and a lipid panel of
TC=250 HDL=32 LDL=165. The nurse practitioner teaches the patient about his
modifiable cardiac risk factors, which include:
a. diabetes, obesity and hyperlipidemia
b. advancing age, diabetes, hyperlipidemia, and male gender
c. hyperlipidemia, smoking and family history of heart disease
, d. male with age >45, diabetes mellitys and hyperlipidemia Ans✓✓✓ a. diabetes,
obesity and hyperlipidemia
A 65 caucasian female presents for her yearly physical. She is 5"1 tall and weighs
102 lbs. A review of her chart reveals she smokes 1 pack of cigarettes a day, and
drinks 2 beers every evening since she retired. She has taken synthroid and
simvastatin for 10 years. She does not exercise, she likes to sit and knit. The NP
knows the non-modifiable risk factor for osteoporosis for this patient include:
a. activity level
b. age
c. tobacco use
d. medications Ans✓✓✓ b. age
A 65 year old caucasian presented to your clinic with the following history and
symptoms: reports good general health, asymptomatic mitral valve stenosis,
current beta blocker use and physical exam findings unremarkable. The NP knows
this patient's stage of heart failure is:
a. Stage D
b. Stage B Ans✓✓✓ b. Stage B
A 65 year old hispanci woman presents to the office for routine follow up for her
type 2 diabetes mellitus. Her routine UA reveals few epithelial cells, negative
leukocytes, negative nitrates, negative protein, no ketones. Which of the
following tests should also be ordered annually for diabetic patients.
a. reslult is normal, no further testing is necessary
A 48 year old male patient screened for diabetes has a fasting plasma glucose
level of 120mg/dl (6.7mmol/L). The nurse practitioner plan includes:
a. prescribe metformin 500mg po BID
b. educate the patient on lifestyle changes to lower blood glucose
c. initiate self monitoring of blood glucose
d. review the effects of oral hypoglycemic medications Ans✓✓✓ b. educate the
patient on lifestyle changes to lower blood glucose
A 52 year old female patient screened for diabetes has a fasting plasma glucose
level of 123 mg/dl. The nurse practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe memformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years Ans✓✓✓ c. repeat fasting plasma glucose
in one year
A 56 year old man is diagnosed with acute prostatitis, he is afebrile without
severe pain and will be managed outpatient. He should initially be treated with
antibiotics for how long?
a. 6-12 weeks
b. 14-21 days
c. 3-6 weeks
,d. 10-14 days Ans✓✓✓ d. 10-14 days
A 56 year old man presents to the office with concerns about low energy, lack of
joy in his life and decreased appetite for 2 weeks. The nurse practitioner assesses
him using SIG-E CAPS, the NP knows that the E stands for
a. energy (decreased)
b. emotional instability
c. ego dystonia
d. enthusiasm (decreased) Ans✓✓✓ a. energy (decreased)
A 56-year old male patient screened for diabetes has a fasting plasma glucose
level of 96mg/dl. The nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam Ans✓✓✓ a. repeat fasting plasma
glucose in three years
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic
as a new patient. He takes metformin 500mg twice a day. His last Hgb A1c was
7%. He is up to date on eye and foot examinations. His BP is 142/96. According to
ACC 2017 guidelines for high blood pressure in adults, what is the most
appropriate first line medication?
a. lisinopril
,b. furosemide
c. amlodipine
d. clonidine Ans✓✓✓ a. lisinopril
A 58 year old male presents to the clinic with complaints of increasing SOB. The
NP suspects HF. The NP examines the CXR film. The NP knows diagnosis can be
made with a high degree of accuracy if two of the following criteria are met:
1. signs of interstitial edema (Kerley Bs)
2. upper zone redistribution of pulmonary blood flow (cephalization)
3. abnormally enlarged retrosternal apace
4. flattening of the diaphragm with blunting of the costrophrenic angle on PA film
a. 1 & 2
b2&4
c. 1 & 3
d. 2 & 3 Ans✓✓✓ a. 1 & 2
A 60 year old obese male client has type 2 diabetes mellitus and a lipid panel of
TC=250 HDL=32 LDL=165. The nurse practitioner teaches the patient about his
modifiable cardiac risk factors, which include:
a. diabetes, obesity and hyperlipidemia
b. advancing age, diabetes, hyperlipidemia, and male gender
c. hyperlipidemia, smoking and family history of heart disease
, d. male with age >45, diabetes mellitys and hyperlipidemia Ans✓✓✓ a. diabetes,
obesity and hyperlipidemia
A 65 caucasian female presents for her yearly physical. She is 5"1 tall and weighs
102 lbs. A review of her chart reveals she smokes 1 pack of cigarettes a day, and
drinks 2 beers every evening since she retired. She has taken synthroid and
simvastatin for 10 years. She does not exercise, she likes to sit and knit. The NP
knows the non-modifiable risk factor for osteoporosis for this patient include:
a. activity level
b. age
c. tobacco use
d. medications Ans✓✓✓ b. age
A 65 year old caucasian presented to your clinic with the following history and
symptoms: reports good general health, asymptomatic mitral valve stenosis,
current beta blocker use and physical exam findings unremarkable. The NP knows
this patient's stage of heart failure is:
a. Stage D
b. Stage B Ans✓✓✓ b. Stage B
A 65 year old hispanci woman presents to the office for routine follow up for her
type 2 diabetes mellitus. Her routine UA reveals few epithelial cells, negative
leukocytes, negative nitrates, negative protein, no ketones. Which of the
following tests should also be ordered annually for diabetic patients.
a. reslult is normal, no further testing is necessary
