Page 1 of 49
11 September 2026
NR 601 MIDTERM EXAM AND STUDY GUIDE NEWEST
2026/2027 ACTUAL EXAM TESTBANK 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
You know the following statements regarding the pain of acute coronary syndrome are true except: a.
May last longer than 20min
b. May radiate to arms, back, neck, jaw
c. Present atypically more often in men than women
d. May be retrosternal or poorly localized - answer-C
Mrs. F is a 65yo Caucasian who presents for her annual exam. Chart review reveals she smokes 1PPD,
drinks 2 beers/day since retirement. She doesn't exercise but likes to sit and knit. You know the
nonmodifiable risk factor for OA is:
a. ETOH consumption
b. Tobacco use
c. Age
d. Sedentary lifestyle - answer-C
You review a CXR report on 56yo male who c/o increasing SOB. You suspect HF. You know the dx can
be made with a high degree of accuracy if 2 of the following criteria are met:
1. Flattening of the diaphragm w/blunting of the costrophrenic angle on PA film
2. Upper zone redistribution of pulmonary blood flow (cephalization)
3. Abnormally enlarged retrosternal space
4. Signs of interstitial edema - answer-2 and 4
, Page 2 of 49
24 June 2026
55yo Caucasian man follows up w/you after referral to cardio. He reports that he thinks the med is
causing a cough and sometimes he has dyspnea. Which of the following meds was most likely
prescribed?
a. Metolazone
b. Enalapril
c. Amlodipine
d. Irbesartan - answer-B
Lifestyle modifications for managing HTN include all of the following except:
a. DASH diet
b. Wt reduction
c. HCTZ
d. Physical activity - answer-C
PG is a 58yo Caucasian man w/stable mental health dx of schizophrenia who presents for yearly
physical. He takes aripiprazole for. You know the labs and assessments should be ordered to assess for
cardiometabolic changes related to his meds except for:
a. Waist circumference
b. Glucose
c. Cholesterol
d. AST/ALT - answer-D
Which organism that can be prevented by vax is most often responsible for infectious "outbreak" in
nursing homes?
, Page 3 of 49
11 September 2026
a. Influenza A
b. Haemophilus influenza
c. Mycobacterium tuberculosis
d. Streptococcus - answer-A
Justification for ordering CBC, TSH, serum B12 for a pt you suspect may have clinical depression is:
a. Overlapping symptoms w/anemia, thyroid dysfunction, nutritional deficiencies b.
Rule out vascular dz
c. Differentiate between depression and anxiety
d. Determine the cause of sadness - answer-A
65yo woman w/BMI 29, 15yr h/o HTN, on HCTZ 25mg for years w/excellent response. Follow up visit:
reports that for last 1-2mo, she has been thirsty, increased urination. Last fasting BGL was 118. What
action should you take next?
a. Plan to recheck BGL as scheduled at yearly physical
b. Check POC glucose now, since she has just eaten breakfast
c. Educate that the diuretic is causing the increased thirst
d. Order fasting BGL - answer-D
48yo female presents for annual exam. A1C is 6.2%. You interpret this result as:
a. Prediabetes
b. T2DM
c. T1DM
d. Normal - answer-A
, Page 4 of 49
24 June 2026
Foot problems are a major concern for diabetics due to vascular insufficiency and neuropathy. Part of
the annual exam for detection of neuropathy should include:
a. Monofilament testing
b. Assess for loss of temp sensation
c. Physical exam of feet
d. POC glucose - answer-A
Pt with BPH is seen for follow-up, has been taking finasteride (Proscar) for 6mo. You should assess for
which side effect:
a. Glaucoma
b. Headache
c. Ejaculatory dysfunction
d. HTN - answer-C
Pt is prescribed metformin (Glucophage). Three days later, he c/o nausea and stomach cramping. How
should you respond?
a. D/C med immediately
b. Reassure pt that this is anticipated side effect
c. Double the dosage and have pt return in 1 wk
Order chem 7 to check for lactic acidosis - answer-B
All of the following statements are true regarding anxiety except:
a. Common in older adults
b. Often co-occurs w/depression
c. Is a normal part of aging
11 September 2026
NR 601 MIDTERM EXAM AND STUDY GUIDE NEWEST
2026/2027 ACTUAL EXAM TESTBANK 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
You know the following statements regarding the pain of acute coronary syndrome are true except: a.
May last longer than 20min
b. May radiate to arms, back, neck, jaw
c. Present atypically more often in men than women
d. May be retrosternal or poorly localized - answer-C
Mrs. F is a 65yo Caucasian who presents for her annual exam. Chart review reveals she smokes 1PPD,
drinks 2 beers/day since retirement. She doesn't exercise but likes to sit and knit. You know the
nonmodifiable risk factor for OA is:
a. ETOH consumption
b. Tobacco use
c. Age
d. Sedentary lifestyle - answer-C
You review a CXR report on 56yo male who c/o increasing SOB. You suspect HF. You know the dx can
be made with a high degree of accuracy if 2 of the following criteria are met:
1. Flattening of the diaphragm w/blunting of the costrophrenic angle on PA film
2. Upper zone redistribution of pulmonary blood flow (cephalization)
3. Abnormally enlarged retrosternal space
4. Signs of interstitial edema - answer-2 and 4
, Page 2 of 49
24 June 2026
55yo Caucasian man follows up w/you after referral to cardio. He reports that he thinks the med is
causing a cough and sometimes he has dyspnea. Which of the following meds was most likely
prescribed?
a. Metolazone
b. Enalapril
c. Amlodipine
d. Irbesartan - answer-B
Lifestyle modifications for managing HTN include all of the following except:
a. DASH diet
b. Wt reduction
c. HCTZ
d. Physical activity - answer-C
PG is a 58yo Caucasian man w/stable mental health dx of schizophrenia who presents for yearly
physical. He takes aripiprazole for. You know the labs and assessments should be ordered to assess for
cardiometabolic changes related to his meds except for:
a. Waist circumference
b. Glucose
c. Cholesterol
d. AST/ALT - answer-D
Which organism that can be prevented by vax is most often responsible for infectious "outbreak" in
nursing homes?
, Page 3 of 49
11 September 2026
a. Influenza A
b. Haemophilus influenza
c. Mycobacterium tuberculosis
d. Streptococcus - answer-A
Justification for ordering CBC, TSH, serum B12 for a pt you suspect may have clinical depression is:
a. Overlapping symptoms w/anemia, thyroid dysfunction, nutritional deficiencies b.
Rule out vascular dz
c. Differentiate between depression and anxiety
d. Determine the cause of sadness - answer-A
65yo woman w/BMI 29, 15yr h/o HTN, on HCTZ 25mg for years w/excellent response. Follow up visit:
reports that for last 1-2mo, she has been thirsty, increased urination. Last fasting BGL was 118. What
action should you take next?
a. Plan to recheck BGL as scheduled at yearly physical
b. Check POC glucose now, since she has just eaten breakfast
c. Educate that the diuretic is causing the increased thirst
d. Order fasting BGL - answer-D
48yo female presents for annual exam. A1C is 6.2%. You interpret this result as:
a. Prediabetes
b. T2DM
c. T1DM
d. Normal - answer-A
, Page 4 of 49
24 June 2026
Foot problems are a major concern for diabetics due to vascular insufficiency and neuropathy. Part of
the annual exam for detection of neuropathy should include:
a. Monofilament testing
b. Assess for loss of temp sensation
c. Physical exam of feet
d. POC glucose - answer-A
Pt with BPH is seen for follow-up, has been taking finasteride (Proscar) for 6mo. You should assess for
which side effect:
a. Glaucoma
b. Headache
c. Ejaculatory dysfunction
d. HTN - answer-C
Pt is prescribed metformin (Glucophage). Three days later, he c/o nausea and stomach cramping. How
should you respond?
a. D/C med immediately
b. Reassure pt that this is anticipated side effect
c. Double the dosage and have pt return in 1 wk
Order chem 7 to check for lactic acidosis - answer-B
All of the following statements are true regarding anxiety except:
a. Common in older adults
b. Often co-occurs w/depression
c. Is a normal part of aging
