NR 601 MIDTERM 2023 COMPLETE
QUESTIONS AND ANSWERS GRADED A,
VERIFIED (MULTIPLE CHOICE, TRUE
OR FALSE, DIRECT ANSWERS)
Chamberlain College of
Nursing
1. Which of the following drugs do not trigger or aggravate a cough?
A) Lisinopril
B) Losartan
C) Hydrochlorothiazide
D) Ramipril
C- Hydrochlorothiazide
2. Is the following statement about Bipolar “True or False”: "Bipolar disorder is the most
commonly diagnosed psychiatric disorder in older adults?"
A) True
B) False
A-True
3. Which of the following antacid drugs does not typically cause constipation?
A) Calcium-containing antacids
B) Bismuth-containing antacids
C) Aluminum-containing antacids
, D) Magnesium-containing antacid
D-Magnesium-containing antacid
4. The greatest risk for injury for a client with progressed Parkinson's disease is:
A) Falls
B) Tremors or Shaking
C) Rigidity or stiffness in the limbs
D) Slowness of movement
A-Falls
Explanation: Parkinson's disease is a chronic and progressive neurological disorder
caused by the degeneration and loss of dopamine-producing neurons in a part of the brain
called the substantia nigra. As the disease progresses, individuals with Parkinson's may
experience increasing difficulty with balance, coordination, and mobility, which can
increase their risk of falls. Tremors or shaking, rigidity or stiffness in the limbs and trunk,
bradykinesia or slowness of movement, and postural instability or difficulty with balance
and coordination are all symptoms of Parkinson's disease that increase the risk of fall
injuries.
5. Evidence shows that the most important predictor of a fall is:
A) Alzheimer’s
B) Dementia
C) Recent knee injury
D) Recent history of falling
D- Prior h/o a fall
Explanation- The single most important predictor for falls is a recent history of falling.
A recent knee injury, severe farsightedness, and a diagnosis of dementia may raise the
risks of falling, but none of these are as important as prior history of a fall/falling.
6. The most cost-effective interventions used to prevent falls are:
A) Home modifications and vit D supplements
B) Physical activity
C) Medication review
, D) Behavioral therapy
A- Home modifications and vit D supplements
7. The leading COD in elderly travelers worldwide is:
A) Accidents
B) Falls
C) Disease
D) Injury
A-Accidents
8. How are falls categorized in the International Statistical Classification of Diseases and
Related Health Problems (ICD-10)?
A) Witnessed or unwitnessed, assisted or unassisted
B) Slipping, tripping, and stumbling.
C) By location: community, hospital, or long-term care.
B- Slipping, tripping, and stumbling.
Explanation: Only healthcare providers categorize falls by location (community,
hospital, or long-term care) or as Witnessed or unwitnessed, assisted or unassisted
(Kennedy-Malone, Martin-Plunk and Duffy, 2019, p.55). Healthcare provider’s
description of falls by location or presence of assistance is helpful for the development
of a good treatment and prevention plan. However ICD-10 categorizes it as slipping,
tripping, and stumbling.
9. Who face/report a higher risk of falls?
A) Males
B) Females
Explanation: Although women and men are equally likely to fall, women face an
increased risk of falling due to decreased muscle mass and osteoporosis. As a result,
, women are more likely to report of falls or fall-related injuries (Kennedy-Malone,
Martin-Plunk and Duffy, 2019, p.55).
10. What is osteoporosis?
Skeletal disorder characterized by impaired bone strength that predisposes to
increased risk of fracture. Can occur from not only bone loss but also from failure
earlier in life to make sufficient bone.
Primary: due to aging (increased bone resorption/reduced new-bone formation)
Secondary: consequence of underlying medical condition/drug
11. What are s/sx (signs and symptoms) of osteoporosis?
A) Severe back pain
B) Vertebral fractures
C) Decreased height
D) Kyphosis
E) All of the above
Answer: E) All of the above
Explanation- According to Kennedy-Malone et al. (2019) second edition of Advanced
Practice Nursing in The Care of Older Adults, severe back pain, vertebral fractures,
decreased height, and kyphosis are all signals and symptoms of impaired bone structure
that increases the risk of fracture and even falls (p. 396).
However, sometimes osteoporosis is not seen until fracture sustained spontaneously or
after minimal trauma, usually in thoracic/lumbar vertebrae, hip, wrist, humerus, and
pelvis.
Since patients with osteoporosis may be asymptomatic, all patients above 50 should be
screened for fracture risks. Also personal history of fractures is important since fracture
at any major skeletal site in an adult older than 50 years should be considered a
significant risk factor for osteoporosis (Kennedy-Malone et al., 2019, p. 398).
QUESTIONS AND ANSWERS GRADED A,
VERIFIED (MULTIPLE CHOICE, TRUE
OR FALSE, DIRECT ANSWERS)
Chamberlain College of
Nursing
1. Which of the following drugs do not trigger or aggravate a cough?
A) Lisinopril
B) Losartan
C) Hydrochlorothiazide
D) Ramipril
C- Hydrochlorothiazide
2. Is the following statement about Bipolar “True or False”: "Bipolar disorder is the most
commonly diagnosed psychiatric disorder in older adults?"
A) True
B) False
A-True
3. Which of the following antacid drugs does not typically cause constipation?
A) Calcium-containing antacids
B) Bismuth-containing antacids
C) Aluminum-containing antacids
, D) Magnesium-containing antacid
D-Magnesium-containing antacid
4. The greatest risk for injury for a client with progressed Parkinson's disease is:
A) Falls
B) Tremors or Shaking
C) Rigidity or stiffness in the limbs
D) Slowness of movement
A-Falls
Explanation: Parkinson's disease is a chronic and progressive neurological disorder
caused by the degeneration and loss of dopamine-producing neurons in a part of the brain
called the substantia nigra. As the disease progresses, individuals with Parkinson's may
experience increasing difficulty with balance, coordination, and mobility, which can
increase their risk of falls. Tremors or shaking, rigidity or stiffness in the limbs and trunk,
bradykinesia or slowness of movement, and postural instability or difficulty with balance
and coordination are all symptoms of Parkinson's disease that increase the risk of fall
injuries.
5. Evidence shows that the most important predictor of a fall is:
A) Alzheimer’s
B) Dementia
C) Recent knee injury
D) Recent history of falling
D- Prior h/o a fall
Explanation- The single most important predictor for falls is a recent history of falling.
A recent knee injury, severe farsightedness, and a diagnosis of dementia may raise the
risks of falling, but none of these are as important as prior history of a fall/falling.
6. The most cost-effective interventions used to prevent falls are:
A) Home modifications and vit D supplements
B) Physical activity
C) Medication review
, D) Behavioral therapy
A- Home modifications and vit D supplements
7. The leading COD in elderly travelers worldwide is:
A) Accidents
B) Falls
C) Disease
D) Injury
A-Accidents
8. How are falls categorized in the International Statistical Classification of Diseases and
Related Health Problems (ICD-10)?
A) Witnessed or unwitnessed, assisted or unassisted
B) Slipping, tripping, and stumbling.
C) By location: community, hospital, or long-term care.
B- Slipping, tripping, and stumbling.
Explanation: Only healthcare providers categorize falls by location (community,
hospital, or long-term care) or as Witnessed or unwitnessed, assisted or unassisted
(Kennedy-Malone, Martin-Plunk and Duffy, 2019, p.55). Healthcare provider’s
description of falls by location or presence of assistance is helpful for the development
of a good treatment and prevention plan. However ICD-10 categorizes it as slipping,
tripping, and stumbling.
9. Who face/report a higher risk of falls?
A) Males
B) Females
Explanation: Although women and men are equally likely to fall, women face an
increased risk of falling due to decreased muscle mass and osteoporosis. As a result,
, women are more likely to report of falls or fall-related injuries (Kennedy-Malone,
Martin-Plunk and Duffy, 2019, p.55).
10. What is osteoporosis?
Skeletal disorder characterized by impaired bone strength that predisposes to
increased risk of fracture. Can occur from not only bone loss but also from failure
earlier in life to make sufficient bone.
Primary: due to aging (increased bone resorption/reduced new-bone formation)
Secondary: consequence of underlying medical condition/drug
11. What are s/sx (signs and symptoms) of osteoporosis?
A) Severe back pain
B) Vertebral fractures
C) Decreased height
D) Kyphosis
E) All of the above
Answer: E) All of the above
Explanation- According to Kennedy-Malone et al. (2019) second edition of Advanced
Practice Nursing in The Care of Older Adults, severe back pain, vertebral fractures,
decreased height, and kyphosis are all signals and symptoms of impaired bone structure
that increases the risk of fracture and even falls (p. 396).
However, sometimes osteoporosis is not seen until fracture sustained spontaneously or
after minimal trauma, usually in thoracic/lumbar vertebrae, hip, wrist, humerus, and
pelvis.
Since patients with osteoporosis may be asymptomatic, all patients above 50 should be
screened for fracture risks. Also personal history of fractures is important since fracture
at any major skeletal site in an adult older than 50 years should be considered a
significant risk factor for osteoporosis (Kennedy-Malone et al., 2019, p. 398).
