NR601 FINAL EXAM QUESTIONS BANK NEWEST 2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
A 92-year-old woman with severe dementia and frailty is a
resident of a long-term care facility. She has been admitted three
times in the last 6 months for aspiration pneumonia. She is not
enrolled in hospice. As a member of the palliative care team,
which of the following services can you not offer her and her
family?
a. Emotional support
b. Help with decision making
c. Insurance coverage of medications related to her underlying
disease
d. Coordination of care across settings of care - ANSWER-c.
Insurance coverage of medications related to her underlying
disease
A 68-year-old female with a history of end-stage emphysema is
referred to you for control of her dyspnea. On physical
examination she is thin and frail appearing, with a large barrel
shaped chest. You note that during your interview with her, she
,2|Page
answers only in one or two word answers and rarely makes eye
contact. You ask her if she is depressed and she admits that she
is. Which of the following symptoms would best confirm your
diagnosis of depression?
a. Anorexia
b. Anhedonia
c. Insomnia
d. Weight loss
e. Increasing agoraphobia - ANSWER-b. Anhedonia
Which of the following is true about tolterodine?
a. It should be avoided in men with prostatic hypertrophy.
b. It increases the risk of constipation compared to oral
oxybutynin.
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its twice daily
formulation. - ANSWER-d.
It has greater risk of adverse effects with its twice daily
formulation.
,3|Page
An 82-year-old, Mr. A, complains of worsening nocturia 4x/nigh,
slow stream, occasional urgency and urgency-related leakage
once weekly. PMH include poorly controlled HTN, diastolic HF,
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. Mr.
A complains that nocturia is causing daytime fatigue, and he is
more constipated. Physical examination is notable for blood
pressure 162/83, heart rate 60, clear lungs, soft abdomen,
enlarged prostate, and 2+ pretibial edema. Your next step in
management should be:
a. Stop hydrocodone-acetominophen and add naproxen.
b. Stop amlodipine and increase lisinopril.
c. Add afternoon furosemide.
d. Add tamsulosin. - ANSWER-b. 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
, 4|Page
"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?
a. Mrs. A's physician
b. Mrs. A's daughter
c. Day program staff
d. Physical therapist through a home care agency - ANSWER-c.
Day program 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 9 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 Kegeler" exercises in
the past without success. Which of the following is the most
appropriate recommendation for Ms. J?