NRNP6665 MIDTERM EXAM PREP 2026
COMPLETE STUDY GUIDE GRADED A+
◉ All of the following patients should be screened for diabetes
except:
a. a 44 year old caucasian male with hypertension
b. a 42 year old femal on disability from back injury from back injury
who is unable to exercise
c. an overweight middle aged african american woman with a family
history of type 2 diabetes mellitus
d. an obese hispanic man. Answer: a. a 44 year old caucasian male
with hypertension
◉ 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. Answer:
a. diabetes, obesity and hyperlipidemia
◉ When treating inflammatory pain, the NP knows treatmemnt is
focused on managing the inflammation. Appropriate medications for
inflammatory pain include all of the following except:
a. NSAIDS
b. Opioids
c. Corticosteroids. Answer: b. Opioids
◉ According to the New York Heart Association (NYHA) functional
classification, patients who have symptoms only with marked
exertion are classified as:
a. Class II
b. Stage 1
c. Class I
d. Class IV. Answer: a. Class II
◉ Which of the following assessments are commonly noted in a
client with Parkinson's disease:
,a. exaggeration of rapid successive movements
b. increased arm swing
c. macrographia and bradycardia
d. micrographia and bradykinesia. Answer: d. micrographia and
bradykinesia
◉ The most common neurological cause of seizures in an older adult
is:
a. multiple sclerosis
b. stroke
c. alzheimemrs disease
d. peripheral neuropathy. Answer: b. stroke
◉ Patients with osteoarthritis of the hip and knee have a
distinguishable gait described as:
a. antalgic
b. festinating
c. steppage
d. ataxic. Answer: a. antalgic
, ◉ According to the 2017 Guideline for High Blood Pressure in Adults
the recommended blood pressure goal for a 55 year old man with a
history of chronic kidney disease is:
a. <140/80
b. <120/80
c. <130/80
d. <150/90. Answer: c. <130/80
◉ Periods of increased activity, when the patient did not seem to
need to sleep or reports being very productive not needing sleep
are:
a. symptoms of schizophrenia
b. symptoms of worsening depression
c. symtoms of unipolar depression
d. symptoms of hypomania or mania. Answer: d. symptoms of
hypomania or mania
◉ 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
COMPLETE STUDY GUIDE GRADED A+
◉ All of the following patients should be screened for diabetes
except:
a. a 44 year old caucasian male with hypertension
b. a 42 year old femal on disability from back injury from back injury
who is unable to exercise
c. an overweight middle aged african american woman with a family
history of type 2 diabetes mellitus
d. an obese hispanic man. Answer: a. a 44 year old caucasian male
with hypertension
◉ 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. Answer:
a. diabetes, obesity and hyperlipidemia
◉ When treating inflammatory pain, the NP knows treatmemnt is
focused on managing the inflammation. Appropriate medications for
inflammatory pain include all of the following except:
a. NSAIDS
b. Opioids
c. Corticosteroids. Answer: b. Opioids
◉ According to the New York Heart Association (NYHA) functional
classification, patients who have symptoms only with marked
exertion are classified as:
a. Class II
b. Stage 1
c. Class I
d. Class IV. Answer: a. Class II
◉ Which of the following assessments are commonly noted in a
client with Parkinson's disease:
,a. exaggeration of rapid successive movements
b. increased arm swing
c. macrographia and bradycardia
d. micrographia and bradykinesia. Answer: d. micrographia and
bradykinesia
◉ The most common neurological cause of seizures in an older adult
is:
a. multiple sclerosis
b. stroke
c. alzheimemrs disease
d. peripheral neuropathy. Answer: b. stroke
◉ Patients with osteoarthritis of the hip and knee have a
distinguishable gait described as:
a. antalgic
b. festinating
c. steppage
d. ataxic. Answer: a. antalgic
, ◉ According to the 2017 Guideline for High Blood Pressure in Adults
the recommended blood pressure goal for a 55 year old man with a
history of chronic kidney disease is:
a. <140/80
b. <120/80
c. <130/80
d. <150/90. Answer: c. <130/80
◉ Periods of increased activity, when the patient did not seem to
need to sleep or reports being very productive not needing sleep
are:
a. symptoms of schizophrenia
b. symptoms of worsening depression
c. symtoms of unipolar depression
d. symptoms of hypomania or mania. Answer: d. symptoms of
hypomania or mania
◉ 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
