NR601 MIDTERM EXAM 2025 UPDATED
ACTUAL EXAM WITH CORRECT SOLUTIONS.
The percentage of the FVC expired in one second is - correct
answer- FEV1/FVC ratio
The aging process causes what normal physiological changes
in the heart - correct answer- The heart valve thickens and
becomes rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist.
He thinks his med is causing a cough and sometimes he has
difficulty breathing. Which med was most likely prescribed? -
correct answer- Lisinopril
MJ presents with h/o structural damage with current s/s of HF.
Treatment will be based on his stage of HF which is - correct
answer- Stage C
65 yo Caucasian presents with mitral valve stenosis, physical
exam is unremarkable. you know her stage of HF is - correct
answer- Stage B
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The best way to diagnose structural heart disease/dysfunction
noninvasively is - correct answer- Echocardiogram
Chronic pain can have major impact on patients ability to
function and have profound impact on overall QOL. Ongoing
pain may be linked to - correct answer- Depression, sleep
disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of
certain meds in patients - correct answer- >65 y/o
All of the following statements are true about lab values in older
adults except - correct answer- Abnormal findings are often due
to physiological aging
According to the 2017 ACC HTN guidelines, the recommended
BP goal for a 65y/o African American woman with a h/o HTN
and DM and no h/o CKD is - correct answer- <140/80
THe pathophysiology of HF is due to - correct answer-
Inadequate cardiac output to meet the metabolic and O2
demands of the body
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The volume of air a patient to exhale for total duration of the
test during maximal effort is - correct answer- FVC
According it the 2017 ACC HTN guidelines, normal BP is -
correct answer- <120/80
Functional abilities are best assessed by - correct answer-
Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that
goals include prevention of target organ damage. During your
eval you will assess for evidence of - correct answer- Left
ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of
HF with - correct answer- ACEi
The volume of air in the lungs at max inflation is - correct
answer- TLC (total lung capacity)
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Preferred amount of exercise for older adults is - correct
answer- 30min/day of aerobic exercise 5 days a week
You know the following statements regarding th pain of acute
coronary syndrome are true except - correct answer- Present
atypically more often in men than women
Elderly patient presents with new onset of feeling heart race,
fatigue. EKG reveals Afib with rate >100. Patient also has a
new tremor in both hands. Which of the following would you
suspect - correct answer- Hyperthyroidism
Which patient is more likely to have osteoporosis - correct
answer- 80 y/o. Underweight male who smokes and has been
on steroids for psoriasis
Post menopausal woman with osteoporosis is taking
bisphosphonate daily po. What action info statement would
indicate she understood your instructions regarding this med? -
correct answer- Take med with full glass of water when up in
the AM 30 min before other food and meds