NR 601 FINAL EXAM (ACTUAL EXAM) 2026
UPDATED QUESTIONS AND VERIFIED
ANSWERS
A 58 year old Caucasian mane with type 2 diabetes mellitus
presents to the clinic as a new patient. He takes metformin 500mg
twice a day. His last Hgb A1c was 7%. He is up to date on eye
and foot examinations. His BP is 142/96. According to ACC 2017
guidelines for high blood pressure in adults, what is the most
appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine Correct Answer a. lisinopril
An older male patient is experiencing acute onset of right sided
weakness, slurred speech and confusion. What should the nurse
practitioner do promptly?
a. order an EKG and administer O2 by cannula immediately
b. Do a through medication review and stat blood sugar
,c. evaluate for a stroke and arrange transport to the hospital right
away
d. administer an aspirin by mouth Correct Answer c. evaluate for a
stroke and arrange transport to the hospital right away
Mr. A, experienced a brief onset of right sided weakness, slurred
speech and confusion yesterday. The symptoms have resolved
and the CT is normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms
again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask Correct Answer b.
identify modifiable cardiovascular risk factors
The NP knows that medications can trigger or worsen heart
failure. With this knowledge in mind, the NP will avoiding
prescribing the following classes of medications
a. benzodiazepines
b. macrolides
c. muscle relaxants
d. NSAIDS Correct Answer d. NSAIDS
,MG, a 60 year old female presents with complaints of her "heart
flipping in her chest" The NP wants to evaluate for arrhythmia.
The nP knows that the cornerstone for arrhythmia evaluation
includes:
a. electrocardiogram
b. physical examination
c. all options are appropriate
d. history Correct Answer c. all options are appropriate
The elderly are at high risk for delerium because of:
a. multiple medical problems
b. multisensory deficits
c. polypharmacy
d. all of the above Correct Answer d. all of the above
A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months.
She denies dysuria, frequency and nocturia. US dipstick is
negative for RBC's leukocyte esterase, nitrates, ketones and
urobilinogen. What is the diagnosis?
, a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontninence Correct Answer a. stress incontinence
Which of the following signs or symptoms are not characteristics
of delirium
a. patient is coherent
b. short duration
c. sudden onset
d. symptoms are worse in the evenings Correct Answer a. patient
is coherent
According to the palliative care presentation, most elderly patients
die:
a. alone
b. at home
c. in institutions
d. in pain Correct Answer c. in institutions
UPDATED QUESTIONS AND VERIFIED
ANSWERS
A 58 year old Caucasian mane with type 2 diabetes mellitus
presents to the clinic as a new patient. He takes metformin 500mg
twice a day. His last Hgb A1c was 7%. He is up to date on eye
and foot examinations. His BP is 142/96. According to ACC 2017
guidelines for high blood pressure in adults, what is the most
appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine Correct Answer a. lisinopril
An older male patient is experiencing acute onset of right sided
weakness, slurred speech and confusion. What should the nurse
practitioner do promptly?
a. order an EKG and administer O2 by cannula immediately
b. Do a through medication review and stat blood sugar
,c. evaluate for a stroke and arrange transport to the hospital right
away
d. administer an aspirin by mouth Correct Answer c. evaluate for a
stroke and arrange transport to the hospital right away
Mr. A, experienced a brief onset of right sided weakness, slurred
speech and confusion yesterday. The symptoms have resolved
and the CT is normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms
again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask Correct Answer b.
identify modifiable cardiovascular risk factors
The NP knows that medications can trigger or worsen heart
failure. With this knowledge in mind, the NP will avoiding
prescribing the following classes of medications
a. benzodiazepines
b. macrolides
c. muscle relaxants
d. NSAIDS Correct Answer d. NSAIDS
,MG, a 60 year old female presents with complaints of her "heart
flipping in her chest" The NP wants to evaluate for arrhythmia.
The nP knows that the cornerstone for arrhythmia evaluation
includes:
a. electrocardiogram
b. physical examination
c. all options are appropriate
d. history Correct Answer c. all options are appropriate
The elderly are at high risk for delerium because of:
a. multiple medical problems
b. multisensory deficits
c. polypharmacy
d. all of the above Correct Answer d. all of the above
A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months.
She denies dysuria, frequency and nocturia. US dipstick is
negative for RBC's leukocyte esterase, nitrates, ketones and
urobilinogen. What is the diagnosis?
, a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontninence Correct Answer a. stress incontinence
Which of the following signs or symptoms are not characteristics
of delirium
a. patient is coherent
b. short duration
c. sudden onset
d. symptoms are worse in the evenings Correct Answer a. patient
is coherent
According to the palliative care presentation, most elderly patients
die:
a. alone
b. at home
c. in institutions
d. in pain Correct Answer c. in institutions
