1
NR601MIDTERMEXAMQUESTIONWITHANSWERS(LATEST,GR
ADEDA)(CHAMBERLAINCOLLEGEOFNURSING) 2024
NR601MIDTERMEXAM–
QUESTIONWITHANSWERS(LATEST,GRADEDA)(CHAMBERLAINCOLLEGEOFN
URSING)
1. ThepercentageoftheFVCexpiredinonesecondis:
a. FEV1/FVCratio
2. Theagingprocesscauseswhatnormalphysiologicalchangesintheheart?
a. Theheartvalvethickensandbecomesrigid,secondarytofibrosisandsclerosi
s.
3. A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is
causingacoughandsometimeshehasdifficultybreathing.Whichmedwasmostlikely
prescribed?
a. Lisinopril
4. JMisa68yomanwhopresentsforaphysical.HehasT2DMx5yrs,smokes1/2PPD,BMI is 30. No
other previous medical dx, no current complaints. According to the AHA/ACC guidelines,
JM is stage A HF. Treatment goals for him include:
a. Hearthealthylifestyle
5. MJpresentswithh/ostructuraldamagewithcurrents/sofHF.Treatmentwillbebased on his
stage of HF, which is:
a. StageC
6. 65yoCaucasianfemalepresentswithmitralvalvestenosis,physicalexam
unremarkable. You know her stage of HF is:
a.B
7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after
strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise
0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest.
Occasional nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by
limitingactivity.Painisworsetoday,didnotgoawayafterstoppedwalking.BP120/80, HR 72 and
regular. Normal heart sounds, no murmur, S1, S2. Which differential dx would be most
likely?
a. Coronaryarterydzw/anginapectoris
,2
NR601MIDTERMEXAMQUESTIONWITHANSWERS(LATEST,GR
ADEDA)(CHAMBERLAINCOLLEGEOFNURSING) 2024
8. Thebestwaytodxstructuralheartdz/dysfunctionnon-invasivelyis:
a. Echocardiogram
9. Chronicpaincanhavemajorimpactonpt'sabilitytofunctionandhaveprofound impact on
overall QOL. Ongoing pain may be linked to:
a. Depression,sleepdisturbance,decreasedsocialization
10. TheBeerscriteriaareappropriateforuseinevaluatinguseofcertainmedsinpts:
a. >65yo
11. Ptpresentswithc/oincreasingSOB,coughw/occasionalwhitesputum,fatigue.Aspart of the
plan you order labs. You know the likelihood of HF is low if the BNP is:
a. <100
12. Allofthefollowingstatementsaretrueaboutlabvaluesinolderadultsexcept:
a. Normalrangesmaynotbeapplicabletoolderadults
b. Abnormalfindingsareoftenduetophysiologicalaging
c. Referencerangesarepreferable
d. Referencesvaluesarenotnecessarilyacceptablevalues
a. B
13. Accordingtothe2017ACCHTNguidelines,therecommendedBPgoalfora65yo African
American woman w/a h/o HTN and DM and no h/o CKD is:
a. <140/80
14. ThepathophysiologyofHFisdue to:
a. InadequatecardiacoutputtomeetthemetabolicandO2demandsofthebody
15. A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough w/increased
sputum, worse in the AM, occurring over past 3 months. She tells you, "I
havethesamethingyearafteryear."Whichofthefollowingchoiceswouldyouconsider strongly
in your critical thinking process?
a. Chronicbronchitis
, 3
NR601MIDTERMEXAMQUESTIONWITHANSWERS(LATEST,GR
ADEDA)(CHAMBERLAINCOLLEGEOFNURSING) 2024
16. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet controlled. His
BMIis32.HehasHTN,smoker(10cigs/dayx20yrs).Hedeniesothermedicalproblems. Fam hx
includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He is
asymptomatic today,examis normal,EKG NSR. According toAHA/ACCguidelines,JMis at
risk for what stage of HF?
a. StageA
Thevolumeofairaptisabletoexhalefortotaldurationofthetestduringmaximaleffort is:
b. FVC
17. Accordingtothe2017ACCHTNguidelines,normalBPis:
a. <120/80
18. Functionalabilitiesarebestassessedby:
a. Observedassessmentoffunction
19. LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include
preventionoftargetorgandamage.Duringyourevalyouwillassessforevidenceof:
a. Lventricularhypertrophy
20. AorticregurgitationrequiresmedicaltreatmentforearlysignsofHFwith:
a. ACEi
21. Thevolumeofairinthelungsatmaxinflationis:
a. TLC(totallungcapacity)
22. Preferredamountofexerciseforolderadultsis:
a. 30min/dayofaerobicactivity5days/wk
23. Thetotalvolumeofairaptisabletoexhaleinthefirstsecondduringmaxeffortis:
a. FEV1
24. Youknowthefollowingstatementsregardingthepainofacutecoronarysyndromeare true
except:
a. Presentatypicallymoreofteninmenthanwomen
NR601MIDTERMEXAMQUESTIONWITHANSWERS(LATEST,GR
ADEDA)(CHAMBERLAINCOLLEGEOFNURSING) 2024
NR601MIDTERMEXAM–
QUESTIONWITHANSWERS(LATEST,GRADEDA)(CHAMBERLAINCOLLEGEOFN
URSING)
1. ThepercentageoftheFVCexpiredinonesecondis:
a. FEV1/FVCratio
2. Theagingprocesscauseswhatnormalphysiologicalchangesintheheart?
a. Theheartvalvethickensandbecomesrigid,secondarytofibrosisandsclerosi
s.
3. A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is
causingacoughandsometimeshehasdifficultybreathing.Whichmedwasmostlikely
prescribed?
a. Lisinopril
4. JMisa68yomanwhopresentsforaphysical.HehasT2DMx5yrs,smokes1/2PPD,BMI is 30. No
other previous medical dx, no current complaints. According to the AHA/ACC guidelines,
JM is stage A HF. Treatment goals for him include:
a. Hearthealthylifestyle
5. MJpresentswithh/ostructuraldamagewithcurrents/sofHF.Treatmentwillbebased on his
stage of HF, which is:
a. StageC
6. 65yoCaucasianfemalepresentswithmitralvalvestenosis,physicalexam
unremarkable. You know her stage of HF is:
a.B
7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after
strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise
0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest.
Occasional nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by
limitingactivity.Painisworsetoday,didnotgoawayafterstoppedwalking.BP120/80, HR 72 and
regular. Normal heart sounds, no murmur, S1, S2. Which differential dx would be most
likely?
a. Coronaryarterydzw/anginapectoris
,2
NR601MIDTERMEXAMQUESTIONWITHANSWERS(LATEST,GR
ADEDA)(CHAMBERLAINCOLLEGEOFNURSING) 2024
8. Thebestwaytodxstructuralheartdz/dysfunctionnon-invasivelyis:
a. Echocardiogram
9. Chronicpaincanhavemajorimpactonpt'sabilitytofunctionandhaveprofound impact on
overall QOL. Ongoing pain may be linked to:
a. Depression,sleepdisturbance,decreasedsocialization
10. TheBeerscriteriaareappropriateforuseinevaluatinguseofcertainmedsinpts:
a. >65yo
11. Ptpresentswithc/oincreasingSOB,coughw/occasionalwhitesputum,fatigue.Aspart of the
plan you order labs. You know the likelihood of HF is low if the BNP is:
a. <100
12. Allofthefollowingstatementsaretrueaboutlabvaluesinolderadultsexcept:
a. Normalrangesmaynotbeapplicabletoolderadults
b. Abnormalfindingsareoftenduetophysiologicalaging
c. Referencerangesarepreferable
d. Referencesvaluesarenotnecessarilyacceptablevalues
a. B
13. Accordingtothe2017ACCHTNguidelines,therecommendedBPgoalfora65yo African
American woman w/a h/o HTN and DM and no h/o CKD is:
a. <140/80
14. ThepathophysiologyofHFisdue to:
a. InadequatecardiacoutputtomeetthemetabolicandO2demandsofthebody
15. A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough w/increased
sputum, worse in the AM, occurring over past 3 months. She tells you, "I
havethesamethingyearafteryear."Whichofthefollowingchoiceswouldyouconsider strongly
in your critical thinking process?
a. Chronicbronchitis
, 3
NR601MIDTERMEXAMQUESTIONWITHANSWERS(LATEST,GR
ADEDA)(CHAMBERLAINCOLLEGEOFNURSING) 2024
16. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet controlled. His
BMIis32.HehasHTN,smoker(10cigs/dayx20yrs).Hedeniesothermedicalproblems. Fam hx
includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He is
asymptomatic today,examis normal,EKG NSR. According toAHA/ACCguidelines,JMis at
risk for what stage of HF?
a. StageA
Thevolumeofairaptisabletoexhalefortotaldurationofthetestduringmaximaleffort is:
b. FVC
17. Accordingtothe2017ACCHTNguidelines,normalBPis:
a. <120/80
18. Functionalabilitiesarebestassessedby:
a. Observedassessmentoffunction
19. LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include
preventionoftargetorgandamage.Duringyourevalyouwillassessforevidenceof:
a. Lventricularhypertrophy
20. AorticregurgitationrequiresmedicaltreatmentforearlysignsofHFwith:
a. ACEi
21. Thevolumeofairinthelungsatmaxinflationis:
a. TLC(totallungcapacity)
22. Preferredamountofexerciseforolderadultsis:
a. 30min/dayofaerobicactivity5days/wk
23. Thetotalvolumeofairaptisabletoexhaleinthefirstsecondduringmaxeffortis:
a. FEV1
24. Youknowthefollowingstatementsregardingthepainofacutecoronarysyndromeare true
except:
a. Presentatypicallymoreofteninmenthanwomen
