NR 601 FINAL EXAM
Page|1
NR 601 FINAL EXAM QUESTIONS AND CORRECT ANSWERS/
LATEST UPDATE / ALREADY GRADED
An 86-year-old female comes to your office for a wellness visit. Her
blood pressure is 125/70 mmHg, pulse 69 beats per min, and
respiratory rate 18 breaths per min. She is well appearing and reports
she is up to date on her routine vaccinations. She introduces her
partner of 35 years whom she would like to make medical decisions for
her in case she becomes unable to make decisions for herself. She
reports that she and her partner are not married. She asks if she needs
any further documentation to ensure her goals of care are followed.
Which one of the following would be the most appropriate
recommendation for this patient and her partner?
ANS >> Advise them to file an advanced directive.
. An 81-year-old transgender female with history of depression and
hyperlipidemia presents to your clinic for routine care. She endorses a
history of smoking, currently smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies illicit drug use. She reports
she takes atorvastatin 20 mg and subcutaneous estrogen therapy.
Ans: Counseling on smoking cessation
An 84-year-old male with history of stroke without residual deficit,
systolic heart failure, and type 2 diabetes presents to clinic for follow-
up. He is independently living in a retirement community and still
,NR 601 FINAL EXAM
Page|2
works part time on a golf course. He currently takes aspirin 81 mg,
metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID,
and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years
ago, with no abnormality. He reports he is sexually active with men and
women, engaging in receptive oral, receptive anal, and penetrative
sex. He states he has had over three sexual partners in the last year
with intermittent condom use. What sexually transmitted infection
testing should be offered?
Ans: Urine testing, blood testing, anal swab, and
oropharyngeal swab
Which of the following is true about tolterodine?
Ans: It has greater risk of adverse effects with its twice-daily
formulation.
An 82-year-old man, Mr. A, complains of worsening nocturia, occurring
four times per night. His other lower urinary tract symptoms are slow
stream, occasional urgency, and urgency-related leakage once weekly.
Medical problems include poorly controlled hypertension, diastolic
heart failure, 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. On
review of systems, Mr. A complains that nocturia is causing daytime
,NR 601 FINAL EXAM
Page|3
fatigue, and he is more constipated. Physical examination is notable
for blood pressure 162/83 mmHg, heart rate 60 beats per minute, clear
lungs, soft abdomen, enlarged prostate, and 21 pretibial edemas.
Your next step in management should be:
Ans: 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 "something be
done" as she is requiring 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?
Ans: 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 nine 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
All rights reserved © 2025/ 2026 |
, NR 601 FINAL EXAM
Page|4
"Those Kegler" exercises in the past without success. Which of the
following is the most appropriate recommendation for Ms. J?
Ans: Bladder training
What is the most common cause of erectile dysfunction in older men?
Ans: Atherosclerosis
Which is the most reasonable first step in the treatment of older men
with erectile dysfunction?
Ans: Sildenafil
A 72-year-old woman reports vaginal dryness that interferes with
coitus. Her medical history includes type 2 diabetes, hypertension, and
osteoarthritis. Medications are glyburide, chlorthalidone, and
acetaminophen. What would be your first step in therapy?
Ans: Stop chlorthalidone
A 70-year-old woman reports sexual pain with deep penetration only.
What is the most likely because of her problem?
Ans: High-tone pelvic floor dysfunction
Page|1
NR 601 FINAL EXAM QUESTIONS AND CORRECT ANSWERS/
LATEST UPDATE / ALREADY GRADED
An 86-year-old female comes to your office for a wellness visit. Her
blood pressure is 125/70 mmHg, pulse 69 beats per min, and
respiratory rate 18 breaths per min. She is well appearing and reports
she is up to date on her routine vaccinations. She introduces her
partner of 35 years whom she would like to make medical decisions for
her in case she becomes unable to make decisions for herself. She
reports that she and her partner are not married. She asks if she needs
any further documentation to ensure her goals of care are followed.
Which one of the following would be the most appropriate
recommendation for this patient and her partner?
ANS >> Advise them to file an advanced directive.
. An 81-year-old transgender female with history of depression and
hyperlipidemia presents to your clinic for routine care. She endorses a
history of smoking, currently smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies illicit drug use. She reports
she takes atorvastatin 20 mg and subcutaneous estrogen therapy.
Ans: Counseling on smoking cessation
An 84-year-old male with history of stroke without residual deficit,
systolic heart failure, and type 2 diabetes presents to clinic for follow-
up. He is independently living in a retirement community and still
,NR 601 FINAL EXAM
Page|2
works part time on a golf course. He currently takes aspirin 81 mg,
metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID,
and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years
ago, with no abnormality. He reports he is sexually active with men and
women, engaging in receptive oral, receptive anal, and penetrative
sex. He states he has had over three sexual partners in the last year
with intermittent condom use. What sexually transmitted infection
testing should be offered?
Ans: Urine testing, blood testing, anal swab, and
oropharyngeal swab
Which of the following is true about tolterodine?
Ans: It has greater risk of adverse effects with its twice-daily
formulation.
An 82-year-old man, Mr. A, complains of worsening nocturia, occurring
four times per night. His other lower urinary tract symptoms are slow
stream, occasional urgency, and urgency-related leakage once weekly.
Medical problems include poorly controlled hypertension, diastolic
heart failure, 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. On
review of systems, Mr. A complains that nocturia is causing daytime
,NR 601 FINAL EXAM
Page|3
fatigue, and he is more constipated. Physical examination is notable
for blood pressure 162/83 mmHg, heart rate 60 beats per minute, clear
lungs, soft abdomen, enlarged prostate, and 21 pretibial edemas.
Your next step in management should be:
Ans: 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 "something be
done" as she is requiring 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?
Ans: 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 nine 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
All rights reserved © 2025/ 2026 |
, NR 601 FINAL EXAM
Page|4
"Those Kegler" exercises in the past without success. Which of the
following is the most appropriate recommendation for Ms. J?
Ans: Bladder training
What is the most common cause of erectile dysfunction in older men?
Ans: Atherosclerosis
Which is the most reasonable first step in the treatment of older men
with erectile dysfunction?
Ans: Sildenafil
A 72-year-old woman reports vaginal dryness that interferes with
coitus. Her medical history includes type 2 diabetes, hypertension, and
osteoarthritis. Medications are glyburide, chlorthalidone, and
acetaminophen. What would be your first step in therapy?
Ans: Stop chlorthalidone
A 70-year-old woman reports sexual pain with deep penetration only.
What is the most likely because of her problem?
Ans: High-tone pelvic floor dysfunction
