NR 601 Final Exam – 200 Questions on Primary Care, Geriatrics, Cardiology, Endocrine & Palliative Care – 2026

This document contains a comprehensive 200-question final exam review for NR 601, focusing on primary care management of adult and geriatric patients. The material spans cardiovascular disease (ACC 2017 hypertension guidelines, heart failure staging, NYHA functional classification, atrial fibrillation, arrhythmia evaluation, lipid management, CKD with albuminuria treatment, ACE inhibitor use), endocrine and metabolic disorders (type 2 diabetes screening per ADA guidelines, A1C interpretation, prediabetes, metformin management, microalbumin screening, diabetic nephropathy, obesity risk factors), and obstructive lung disease (GOLD criteria, FEV1/FVC ratios, asthma vs COPD). Extensive coverage is provided on geriatric syndromes including delirium vs dementia differentiation, Mini-Cog interpretation, Parkinson’s disease findings, essential tremor vs Parkinsonian tremor, elder abuse reporting, osteoporosis screening and DEXA interpretation, urinary incontinence types and BPH management, acute and chronic prostatitis, erectile dysfunction differentials, and age-related genitourinary changes. The exam also addresses psychiatric conditions such as depression (SIG-E CAPS), anxiety management, benzodiazepine precautions, hypomania/mania recognition, and insomnia treatment strategies. Palliative and end-of-life care concepts are thoroughly reviewed, including hospice eligibility criteria, differences between hospice and palliative care, opioid use for pain and dyspnea, WHO analgesic ladder, neuropathic pain management, delirium triggers (anticholinergic medications), and advanced practice nurse roles in oncology and chronic disease management. Preventive care principles such as modifiable versus non-modifiable risk factors, cancer screening, cardiovascular risk reduction, and annual diabetic monitoring are emphasized throughout. The content aligns closely with Primary Care: A Collaborative Practice by Dunphy, Winland-Brown, Porter, and Thomas, as well as current ADA, ACC, GOLD, and palliative care guidelines commonly integrated into advanced primary care curricula. The structure reflects evidence-based decision making, guideline-driven management, and clinical reasoning expected in graduate-level family nurse practitioner programs. This document is particularly relevant for: Students enrolled in NR 601 Family Nurse Practitioner (FNP) students MSN students in Advanced Primary Care courses RN-to-MSN students completing adult and geriatric primary care Nurse practitioner students preparing for comprehensive final exams It serves as a structured, exam-focused study guide designed to reinforce clinical judgment, guideline-based management, pharmacologic decision-making, and comprehensive care of adult and older adult populations in primary care settings. Keywords: NR 601 final exam, advanced primary care review, family nurse practitioner study guide, ACC 2017 hypertension guidelines, ADA diabetes screening, A1C interpretation nursing, heart failure staging NYHA, atrial fibrillation management, CKD albuminuria ACE inhibitors, delirium vs dementia, Mini-Cog screening tool, Parkinson disease assessment, osteoporosis DEXA T score, urinary incontinence management, BPH treatment tamsulosin, palliative vs hospice care, WHO analgesic ladder, neuropathic pain management, GOLD criteria FEV1 FVC, insomnia pharmacologic treatment