CHAMBERLAIN NR 601
PRIMARY CARE: COLLABORATIVE
MANAGEMENT OF ADULT HEALTH
MIDTERM EXAMINATION
_______________________________________________
Chamberlain University College of Nursing
FNP / AGPCNP Advanced Practice Nursing
50 Questions | Verified Answers | 2026/2027 Edition
Passing Score: 75–80% | 100% Correct | Graded A+
All Correct Answers | Verified Solutions | Graded A+
,Table of Contents
Introduction ................................................................................................................................................... 1
Section 1: Chronic Disease Management in Adults/Older Adults .............................................................. 1
Section 2: Endocrine Disorders ................................................................................................................... 2
Section 3: Respiratory Conditions ............................................................................................................... 4
Section 4: Musculoskeletal & Geriatric Syndromes .....................................................................................5
Section 5: Preventive Care & Screening Guidelines .................................................................................... 7
Section 6: Pharmacologic Management in Adult Primary Care ................................................................ 8
Section 7: Clinical Decision-Making & Differential Diagnosis..................................................................10
Section 8: Interprofessional Collaboration & Care Coordination ............................................................. 11
Section 9: Patient Education & Self-Management Support ...................................................................... 12
Section 10: Legal/Ethical Responsibilities & Scenario-Based Clinical Judgment ................................... 12
Comprehensive Answer Key ....................................................................................................................... 14
Note: Right-click the Table of Contents and select "Update Field" to refresh page numbers.
, Chamberlain NR 601 Midterm Exam 2026/2027
Introduction
This Chamberlain NR 601 Primary Care: Collaborative Management of Adult Health Midterm Exam
for 2026/2027 evaluates proficiency in adult and gerontology primary care management for FNP and
AGPCNP students at Chamberlain University. The exam covers chronic disease management,
endocrine/respiratory/musculoskeletal conditions, geriatric syndromes, preventive screening
guidelines, pharmacologic interventions, clinical decision-making, interprofessional collaboration,
patient education, and scenario-based clinical judgment aligned with NGN standards and current
clinical practice guidelines (ACC/AHA, ADA, GOLD, USPSTF).
The standard NR 601 midterm consists of approximately 50 multiple-choice questions aligned with
APRN competencies and evidence-based primary care practice. This assessment emphasizes clinical
reasoning, guideline application, and therapeutic decision-making for adult and older adult
populations.
Exam Overview
Total Questions 50 Multiple-Choice
Format Proctored Computer-Based
Passing Score 75–80% (38–40 Correct)
Domains 10 Core Primary Care Domains
Estimated Time 90–120 Minutes
Guideline Alignment ACC/AHA, ADA, GOLD, USPSTF, GINA, AGS
Section 1: Chronic Disease Management in Adults/Older Adults
Covers hypertension staging (ACC/AHA 2017), heart failure GDMT, dyslipidemia management,
CAD classification, anticoagulation for AF (CHA2DS2-VASc), and chronic disease monitoring.
1. According to the 2017 ACC/AHA hypertension guidelines, which blood pressure
classification applies to a patient with a consistent reading of 132/84 mmHg?
A) Elevated blood pressure
B) Stage 1 hypertension
C) Stage 2 hypertension
D) Normal blood pressure
Rationale: The 2017 ACC/AHA guidelines define Stage 1 hypertension as systolic BP 130-139
mmHg or diastolic BP 80-89 mmHg. A reading of 132/84 meets both criteria for Stage 1. This
classification lowered the treatment threshold from the previous JNC 7 guidelines and
recommends lifestyle modifications as first-line therapy for Stage 1 without compelling
comorbidities.
2. A 68-year-old patient with chronic heart failure (HFrEF, EF 35%) presents with
increasing dyspnea on exertion, 3-pillow orthopnea, and bilateral lower extremity
edema. Which medication class should be initiated or optimized first per current
ACC/AHA/HFSA guidelines?
A) Calcium channel blocker
B) ACE inhibitor or ARB
C) Beta-blocker (carvedilol or metoprolol succinate)
D) Loop diuretic for volume overload
Rationale: This patient has signs of acute decompensated heart failure with volume overload.
Loop diuretics (furosemide) should be initiated first to relieve congestion and edema. After
Page 1 of 18
PRIMARY CARE: COLLABORATIVE
MANAGEMENT OF ADULT HEALTH
MIDTERM EXAMINATION
_______________________________________________
Chamberlain University College of Nursing
FNP / AGPCNP Advanced Practice Nursing
50 Questions | Verified Answers | 2026/2027 Edition
Passing Score: 75–80% | 100% Correct | Graded A+
All Correct Answers | Verified Solutions | Graded A+
,Table of Contents
Introduction ................................................................................................................................................... 1
Section 1: Chronic Disease Management in Adults/Older Adults .............................................................. 1
Section 2: Endocrine Disorders ................................................................................................................... 2
Section 3: Respiratory Conditions ............................................................................................................... 4
Section 4: Musculoskeletal & Geriatric Syndromes .....................................................................................5
Section 5: Preventive Care & Screening Guidelines .................................................................................... 7
Section 6: Pharmacologic Management in Adult Primary Care ................................................................ 8
Section 7: Clinical Decision-Making & Differential Diagnosis..................................................................10
Section 8: Interprofessional Collaboration & Care Coordination ............................................................. 11
Section 9: Patient Education & Self-Management Support ...................................................................... 12
Section 10: Legal/Ethical Responsibilities & Scenario-Based Clinical Judgment ................................... 12
Comprehensive Answer Key ....................................................................................................................... 14
Note: Right-click the Table of Contents and select "Update Field" to refresh page numbers.
, Chamberlain NR 601 Midterm Exam 2026/2027
Introduction
This Chamberlain NR 601 Primary Care: Collaborative Management of Adult Health Midterm Exam
for 2026/2027 evaluates proficiency in adult and gerontology primary care management for FNP and
AGPCNP students at Chamberlain University. The exam covers chronic disease management,
endocrine/respiratory/musculoskeletal conditions, geriatric syndromes, preventive screening
guidelines, pharmacologic interventions, clinical decision-making, interprofessional collaboration,
patient education, and scenario-based clinical judgment aligned with NGN standards and current
clinical practice guidelines (ACC/AHA, ADA, GOLD, USPSTF).
The standard NR 601 midterm consists of approximately 50 multiple-choice questions aligned with
APRN competencies and evidence-based primary care practice. This assessment emphasizes clinical
reasoning, guideline application, and therapeutic decision-making for adult and older adult
populations.
Exam Overview
Total Questions 50 Multiple-Choice
Format Proctored Computer-Based
Passing Score 75–80% (38–40 Correct)
Domains 10 Core Primary Care Domains
Estimated Time 90–120 Minutes
Guideline Alignment ACC/AHA, ADA, GOLD, USPSTF, GINA, AGS
Section 1: Chronic Disease Management in Adults/Older Adults
Covers hypertension staging (ACC/AHA 2017), heart failure GDMT, dyslipidemia management,
CAD classification, anticoagulation for AF (CHA2DS2-VASc), and chronic disease monitoring.
1. According to the 2017 ACC/AHA hypertension guidelines, which blood pressure
classification applies to a patient with a consistent reading of 132/84 mmHg?
A) Elevated blood pressure
B) Stage 1 hypertension
C) Stage 2 hypertension
D) Normal blood pressure
Rationale: The 2017 ACC/AHA guidelines define Stage 1 hypertension as systolic BP 130-139
mmHg or diastolic BP 80-89 mmHg. A reading of 132/84 meets both criteria for Stage 1. This
classification lowered the treatment threshold from the previous JNC 7 guidelines and
recommends lifestyle modifications as first-line therapy for Stage 1 without compelling
comorbidities.
2. A 68-year-old patient with chronic heart failure (HFrEF, EF 35%) presents with
increasing dyspnea on exertion, 3-pillow orthopnea, and bilateral lower extremity
edema. Which medication class should be initiated or optimized first per current
ACC/AHA/HFSA guidelines?
A) Calcium channel blocker
B) ACE inhibitor or ARB
C) Beta-blocker (carvedilol or metoprolol succinate)
D) Loop diuretic for volume overload
Rationale: This patient has signs of acute decompensated heart failure with volume overload.
Loop diuretics (furosemide) should be initiated first to relieve congestion and edema. After
Page 1 of 18
