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NR 601 Midterm 400 Questions Prep – Geriatrics, COPD, Cardiovascular & Pharmacology 2026 – Chamberlain University

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This document contains approximately 400 comprehensive exam-style questions and verified answers for the NR 601 Midterm, focusing on advanced practice nursing care of older adults. It begins with core geriatric concepts such as physiological changes of aging—including reduced physiological reserve, impaired homeostasis, and decreased immune function (page 1–2)—and expands into a wide range of clinical conditions and management strategies. The material provides in-depth coverage of major systems-based disorders commonly seen in geriatric patients, including respiratory conditions (COPD, asthma, pneumonia, tuberculosis), cardiovascular diseases (heart failure staging, hypertension guidelines, valvular disorders, myocardial infarction), and endocrine/metabolic disorders such as diabetes and thyroid dysfunction. It also includes detailed diagnostic criteria, clinical presentations, and treatment protocols such as GOLD criteria for COPD severity, ACC/AHA hypertension classifications, and heart failure management across Stages A–D. Additionally, the document thoroughly examines geriatric pharmacology and prescribing considerations, including Beers Criteria, polypharmacy risks, pharmacokinetics and pharmacodynamics in aging, and safe medication management. It also covers preventive care guidelines such as immunizations (influenza, pneumococcal, hepatitis, zoster), screening practices, and levels of prevention (primary, secondary, tertiary) with practical clinical examples. The content further explores musculoskeletal disorders (osteoporosis, osteoarthritis, rheumatoid arthritis), mental health conditions (depression, anxiety, dementia, delirium), and pain management strategies (nociceptive vs neuropathic pain). It emphasizes clinical reasoning through scenario-based questions, including differential diagnoses, treatment planning, and patient education relevant to nurse practitioner practice. This resource is ideal for graduate nursing students, particularly those enrolled in NR 601 (Primary Care of the Maturing and Aged Family) at Chamberlain University, as well as NP students, BSN learners, and healthcare professionals preparing for midterms, finals, or certification exams such as FNP boards. It is also highly relevant for courses in advanced health assessment, gerontology, primary care, and pharmacology. The content aligns with standard textbooks such as Primary Care: A Collaborative Practice by Buttaro et al. and Geriatric Nursing Review Syllabus, ensuring accuracy and alignment with current evidence-based practice. It serves as a complete and in-depth study guide for mastering geriatric care concepts and achieving exam success. Keywords: NR 601 exam prep, geriatric nursing questions, COPD GOLD criteria, heart failure stages A B C D, hypertension guidelines ACC AHA, Beers criteria medications elderly, polypharmacy risks elderly, osteoporosis diagnosis T score, dementia delirium differences, depression elderly symptoms, pharmacology aging changes, primary secondary tertiary prevention, immunization guidelines elderly, nurse practitioner midterm prep

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NR 601 additional midterm
information EXAM Questions &
Answers | 100% Verified
solutions | Latest!!


What are the 3 primary physiological changes of aging? - 🧠 ANSWER ✔✔1.

Reduced physiological reserve of most body systems, esp. cardiac, resp,

renal.




2. Reduced homeostatic mechanisms that fail to adjust regulatory systems

(i.e. temp control, fluid/lyte balance, etc.).

,3. Impaired immunological function (infection risk is greater, autoimmune

dz's more prevalent)

What is the preferred amount of exercise for elderly? - 🧠 ANSWER

✔✔30min/day 5 days/wk of moderate exercise.




If trying to lose wt: 60min/day.


What are PFTs? - 🧠 ANSWER ✔✔Group of tests that provide quantifiable

measurement of lung function, used to dx resp abnormalities or assess

progression/resolution of lung dz.


What is FEV1? - 🧠 ANSWER ✔✔Forced Expiratory Volume in 1 second

(80-120%)


What is FVC? - 🧠 ANSWER ✔✔Forced Vital Capacity (80-120%)


What is normal FEV1/FVC ratio? - 🧠 ANSWER ✔✔<0.7 (70%)


What is GOLD 1 criteria? - 🧠 ANSWER ✔✔Mild


FEV1 >/= 80% predicted

,What is GOLD 2 criteria? - 🧠 ANSWER ✔✔Moderate


FEV1 50-79% predicted


What is GOLD 3 criteria? - 🧠 ANSWER ✔✔Severe


FEV1 30-49% predicted


What is GOLD 4 criteria? - 🧠 ANSWER ✔✔Very severe


FEV1 <30% predicted


What are the signal symptoms of COPD? - 🧠 ANSWER ✔✔Dyspnea


Chronic cough w/sputum

Decreased activity tolerance

Wheezing


What are characteristics of COPD? - 🧠 ANSWER ✔✔Common,

preventable, treatable.




Characterized by persistent airflow limitation.




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, Usually progressive, associated with enhanced chronic inflammatory

response in airways and lungs to noxious particles/gases




Airway fibrosis, luminal plugs, airway inflammation, increased airway

resistance, small airway dz.




Decreased elastic recoil of alveoli.


What are risk factors for COPD? - 🧠 ANSWER ✔✔Smoking (increasing

w/number of pack years)

Second hand smoke

Environmental pollution (endotoxins, coal dust, mineral dust)


What is seen on phys exam in COPD? - 🧠 ANSWER ✔✔May be normal in

early states




As severity progresses: lung hyperinflation, decreased breath sounds,

wheezes at bases, distant heart tones (b/c of hyperinflation, so S1/S2

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