NR 605 EXAMLIFY WEEK 8 FINAL EXAM
ACTUAL EXAM (75 QUESTIONS AND
ANSWERS WITH 100% ACCURACY)
(PROCTORED THROUGH EXAMLIFY)
ACTUAL EXAM SCREENSHOTS (SCORED
99.9%)-CHAMBERLAIN UNIVERSITY
CHAMBERLAIN UNIVERSITY
NR 605: Adult-Gerontology Primary Care
FINAL EXAMINATION (PRACTICE TEMPLATE)
Student Name: ________________________________
Student ID: _________________________________
Course Section: _____________________________
Instructor: _________________________________
Date: ___________________
Time Allowed: 120 Minutes
Total Questions: 75
Total Points: 100
EXAM INSTRUCTIONS
1. This is a closed-book, timed examination.
2. Read each question carefully before selecting your answer.
3. Choose the best answer for each question.
4. Do not leave any questions unanswered.
5. Manage your time effectively (approx. 1–1.5 minutes per question).
ACADEMIC INTEGRITY STATEMENT
,By taking this exam, you agree to uphold the highest standards of academic honesty. Any form
of cheating, unauthorized assistance, or misconduct may result in disciplinary action in
accordance with university policies.
TECHNICAL GUIDELINES (EXAMLIFY-STYLE)
• Ensure your device is fully charged and connected to power.
• Do not exit the exam browser until submission is complete.
• In case of technical issues, notify your instructor immediately.
IMPORTANT REMINDERS
• Stay calm and focused.
• Read all answer choices before selecting.
• Flag difficult questions and return if time allows.
GOOD LUCK!
CARDIO (TOP PRIORITY)
• HTN first-line: ACEi/ARB, thiazide, CCB
• Diabetes + HTN: ACEi/ARB (renal protection)
• MI first steps: Aspirin → ECG → Troponin → Nitroglycerin (if stable)
• Atrial fibrillation:
o Rate control → Beta-blocker (metoprolol)
o Stroke prevention → Anticoagulation
• Heart failure:
o ↑ BNP
o Tx → ACEi + Beta-blocker + diuretics
🫁 RESPIRATORY
, • Asthma:
o Rescue → Albuterol (SABA)
o Control → Inhaled corticosteroid
• COPD:
o O2 goal → 88–92%
o Exacerbation → Steroids + antibiotics
• Pulmonary embolism clues:
o Sudden SOB + recent travel/surgery
o Dx → CT angiography
🍬 ENDOCRINE
• Diabetes diagnosis:
o Fasting ≥126 OR A1c ≥6.5%
• First-line Tx: Metformin (check GFR!)
• Hypoglycemia: confusion, sweating → Give glucose immediately
• Thyroid:
o Hypo → ↑TSH, ↓T4 → Levothyroxine
o Hyper → ↓TSH, ↑T4 → Methimazole
🫁 HEMATOLOGY
• Iron deficiency anemia: ↓Ferritin, ↑TIBC
• B12 deficiency: ↑MCV (macrocytic)
• DVT signs: unilateral swelling → Ultrasound
🫁 INFECTIOUS DISEASE
• UTI: Nitrofurantoin
• Strep throat: Penicillin
• TB: night sweats, weight loss → PPD test
• Sepsis:
👉 IV fluids + antibiotics immediately
🍔 GI
, • GERD: PPI first-line
• Pancreatitis: ↑Lipase + epigastric pain → back
• Cholecystitis: RUQ pain + Murphy sign
• Upper GI bleed: coffee-ground emesis
🧠 NEURO (HIGH TEST YIELD)
• Stroke signs: FAST → CT scan immediately
• Worst headache of life: Subarachnoid hemorrhage
• Parkinson’s: tremor + mask face
• Meningitis: fever + stiff neck → emergency
💊 PHARM MUST-KNOW
• ACE inhibitors: cough, ↑K
• ARBs: use if ACE cough
• Statins: ↓LDL (avoid in liver disease)
• Warfarin: monitor INR (goal ~2–3)
• Heparin: immediate anticoagulation
⚠️ EMERGENCIES (ALWAYS TESTED)
• Anaphylaxis → Epinephrine FIRST
• Hyperkalemia → Calcium gluconate FIRST
• Hypoglycemia → Glucose FIRST
• MI → Aspirin FIRST
🫁 LAB CLUTCH POINTS
• A1c: 5.7–6.4 prediabetes, ≥6.5 diabetes
• BNP: heart failure
• Lipase: pancreatitis
• Creatinine: kidney function
• Potassium:
o High → peaked T waves
o Low → arrhythmias
ACTUAL EXAM (75 QUESTIONS AND
ANSWERS WITH 100% ACCURACY)
(PROCTORED THROUGH EXAMLIFY)
ACTUAL EXAM SCREENSHOTS (SCORED
99.9%)-CHAMBERLAIN UNIVERSITY
CHAMBERLAIN UNIVERSITY
NR 605: Adult-Gerontology Primary Care
FINAL EXAMINATION (PRACTICE TEMPLATE)
Student Name: ________________________________
Student ID: _________________________________
Course Section: _____________________________
Instructor: _________________________________
Date: ___________________
Time Allowed: 120 Minutes
Total Questions: 75
Total Points: 100
EXAM INSTRUCTIONS
1. This is a closed-book, timed examination.
2. Read each question carefully before selecting your answer.
3. Choose the best answer for each question.
4. Do not leave any questions unanswered.
5. Manage your time effectively (approx. 1–1.5 minutes per question).
ACADEMIC INTEGRITY STATEMENT
,By taking this exam, you agree to uphold the highest standards of academic honesty. Any form
of cheating, unauthorized assistance, or misconduct may result in disciplinary action in
accordance with university policies.
TECHNICAL GUIDELINES (EXAMLIFY-STYLE)
• Ensure your device is fully charged and connected to power.
• Do not exit the exam browser until submission is complete.
• In case of technical issues, notify your instructor immediately.
IMPORTANT REMINDERS
• Stay calm and focused.
• Read all answer choices before selecting.
• Flag difficult questions and return if time allows.
GOOD LUCK!
CARDIO (TOP PRIORITY)
• HTN first-line: ACEi/ARB, thiazide, CCB
• Diabetes + HTN: ACEi/ARB (renal protection)
• MI first steps: Aspirin → ECG → Troponin → Nitroglycerin (if stable)
• Atrial fibrillation:
o Rate control → Beta-blocker (metoprolol)
o Stroke prevention → Anticoagulation
• Heart failure:
o ↑ BNP
o Tx → ACEi + Beta-blocker + diuretics
🫁 RESPIRATORY
, • Asthma:
o Rescue → Albuterol (SABA)
o Control → Inhaled corticosteroid
• COPD:
o O2 goal → 88–92%
o Exacerbation → Steroids + antibiotics
• Pulmonary embolism clues:
o Sudden SOB + recent travel/surgery
o Dx → CT angiography
🍬 ENDOCRINE
• Diabetes diagnosis:
o Fasting ≥126 OR A1c ≥6.5%
• First-line Tx: Metformin (check GFR!)
• Hypoglycemia: confusion, sweating → Give glucose immediately
• Thyroid:
o Hypo → ↑TSH, ↓T4 → Levothyroxine
o Hyper → ↓TSH, ↑T4 → Methimazole
🫁 HEMATOLOGY
• Iron deficiency anemia: ↓Ferritin, ↑TIBC
• B12 deficiency: ↑MCV (macrocytic)
• DVT signs: unilateral swelling → Ultrasound
🫁 INFECTIOUS DISEASE
• UTI: Nitrofurantoin
• Strep throat: Penicillin
• TB: night sweats, weight loss → PPD test
• Sepsis:
👉 IV fluids + antibiotics immediately
🍔 GI
, • GERD: PPI first-line
• Pancreatitis: ↑Lipase + epigastric pain → back
• Cholecystitis: RUQ pain + Murphy sign
• Upper GI bleed: coffee-ground emesis
🧠 NEURO (HIGH TEST YIELD)
• Stroke signs: FAST → CT scan immediately
• Worst headache of life: Subarachnoid hemorrhage
• Parkinson’s: tremor + mask face
• Meningitis: fever + stiff neck → emergency
💊 PHARM MUST-KNOW
• ACE inhibitors: cough, ↑K
• ARBs: use if ACE cough
• Statins: ↓LDL (avoid in liver disease)
• Warfarin: monitor INR (goal ~2–3)
• Heparin: immediate anticoagulation
⚠️ EMERGENCIES (ALWAYS TESTED)
• Anaphylaxis → Epinephrine FIRST
• Hyperkalemia → Calcium gluconate FIRST
• Hypoglycemia → Glucose FIRST
• MI → Aspirin FIRST
🫁 LAB CLUTCH POINTS
• A1c: 5.7–6.4 prediabetes, ≥6.5 diabetes
• BNP: heart failure
• Lipase: pancreatitis
• Creatinine: kidney function
• Potassium:
o High → peaked T waves
o Low → arrhythmias
