NR 601 FINAL EXAM LATEST 2025-2026 NEW UPDATED VERSION
V2 GUARANTEED PASS A+ (CHAMBERLAIN UNIVERSITY)
11. Which of the following signs of hyperthyroidism commonly
manifest in younger populations, but is
notably lacking in the elderly?
A. Weight gain
B. Constipation
C. Bradycardia
D. Exophthalmos - ANSWER ->11. ANS: D
PTS: 1
12. A 60-year-old obese male client has type 2 diabetes mellitus
and a lipid panel of TC = 250, HDL =
32, LDL = 165. The nurse practitioner teaches the patient about his
modifiable cardiac risk factors,
which include:
A. Advancing age, diabetes, hyperlipidemia, and male gender
B. Diabetes, obesity, and hyperlipidemia
C. Hyperlipidemia, smoking, and family history of heart disease
,D. Male with age > 45, diabetes mellitus, and hyperlipidemia - ANSWER
->B
13. A diabetic patient presents with the complaint of right foot
pain but denies any recent known injury.
He states it has gotten progressively worse over the past few months.
On exam, vibratory sense, as
well as sensation tested with a monofilament, was abnormal. The
patient's foot is warm, edematous,
and misshapen. The nurse practitioner suspects Charcot foot. What
intervention is indicated?
A. Warm soaks and return for follow-up in 1 week
B. Referral to a pain management clinic
C. Referral to an orthopedist
D. Referral to a cardiologist for evaluation of peripheral vascular
disease - ANSWER ->C
14. What is a sign of insulin resistance that can present in African
American patients?
A. Acanthosis Nigricans
B. Psoriasis Nigricans
C. Seborrheic Nigricans
D. Bullemic Nigricans - ANSWER ->A
15. During a routine physical examination of a 62-year-old female
patient, the nurse practitioner
identifies xanthelasma around both his eyes. What is the significance of
this finding?
A. High potential for future blindness and requires immediate referral
B. None, normal variant of aging process
C. Abnormal lipid metabolism requiring medical management
,D. Hereditary variant that is of no consequence but requires watchful
waiting - ANSWER ->C
16. Mr. White is 62 years old and has chronic kidney disease that
has been relatively stable. He also has
a history of hyperlipidemia, osteoarthritis, and hypertension. He is
compliant with his medications,
and his BP has been well controlled on a calcium channel blocker. His
last lipid panel showed: TC =
201, HDL = 40, TG = 180, LDL = 98. He currently takes Crestor 20 mg
daily. In the office today,
his BP is 188/90, and his urine dip now shows significant proteinuria. He
denies any changes in his
dietary habits or medication regimen. What would be the best
medication change for Mr. White at
this point?
A. No change—have him return in 4 weeks for a re-check of his blood
pressure and
urine
B. Increase the dose of the calcium channel blocker for his hypertension
C. Change the calcium channel blocker to an ACE-I
D. Increase the dose of his Crestor and have him return in 3 months for
a re-check of
his BP - ANSWER ->C
17. You are working as a nurse practitioner in the Fast Track of the
emergency room. A 76-year-old
male presents with left upper quadrant abdominal pain. There can be
many conditions that present as
left upper quadrant pain, but which of the following is least likely to
cause pain in the left upper
quadrant?
, A. Splenic abscess
B. Left pyelonephritis
C. Splenic rupture
D. Acute pancreatitis - ANSWER ->D
18. Which is a "cardinal feature" of failure to thrive?
A. Decline in toileting ability
B. Gait disturbance
C. Poor nutritional status
D. Spiritual distress - ANSWER ->C
19. Feeding gastrostomy tubes at end-of-life Alzheimer's disease
patients have been associated with:
A. Prolongation of life
B. Aspirational pneumonia
C. Increase in skin infections
D. Reversal of any clinical signs of failure to thrive - ANSWER ->B
20. Which of the following nutritional indicators is not an
indication of poor nutritional status in an older
person?
A. Albumin of < 3.5 g/dl
B. Body mass index of 25
C. Total cholesterol < 150 mg/dl
D. Loss of 10% body weight in 180 days - ANSWER ->B
1. The term "geriatric syndrome" is best described as:
A. A condition that has multiple underlying factors and involves
multiple systems
B. A condition that has a discreet etiology that is difficult to pinpoint
C. Significant progress has been made in understanding geriatric
syndromes,
especially falls and delirium
V2 GUARANTEED PASS A+ (CHAMBERLAIN UNIVERSITY)
11. Which of the following signs of hyperthyroidism commonly
manifest in younger populations, but is
notably lacking in the elderly?
A. Weight gain
B. Constipation
C. Bradycardia
D. Exophthalmos - ANSWER ->11. ANS: D
PTS: 1
12. A 60-year-old obese male client has type 2 diabetes mellitus
and a lipid panel of TC = 250, HDL =
32, LDL = 165. The nurse practitioner teaches the patient about his
modifiable cardiac risk factors,
which include:
A. Advancing age, diabetes, hyperlipidemia, and male gender
B. Diabetes, obesity, and hyperlipidemia
C. Hyperlipidemia, smoking, and family history of heart disease
,D. Male with age > 45, diabetes mellitus, and hyperlipidemia - ANSWER
->B
13. A diabetic patient presents with the complaint of right foot
pain but denies any recent known injury.
He states it has gotten progressively worse over the past few months.
On exam, vibratory sense, as
well as sensation tested with a monofilament, was abnormal. The
patient's foot is warm, edematous,
and misshapen. The nurse practitioner suspects Charcot foot. What
intervention is indicated?
A. Warm soaks and return for follow-up in 1 week
B. Referral to a pain management clinic
C. Referral to an orthopedist
D. Referral to a cardiologist for evaluation of peripheral vascular
disease - ANSWER ->C
14. What is a sign of insulin resistance that can present in African
American patients?
A. Acanthosis Nigricans
B. Psoriasis Nigricans
C. Seborrheic Nigricans
D. Bullemic Nigricans - ANSWER ->A
15. During a routine physical examination of a 62-year-old female
patient, the nurse practitioner
identifies xanthelasma around both his eyes. What is the significance of
this finding?
A. High potential for future blindness and requires immediate referral
B. None, normal variant of aging process
C. Abnormal lipid metabolism requiring medical management
,D. Hereditary variant that is of no consequence but requires watchful
waiting - ANSWER ->C
16. Mr. White is 62 years old and has chronic kidney disease that
has been relatively stable. He also has
a history of hyperlipidemia, osteoarthritis, and hypertension. He is
compliant with his medications,
and his BP has been well controlled on a calcium channel blocker. His
last lipid panel showed: TC =
201, HDL = 40, TG = 180, LDL = 98. He currently takes Crestor 20 mg
daily. In the office today,
his BP is 188/90, and his urine dip now shows significant proteinuria. He
denies any changes in his
dietary habits or medication regimen. What would be the best
medication change for Mr. White at
this point?
A. No change—have him return in 4 weeks for a re-check of his blood
pressure and
urine
B. Increase the dose of the calcium channel blocker for his hypertension
C. Change the calcium channel blocker to an ACE-I
D. Increase the dose of his Crestor and have him return in 3 months for
a re-check of
his BP - ANSWER ->C
17. You are working as a nurse practitioner in the Fast Track of the
emergency room. A 76-year-old
male presents with left upper quadrant abdominal pain. There can be
many conditions that present as
left upper quadrant pain, but which of the following is least likely to
cause pain in the left upper
quadrant?
, A. Splenic abscess
B. Left pyelonephritis
C. Splenic rupture
D. Acute pancreatitis - ANSWER ->D
18. Which is a "cardinal feature" of failure to thrive?
A. Decline in toileting ability
B. Gait disturbance
C. Poor nutritional status
D. Spiritual distress - ANSWER ->C
19. Feeding gastrostomy tubes at end-of-life Alzheimer's disease
patients have been associated with:
A. Prolongation of life
B. Aspirational pneumonia
C. Increase in skin infections
D. Reversal of any clinical signs of failure to thrive - ANSWER ->B
20. Which of the following nutritional indicators is not an
indication of poor nutritional status in an older
person?
A. Albumin of < 3.5 g/dl
B. Body mass index of 25
C. Total cholesterol < 150 mg/dl
D. Loss of 10% body weight in 180 days - ANSWER ->B
1. The term "geriatric syndrome" is best described as:
A. A condition that has multiple underlying factors and involves
multiple systems
B. A condition that has a discreet etiology that is difficult to pinpoint
C. Significant progress has been made in understanding geriatric
syndromes,
especially falls and delirium
