NR 601 MIDTERM QUSTIONS AND ANSWERS LATEST
UPDATE
The percentage of the FVC expired in one second is - CORRECT ANSWER >> FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart - CORRECT ANSWER >> The
heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough
and sometimes he has difficulty breathing. Which med was most likely prescribed? - CORRECT
ANSWER >> Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage
of HF which is - CORRECT ANSWER >> Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her
stage of HF is - CORRECT ANSWER >> Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is - CORRECT ANSWER >>
Echocardiogram
Chronic pain can have major impact on patients ability to function and have profound impact on
overall QOL. Ongoing pain may be linked to - CORRECT ANSWER >> Depression, sleep disturbance,
decreased socialization
,The Beers criteria are appropriate for use in evaluating use of certain meds in patients - CORRECT
ANSWER >> >65 y/o
All of the following statements are true about lab values in older adults except - CORRECT ANSWER >>
Abnormal findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American
woman with a h/o HTN and DM and no h/o CKD is - CORRECT ANSWER >> <140/80
THe pathophysiology of HF is due to - CORRECT ANSWER >> Inadequate cardiac output to meet the
metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal effort is - CORRECT
ANSWER >> FVC
According it the 2017 ACC HTN guidelines, normal BP is - CORRECT ANSWER >> <120/80
Functional abilities are best assessed by - CORRECT ANSWER >> Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of target
organ damage. During your eval you will assess for evidence of - CORRECT ANSWER >> Left
ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with - CORRECT ANSWER >> ACEi
The volume of air in the lungs at max inflation is - CORRECT ANSWER >> TLC (total lung capacity)
Preferred amount of exercise for older adults is - CORRECT ANSWER >> 30min/day of aerobic exercise
5 days a week
You know the following statements regarding th pain of acute coronary syndrome are true except -
CORRECT ANSWER >> Present atypically more often in men than women
, Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate >100.
Patient also has a new tremor in both hands. Which of the following would you suspect - CORRECT
ANSWER >> Hyperthyroidism
Which patient is more likely to have osteoporosis - CORRECT ANSWER >> 80 y/o. Underweight male
who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action info
statement would indicate she understood your instructions regarding this med? - CORRECT ANSWER
>> Take med with full glass of water when up in the AM 30 min before other food and meds
60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him about his
modifiable cardiac risk factors which include - CORRECT ANSWER >> DM, obesity, hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following except - CORRECT ANSWER
>> Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable diagnostic
study would be - CORRECT ANSWER >> Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait described as - CORRECT ANSWER
>> Antalgic
Which of the following best describes pain associated with OA - CORRECT ANSWER >> Begins upon
arising and after prolonged weight bearing and or use of the joint
Joint effusions typically occurs later in the course of OA, especially in the - CORRECT ANSWER >> Knee
You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2 clinical findings
are common in patients with PMR - CORRECT ANSWER >> Normochromic, normocytic anemia and
thrombocytosis
UPDATE
The percentage of the FVC expired in one second is - CORRECT ANSWER >> FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart - CORRECT ANSWER >> The
heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough
and sometimes he has difficulty breathing. Which med was most likely prescribed? - CORRECT
ANSWER >> Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage
of HF which is - CORRECT ANSWER >> Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her
stage of HF is - CORRECT ANSWER >> Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is - CORRECT ANSWER >>
Echocardiogram
Chronic pain can have major impact on patients ability to function and have profound impact on
overall QOL. Ongoing pain may be linked to - CORRECT ANSWER >> Depression, sleep disturbance,
decreased socialization
,The Beers criteria are appropriate for use in evaluating use of certain meds in patients - CORRECT
ANSWER >> >65 y/o
All of the following statements are true about lab values in older adults except - CORRECT ANSWER >>
Abnormal findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American
woman with a h/o HTN and DM and no h/o CKD is - CORRECT ANSWER >> <140/80
THe pathophysiology of HF is due to - CORRECT ANSWER >> Inadequate cardiac output to meet the
metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal effort is - CORRECT
ANSWER >> FVC
According it the 2017 ACC HTN guidelines, normal BP is - CORRECT ANSWER >> <120/80
Functional abilities are best assessed by - CORRECT ANSWER >> Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of target
organ damage. During your eval you will assess for evidence of - CORRECT ANSWER >> Left
ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with - CORRECT ANSWER >> ACEi
The volume of air in the lungs at max inflation is - CORRECT ANSWER >> TLC (total lung capacity)
Preferred amount of exercise for older adults is - CORRECT ANSWER >> 30min/day of aerobic exercise
5 days a week
You know the following statements regarding th pain of acute coronary syndrome are true except -
CORRECT ANSWER >> Present atypically more often in men than women
, Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate >100.
Patient also has a new tremor in both hands. Which of the following would you suspect - CORRECT
ANSWER >> Hyperthyroidism
Which patient is more likely to have osteoporosis - CORRECT ANSWER >> 80 y/o. Underweight male
who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action info
statement would indicate she understood your instructions regarding this med? - CORRECT ANSWER
>> Take med with full glass of water when up in the AM 30 min before other food and meds
60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him about his
modifiable cardiac risk factors which include - CORRECT ANSWER >> DM, obesity, hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following except - CORRECT ANSWER
>> Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable diagnostic
study would be - CORRECT ANSWER >> Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait described as - CORRECT ANSWER
>> Antalgic
Which of the following best describes pain associated with OA - CORRECT ANSWER >> Begins upon
arising and after prolonged weight bearing and or use of the joint
Joint effusions typically occurs later in the course of OA, especially in the - CORRECT ANSWER >> Knee
You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2 clinical findings
are common in patients with PMR - CORRECT ANSWER >> Normochromic, normocytic anemia and
thrombocytosis
