NR601 Week 8 Final Exam Due 1st March
2026 Complete Actual Exam Questions 1-
100 NR 601 Primary Care of the
Maturing and Aged Family Practicum NR
601 Midterm and Finals Examplify Online
Proctored Exam Questions and Answers |
100% Pass Guaranteed | Graded
SECTION 1: CARDIOVASCULAR AND RESPIRATORY
CONDITIONS (Questions 1-15)
Question 1
An 82-year-old man with heart failure and stage 3 CKD is taking
furosemide 80 mg BID. His BP is 98/58 mmHg, and his creatinine has
risen. What is the most appropriate adjustment?
A) Increase lisinopril
B) Reduce furosemide to 40 mg BID
C) Start spironolactone
D) Add hydrochlorothiazide
Correct ,,,ANSWER,,,: B
,Rationale: The hypotension and rising creatinine suggest over-diuresis
(prerenal azotemia). Reducing the diuretic dose is the appropriate first
step to improve renal perfusion while maintaining some diuresis.
Increasing lisinopril would worsen hypotension and renal function .
Question 2
A 79-year-old man with COPD (GOLD B) has an FEV₁ of 55%
predicted and two exacerbations per year. His inhaler technique is
correct. Which regimen is best?
A) LABA alone
B) LAMA alone
C) LABA + LAMA
D) LABA + ICS
Correct ,,,ANSWER,,,: C
Rationale: For GOLD Group B patients with ≥2 exacerbations or an
FEV₁ < 50%, dual bronchodilation (LABA + LAMA) is recommended.
Adding an ICS increases pneumonia risk without additional benefit in
non-eosinophilic patients .
Question 3
An 84-year-old nursing home resident is hospitalized for pneumonia. On
day 2, she becomes acutely confused, agitated, and tries to remove her
,IV. She has no prior cognitive impairment. Which term best describes
this presentation?
A) Major neurocognitive disorder
B) Lewy body dementia
C) Delirium
D) Late-onset psychosis
Correct ,,,ANSWER,,,: C
Rationale: The acute onset, fluctuating course, and altered level of
consciousness in the context of an acute illness meet the DSM-5 criteria
for delirium. Dementia is chronic and progressive .
Question 4
The NP knows that medications can trigger or worsen heart failure. With
this knowledge in mind, the NP will avoid prescribing which of the
following classes of medications?
A) Benzodiazepines
B) Macrolides
C) Muscle relaxants
D) NSAIDs
Correct ,,,ANSWER,,,: D
Rationale: NSAIDs can trigger or worsen heart failure by causing
sodium and water retention, increasing systemic vascular resistance, and
blunting the response to diuretics and ACE inhibitors. They are
generally avoided in patients with heart failure .
, Question 5
Which of the following signs or symptoms are NOT characteristics of
delirium?
A) Patient is coherent
B) Short duration
C) Sudden onset
D) Symptoms are worse in the evenings
Correct ,,,ANSWER,,,: A
Rationale: Delirium is characterized by incoherent thought processes,
disorientation, and fluctuating consciousness. Coherence indicates intact
cognitive processing, which is lost in delirium .
Question 6
The most common sustained rhythmic disorder, which consists of
fibrillatory p waves, is:
A) AV block
B) Atrial tachycardia
C) Atrial fibrillation
D) Atrial flutter
Correct ,,,ANSWER,,,: C
2026 Complete Actual Exam Questions 1-
100 NR 601 Primary Care of the
Maturing and Aged Family Practicum NR
601 Midterm and Finals Examplify Online
Proctored Exam Questions and Answers |
100% Pass Guaranteed | Graded
SECTION 1: CARDIOVASCULAR AND RESPIRATORY
CONDITIONS (Questions 1-15)
Question 1
An 82-year-old man with heart failure and stage 3 CKD is taking
furosemide 80 mg BID. His BP is 98/58 mmHg, and his creatinine has
risen. What is the most appropriate adjustment?
A) Increase lisinopril
B) Reduce furosemide to 40 mg BID
C) Start spironolactone
D) Add hydrochlorothiazide
Correct ,,,ANSWER,,,: B
,Rationale: The hypotension and rising creatinine suggest over-diuresis
(prerenal azotemia). Reducing the diuretic dose is the appropriate first
step to improve renal perfusion while maintaining some diuresis.
Increasing lisinopril would worsen hypotension and renal function .
Question 2
A 79-year-old man with COPD (GOLD B) has an FEV₁ of 55%
predicted and two exacerbations per year. His inhaler technique is
correct. Which regimen is best?
A) LABA alone
B) LAMA alone
C) LABA + LAMA
D) LABA + ICS
Correct ,,,ANSWER,,,: C
Rationale: For GOLD Group B patients with ≥2 exacerbations or an
FEV₁ < 50%, dual bronchodilation (LABA + LAMA) is recommended.
Adding an ICS increases pneumonia risk without additional benefit in
non-eosinophilic patients .
Question 3
An 84-year-old nursing home resident is hospitalized for pneumonia. On
day 2, she becomes acutely confused, agitated, and tries to remove her
,IV. She has no prior cognitive impairment. Which term best describes
this presentation?
A) Major neurocognitive disorder
B) Lewy body dementia
C) Delirium
D) Late-onset psychosis
Correct ,,,ANSWER,,,: C
Rationale: The acute onset, fluctuating course, and altered level of
consciousness in the context of an acute illness meet the DSM-5 criteria
for delirium. Dementia is chronic and progressive .
Question 4
The NP knows that medications can trigger or worsen heart failure. With
this knowledge in mind, the NP will avoid prescribing which of the
following classes of medications?
A) Benzodiazepines
B) Macrolides
C) Muscle relaxants
D) NSAIDs
Correct ,,,ANSWER,,,: D
Rationale: NSAIDs can trigger or worsen heart failure by causing
sodium and water retention, increasing systemic vascular resistance, and
blunting the response to diuretics and ACE inhibitors. They are
generally avoided in patients with heart failure .
, Question 5
Which of the following signs or symptoms are NOT characteristics of
delirium?
A) Patient is coherent
B) Short duration
C) Sudden onset
D) Symptoms are worse in the evenings
Correct ,,,ANSWER,,,: A
Rationale: Delirium is characterized by incoherent thought processes,
disorientation, and fluctuating consciousness. Coherence indicates intact
cognitive processing, which is lost in delirium .
Question 6
The most common sustained rhythmic disorder, which consists of
fibrillatory p waves, is:
A) AV block
B) Atrial tachycardia
C) Atrial fibrillation
D) Atrial flutter
Correct ,,,ANSWER,,,: C
