NR601 FINAL EXAM STUDY GUIDE QUESTIONS WITH ACCURATE
SOLUTIONS
1) The purpose of Beers Criteria is to:
A) Define Type A reactions
B) All answers are appropriate
C) Define changes in drug metabolism in elderly
D) Improve quality and safety when prescribing meds -- Answer ✔✔
D
2) Which best describes pain associated w/OA?
A) Pain is persistent and motion can be limited in affect joint
B) Dull and primarily affected by exposure to cold/barometric
pressure
C) Constant burning and throbbing w/acute onset
D) Begins upon arising and after prolonged wt bearing and/or use of
the joint -- Answer ✔✔ A
3) RV is 58yo African American male w/poorly controlled HTN. He hasn't been
compliant w/meds, only takes Rx when he has a bad HA or feels like his pressure
, is high. You know that tx goals include prevention of target organ damage. During
your eval you will assess for evidence of:
A) Blood clotting disorders
B) L ventricular hypertrophy
C) Insulin resistance
D) Lipid abnormalities -- Answer ✔✔ B
4) 59yo woman presents w/following: h/o MI, new onset SOB, especially w/exertion,
an occasional rapid fluttering heartbeat and swollen feet. You know this pt's stage
of HF is:
A) Stage A
B) Stage B
C) Stage D
D) Stage C -- Answer ✔✔ D (stage C)
5) IW is 65yo man who is new to your practice. He has h/o COPD, CAD, HTN,
T2DM. He has had no immunizations since his discharge from the military at
25yo. Childhood dz's include chickenpox, measles, mumps, and German measles.
He presents for dz management visit. Which immunizations would you
recommend for him?
A) Influenza, pneumococcal, PPD, Hep B
B) Tdap, pneumococcal, influenza, Zostavax
C) Hep B, influenza, pneumococcal, Hep A
D) MMR, influenza, pneumococcal, Zostavax -- Answer ✔✔ B
6) You're working with an older male w/a long h/o ETOH abuse and 30yr h/o
smoking. In recommending an intervention for him, your responsibility is to:
A) Make him abandon his own health practices and follow your
recommendations
, B) ID the barriers he will encounter
C) Register him for local intervention program and secure payments
D) Promote positive change in lifestyle changes -- Answer ✔✔ D
7) OA of the cervical and lumbar spine causes pain that is related to all of the
following except:
A) Bone spur formation
B) Pressure of the ligaments
C) Crystal deposition
D) Reactive muscle spasm -- Answer ✔✔ C
8) 55yo Caucasian man follows up w/you after referral to cardio. He reports that he
thinks the med is causing a cough and sometimes he has dyspnea. Which of the
following meds was most likely prescribed?
A) Metolazone
B) Enalapril
C) Amlodipine
D) Irbesartan -- Answer ✔✔ B
9) Mrs. F is a 65yo Caucasian who presents for her annual exam. Chart review
reveals she smokes 1PPD, drinks 2 beers/day since retirement. She doesn't
exercise but likes to sit and knit. You know the nonmodifiable risk factor for OA
is:
A) ETOH consumption
B) Tobacco use
C) Age
D) Sedentary lifestyle -- Answer ✔✔ C
, 10) You review a CXR report on 56yo male who c/o increasing SOB. You suspect
HF. You know the dx can be made with a high degree of accuracy if 2 of the
following criteria are met:
1. Flattening of the diaphragm w/blunting of the costrophrenic angle
on PA film
2. Upper zone redistribution of pulmonary blood flow (cephalization)
3. Abnormally enlarged retrosternal space
4. Signs of interstitial edema -- Answer ✔✔ 2 and 4
11) All of the following statements are true regarding anxiety except:
A) Common in older adults
B) Often co-occurs w/depression
C) Is a normal part of aging
D) More common in females -- Answer ✔✔ C
12) Postmenopausal woman w/osteoporosis is taking a bisphosphonate daily by
mouth. What action info statement would indicate the pt understood your
instructions?
A) Take med when up in AM w/glass of OJ to increase absorption
B) Take med w/full glass of water when up in AM 30min before other
food and meds
C) Take med at bedtime w/full glass of water
D) Take med sitting up with a meal to avoid GI distress -- Answer
✔✔ B
13) KK, 53yo man, presents w/concerns about low energy, lack of joy. You assess him
using SIG-E-CAPS. You know the C stands for:
A) Catatonia
B) Concentration
SOLUTIONS
1) The purpose of Beers Criteria is to:
A) Define Type A reactions
B) All answers are appropriate
C) Define changes in drug metabolism in elderly
D) Improve quality and safety when prescribing meds -- Answer ✔✔
D
2) Which best describes pain associated w/OA?
A) Pain is persistent and motion can be limited in affect joint
B) Dull and primarily affected by exposure to cold/barometric
pressure
C) Constant burning and throbbing w/acute onset
D) Begins upon arising and after prolonged wt bearing and/or use of
the joint -- Answer ✔✔ A
3) RV is 58yo African American male w/poorly controlled HTN. He hasn't been
compliant w/meds, only takes Rx when he has a bad HA or feels like his pressure
, is high. You know that tx goals include prevention of target organ damage. During
your eval you will assess for evidence of:
A) Blood clotting disorders
B) L ventricular hypertrophy
C) Insulin resistance
D) Lipid abnormalities -- Answer ✔✔ B
4) 59yo woman presents w/following: h/o MI, new onset SOB, especially w/exertion,
an occasional rapid fluttering heartbeat and swollen feet. You know this pt's stage
of HF is:
A) Stage A
B) Stage B
C) Stage D
D) Stage C -- Answer ✔✔ D (stage C)
5) IW is 65yo man who is new to your practice. He has h/o COPD, CAD, HTN,
T2DM. He has had no immunizations since his discharge from the military at
25yo. Childhood dz's include chickenpox, measles, mumps, and German measles.
He presents for dz management visit. Which immunizations would you
recommend for him?
A) Influenza, pneumococcal, PPD, Hep B
B) Tdap, pneumococcal, influenza, Zostavax
C) Hep B, influenza, pneumococcal, Hep A
D) MMR, influenza, pneumococcal, Zostavax -- Answer ✔✔ B
6) You're working with an older male w/a long h/o ETOH abuse and 30yr h/o
smoking. In recommending an intervention for him, your responsibility is to:
A) Make him abandon his own health practices and follow your
recommendations
, B) ID the barriers he will encounter
C) Register him for local intervention program and secure payments
D) Promote positive change in lifestyle changes -- Answer ✔✔ D
7) OA of the cervical and lumbar spine causes pain that is related to all of the
following except:
A) Bone spur formation
B) Pressure of the ligaments
C) Crystal deposition
D) Reactive muscle spasm -- Answer ✔✔ C
8) 55yo Caucasian man follows up w/you after referral to cardio. He reports that he
thinks the med is causing a cough and sometimes he has dyspnea. Which of the
following meds was most likely prescribed?
A) Metolazone
B) Enalapril
C) Amlodipine
D) Irbesartan -- Answer ✔✔ B
9) Mrs. F is a 65yo Caucasian who presents for her annual exam. Chart review
reveals she smokes 1PPD, drinks 2 beers/day since retirement. She doesn't
exercise but likes to sit and knit. You know the nonmodifiable risk factor for OA
is:
A) ETOH consumption
B) Tobacco use
C) Age
D) Sedentary lifestyle -- Answer ✔✔ C
, 10) You review a CXR report on 56yo male who c/o increasing SOB. You suspect
HF. You know the dx can be made with a high degree of accuracy if 2 of the
following criteria are met:
1. Flattening of the diaphragm w/blunting of the costrophrenic angle
on PA film
2. Upper zone redistribution of pulmonary blood flow (cephalization)
3. Abnormally enlarged retrosternal space
4. Signs of interstitial edema -- Answer ✔✔ 2 and 4
11) All of the following statements are true regarding anxiety except:
A) Common in older adults
B) Often co-occurs w/depression
C) Is a normal part of aging
D) More common in females -- Answer ✔✔ C
12) Postmenopausal woman w/osteoporosis is taking a bisphosphonate daily by
mouth. What action info statement would indicate the pt understood your
instructions?
A) Take med when up in AM w/glass of OJ to increase absorption
B) Take med w/full glass of water when up in AM 30min before other
food and meds
C) Take med at bedtime w/full glass of water
D) Take med sitting up with a meal to avoid GI distress -- Answer
✔✔ B
13) KK, 53yo man, presents w/concerns about low energy, lack of joy. You assess him
using SIG-E-CAPS. You know the C stands for:
A) Catatonia
B) Concentration
