400 Real Exam Practice Questions And Correct Answers
(100% Correct Answers Graded A+ Chamberlain) NR601
Midterm Exam 2026/ Nr 601 Midterm Exam Test Bank
2026
1. A 72-year-old female with progressive fatigue is found to have a hemoglobin
of 9.1 g/dL, mean corpuscular volume of 108 fL, and a platelet count of
67×109/L on a routine laboratory evaluation. She has a normal B12 and folate
level. She has never had a history of anemia and does not have signs or
symptoms of bleeding or hemolysis. She does not use alcohol, and she has
no liver disease. Your next step in management should be:
Treat the patient empirically for iron deficiency anemia.
Monitor the patient and repeat the CBC in 3 months since the patient is
asymptomatic.
Refer to hematology for bone marrow examination.
Refer the patient to gastroenterology for evaluation of bleeding of
occult gastrointestinal bleeding.
2. How does psychological aging impact the overall health of older adults?
Psychological aging can lead to changes in cognitive function and
emotional well-being, affecting their quality of life.
Psychological aging only impacts physical health, not mental health.
Psychological aging has no significant impact on health outcomes.
Psychological aging is a temporary phase that resolves with age.
,3. What complication is an elderly woman likely to suffer from after an episode
of gastroenteritis?
Heart failure
Diabetes
Hypertension
Dehydration
4. An 80-year-old woman is evaluated in your clinic for muscle aches. Her
daughter, who is a nurse, states that her symptoms worsened after recently
starting atorvastatin 80 mg daily. This medication and dose was selected
based on the patient wanting to reduce her chance of a heart attack or
stroke. She has a known history of stable coronary artery disease (CAD),
without prior coronary revascularization. She takes low dose aspirin and her
blood pressure is well controlled on lisinopril 20 mg once daily. You
recognize that myalgias and myopathic symptoms are dose related and more
common in older adults prescribed statins. Which of the following
recommendations would be appropriate at this time?
Discontinue atorvastatin and begin niacin
Discontinue atorvastatin and begin omega 3 fatty acids
Discontinue atorvastatin and begin fenofibrate
Discontinue atorvastatin until the myopathy has resolved, then
consider re
5. During the physical assessment, you notice Mr. Lee has temporal wasting,
loss of subcutaneous fat, and decreased handgrip strength. He also
complains of dry mouth. His C-reactive protein is within normal limits. What
additional lab test(s) are most useful for evaluating his nutritional status?
Vitamin D
Serum albumin
, Lipid panel
Serum iron
6. Which two antihypertensive medications are suggested for managing
hypertension in a 72-year-old man with a history of acute coronary
syndrome?
Losartan and atenolol
Amlodipine and lisinopril
Lisinopril and metoprolol
Hydrochlorothiazide and carvedilol
7. In a case where a healthcare provider is treating a patient with advanced
dementia, how should the principle of personhood be applied to enhance
the patient's care?
The healthcare provider should treat the patient as a case study rather
than an individual.
The healthcare provider should prioritize medication management
over personal interactions.
The healthcare provider should engage with the patient’s family to
understand the patient's history and preferences, ensuring care is
personalized.
The healthcare provider should focus only on the patient's physical
symptoms without considering their background.
8. Psychological concerns of aging include:
loneliness
depression
death
, all of the above
9. What is the most common early symptom of heart failure in geriatric
patients?
Dyspnea or Fatigue
Weight gain
Orthopnea
Edema
10. Discuss the factors that influence the decision to administer chemotherapy
to elderly patients after cancer surgery.
Factors include the patient's family history and lifestyle choices.
Factors include the availability of clinical trials and new treatments.
Factors include the patient's overall health, stage of cancer, and
potential benefits versus risks of chemotherapy.
Factors include only the patient's age and cancer type.
11. If the 75-year-old man experiences worsening angina despite current
medications, what should be considered as a potential adjustment in his
treatment plan?
Increasing the dose of sublingual nitroglycerin
Switching from statin to another cholesterol medication
Adding a beta-blocker
Discontinuing aspirin
12. Discuss the implications of older adults having higher quit rates for smoking
cessation compared to younger individuals.
It shows that smoking cessation programs are ineffective for older