(2025/2026) NR 601 FINAL EXAM LATEST
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
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. diabetes, obesity and hyperlipidemia
b. advancing age, diabetes, hyperlipidemia, and male
gender
c. hyperlipidemia, smoking and family history of heart
disease
d. male with age >45, diabetes mellites and hyperlipidemia
Correct Answer a. diabetes, obesity and hyperlipidemia
Which of the following is the most appropriate screening
tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model Correct Answer d.
Confusion Assessment Model
A drug that can be used to treat two very common
symptoms in a dying patient (pain and dyspnea) is:
a. lorazepam
,b. Gabapentin
c. Methadone
d. Morphine Correct Answer d. Morphine
Which characteristic of delirium helps to distinguish it from
dementia? A. short term memory impairment
b. personality changes
c. acute onset
d. impaired attention Correct Answer c. acute onset
Older adults with dementia sometimes suffer from
agnosia, which is defined as the inability to
a. remember events and places
b. understand language
c. use language
d. recognize objects Correct Answer d. recognize objects
When treating depression associated with dementia,
which of the following would be a poor choice and not be
prescribed
a. desipramine
b. amitriptyline
c. fluoxetine
d. mirtazapine Correct Answer b. amitriptyline
The most common neurological cause of seizures in an
older adult is: a. multiple sclerosis
b. stroke
c. Alzheimer's disease
d. peripheral neuropathy Correct Answer b. stroke
,Periods of increased activity, when the patient did not
seem to need to sleep or reports being very productive not
needing sleep are:
a. symptoms of schizophrenia
b. symptoms of worsening depression
c. symptoms of unipolar depression
d. symptoms of hypomania or mania Correct Answer d.
symptoms of hypomania or mania
Terazosin, an alpha blocker, is prescribed to treat the
following conditions:
a. benign prostatic hypertrophy and hypertension
b. benign prostatic hypertrophy and hypotension
c. urinary tract infection and arrhythmia
d. chronic prostatitis and atrial fibrillation Correct Answer
a. benign prostatic hypertrophy and hypertension
A 65 year old Hispanic woman who presents to the office
for routine follow up of her type 2 diabetes mellitus. Her
routine UA results are as follows: few epithelial cells,
negative leukocytes, negative nitrates, negative protein,
no ketones. Which of the following tests should also be
ordered annually for diabetic patients:
a. result is normal, no further testing is necessary
b. urine for culture and sensitivity
c. recommend a screening intravenous pyelogram (IVP)
d. microalbumin Correct Answer d. microalbumin
A 87 year old man tells the nurse practitioner that his
grandson locks him in his bedroom when he gets out. The
grandson withholds food if the patient does not give him
, money every week. The patient appears frail, ungroomed,
and his clothes are visibly dirty and smell of urine. Which
of the following is the best action for the nurse practitioner:
a. advise the patient to call his son and report the
grandson's behavior as soon as possible
b. call the grandson from the waiting room and educate
him about proper care for his grandfather
c. report the grandson to your states protective services
d. advise the grandson if the patient reports the concerns
at the end of the next visit, the NP is obligated to report to
protective services Correct Answer c. report the grandson
to your states protective service
A male patient with a BMI of 33 presents to the office with
complaints of fatigue, excessive hunger and excessive
thirst. You ordered a CMP and a Hgb A1C. The results are
a fasting glucose 99, Hbg AIC 5.7. The nurse practitioner
diagnosis is:
a. type 2 diagnosis mellitus
b. prediabetes
c. euglycemic
d. type 1 diabetes mellitus Correct Answer b. prediabetes
All of the following patients have a risk of adverse
reactions from Metformin except:
a. patients with renal disease
b. patients with BMI >30
c. patients with alcoholic disorder
d. patients with hypoxia Correct Answer b. patients with
BMI >30
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+ GRADE VERIFIED
ANSWERS
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. diabetes, obesity and hyperlipidemia
b. advancing age, diabetes, hyperlipidemia, and male
gender
c. hyperlipidemia, smoking and family history of heart
disease
d. male with age >45, diabetes mellites and hyperlipidemia
Correct Answer a. diabetes, obesity and hyperlipidemia
Which of the following is the most appropriate screening
tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model Correct Answer d.
Confusion Assessment Model
A drug that can be used to treat two very common
symptoms in a dying patient (pain and dyspnea) is:
a. lorazepam
,b. Gabapentin
c. Methadone
d. Morphine Correct Answer d. Morphine
Which characteristic of delirium helps to distinguish it from
dementia? A. short term memory impairment
b. personality changes
c. acute onset
d. impaired attention Correct Answer c. acute onset
Older adults with dementia sometimes suffer from
agnosia, which is defined as the inability to
a. remember events and places
b. understand language
c. use language
d. recognize objects Correct Answer d. recognize objects
When treating depression associated with dementia,
which of the following would be a poor choice and not be
prescribed
a. desipramine
b. amitriptyline
c. fluoxetine
d. mirtazapine Correct Answer b. amitriptyline
The most common neurological cause of seizures in an
older adult is: a. multiple sclerosis
b. stroke
c. Alzheimer's disease
d. peripheral neuropathy Correct Answer b. stroke
,Periods of increased activity, when the patient did not
seem to need to sleep or reports being very productive not
needing sleep are:
a. symptoms of schizophrenia
b. symptoms of worsening depression
c. symptoms of unipolar depression
d. symptoms of hypomania or mania Correct Answer d.
symptoms of hypomania or mania
Terazosin, an alpha blocker, is prescribed to treat the
following conditions:
a. benign prostatic hypertrophy and hypertension
b. benign prostatic hypertrophy and hypotension
c. urinary tract infection and arrhythmia
d. chronic prostatitis and atrial fibrillation Correct Answer
a. benign prostatic hypertrophy and hypertension
A 65 year old Hispanic woman who presents to the office
for routine follow up of her type 2 diabetes mellitus. Her
routine UA results are as follows: few epithelial cells,
negative leukocytes, negative nitrates, negative protein,
no ketones. Which of the following tests should also be
ordered annually for diabetic patients:
a. result is normal, no further testing is necessary
b. urine for culture and sensitivity
c. recommend a screening intravenous pyelogram (IVP)
d. microalbumin Correct Answer d. microalbumin
A 87 year old man tells the nurse practitioner that his
grandson locks him in his bedroom when he gets out. The
grandson withholds food if the patient does not give him
, money every week. The patient appears frail, ungroomed,
and his clothes are visibly dirty and smell of urine. Which
of the following is the best action for the nurse practitioner:
a. advise the patient to call his son and report the
grandson's behavior as soon as possible
b. call the grandson from the waiting room and educate
him about proper care for his grandfather
c. report the grandson to your states protective services
d. advise the grandson if the patient reports the concerns
at the end of the next visit, the NP is obligated to report to
protective services Correct Answer c. report the grandson
to your states protective service
A male patient with a BMI of 33 presents to the office with
complaints of fatigue, excessive hunger and excessive
thirst. You ordered a CMP and a Hgb A1C. The results are
a fasting glucose 99, Hbg AIC 5.7. The nurse practitioner
diagnosis is:
a. type 2 diagnosis mellitus
b. prediabetes
c. euglycemic
d. type 1 diabetes mellitus Correct Answer b. prediabetes
All of the following patients have a risk of adverse
reactions from Metformin except:
a. patients with renal disease
b. patients with BMI >30
c. patients with alcoholic disorder
d. patients with hypoxia Correct Answer b. patients with
BMI >30
