NR 601 Midterm Actual Exam
NR 601 MIDTERM ACTUAL EXAM 2025/2026 COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
Mr. Lee is an 80-year-old man who lives alone who comes to the office for a
routine visit. He lost 10 lb in the last 3 months and complains of fatigue, poor
appetite, and trouble sleeping. Which of the following is least useful during his
initial assessment?
a. Vaccination history
b. Mini-Nutritional Assessment
c. Medication review
d. Depression screening - ANSWER-A
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?
a. Serum albumin
b. Lipid panel
c. Serum iron
d. Vitamin D - ANSWER-A
While discussing Mr. Lee's diet, he states that his wife did all the cooking and since
she passed away 5 months ago, he eats mostly soups and sandwiches. He does
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, NR 601 Midterm Actual Exam
not drive, and he does not like to ask his son to take him to the store because he
does not want to be a burden. What nutrition intervention would you
recommend?
a. Move to a retirement home
b. Learn to cook meals
c. Consult dietician to determine nutritional needs
d. Use a taxi to get to the grocery store - ANSWER-C.
Mrs. Miller is a 78-year-old female admitted to the hospital with pneumonia. She
is on oxygen and is fatigued. The nurses notice her coughing when she drinks
regular liquids. She states this happens at home as well. Her appetite has been
poor in the hospital and she is only eating 50% of her meals. What is your first
nutrition intervention?
a. Insert a nasogastric tube and start enteral feedings
b. Consult speech therapy for a swallowing evaluation
c. Continue current diet, her cough is likely just from the pneumonia
d. Start high-calorie supplements three times a day - ANSWER-B
Mrs. Green is an 88-year-old female discharging home from the hospital after
sustaining a right hip fracture from a fall. She required surgery to fix the fracture
and is now ambulating using a walker. Her Mini-Nutritional Assessment in the
hospital was positive for malnutrition risk. She lives alone and only has one family
member who lives nearby. What nutrition interventions is least helpful once she
discharges home?
a. Consult social work to connect her to community resources like Meals on
Wheels
b. Recommend she move into a retirement community
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, NR 601 Midterm Actual Exam
c. Start high-calorie nutrition supplements at home twice daily
d. Consult dietician to assist with nutritional interventions in the home - ANSWER-
B
You are seeing an 85-year-old gentleman with a 15-year history of diabetes
mellitus, coronary artery disease and coronary artery bypass grafting 7 years ago,
and mild chronic obstructive pulmonary disease. He lives in a senior living
community in an independent apartment and gets help from family with shopping
and medication management. He feels generally well, but complains of occasional
episodes of weakness and nausea in the morning and before lunch.
What is the most appropriate advice for this gentleman with respect to treatment
goals for his diabetes?
a. Check blood glucose three times daily and adjust medications to get
hemoglobin (Hb)A1C <7%.
b. Check blood glucose each morning before breakfast and adjust medications to
keep HbA1C <7.5%.
c. Check blood glucose each morning before breakfast and adjust medications to
keep HbA1C <8%.
d. Stop checking blood glucose or HbA1C. - ANSWER-C Check blood glucose each
morning before breakfast and adjust medications to keep HbA1C <8%.
Which of the following management strategies would have the lowest risk of
hypoglycemia in an older adult with type 2 diabetes mellitus?
a. Metformin
b. Sulfonylurea
c. Exenatide
d. Lantus insulin - ANSWER-A
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, NR 601 Midterm Actual Exam
You are seeing an 80-year-old woman who recently moved to the area to live
closer to her daughter. She reports a 10-year history of diabetes mellitus, which
she has managed with metformin and glimeperide. She feels well but admits to
having been very busy in the recent past. In fact, she has not seen a doctor in
nearly a year.
Which of the following health assessment measures would be appropriate in this
patient?
a. Oral glucose tolerance test and exercise treadmill test
b. Fasting lipid profile and carotid ultrasound
c. Brief cognitive testing and examination of gait and balance
d. Pelvic examination and Pap smear - ANSWER-C
The most common presenting feature of hyperthyroidism in older adults is:
a. Exophthalmos.
b. Atrial fibrillation.
c. Tremor.
d. Heat intolerance. - ANSWER-B
Hyperthyroidism is diagnosed with which of the following:
a. A decreased serum level of thyroid-stimulating hormone (TSH) and an elevated
serum level of unbound thyroxine (free T4).
b. A normal serum level of TSH and an elevated serum level of unbound thyroxine
(free T4).
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NR 601 MIDTERM ACTUAL EXAM 2025/2026 COMPLETE
200 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
Mr. Lee is an 80-year-old man who lives alone who comes to the office for a
routine visit. He lost 10 lb in the last 3 months and complains of fatigue, poor
appetite, and trouble sleeping. Which of the following is least useful during his
initial assessment?
a. Vaccination history
b. Mini-Nutritional Assessment
c. Medication review
d. Depression screening - ANSWER-A
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?
a. Serum albumin
b. Lipid panel
c. Serum iron
d. Vitamin D - ANSWER-A
While discussing Mr. Lee's diet, he states that his wife did all the cooking and since
she passed away 5 months ago, he eats mostly soups and sandwiches. He does
1|Page
, NR 601 Midterm Actual Exam
not drive, and he does not like to ask his son to take him to the store because he
does not want to be a burden. What nutrition intervention would you
recommend?
a. Move to a retirement home
b. Learn to cook meals
c. Consult dietician to determine nutritional needs
d. Use a taxi to get to the grocery store - ANSWER-C.
Mrs. Miller is a 78-year-old female admitted to the hospital with pneumonia. She
is on oxygen and is fatigued. The nurses notice her coughing when she drinks
regular liquids. She states this happens at home as well. Her appetite has been
poor in the hospital and she is only eating 50% of her meals. What is your first
nutrition intervention?
a. Insert a nasogastric tube and start enteral feedings
b. Consult speech therapy for a swallowing evaluation
c. Continue current diet, her cough is likely just from the pneumonia
d. Start high-calorie supplements three times a day - ANSWER-B
Mrs. Green is an 88-year-old female discharging home from the hospital after
sustaining a right hip fracture from a fall. She required surgery to fix the fracture
and is now ambulating using a walker. Her Mini-Nutritional Assessment in the
hospital was positive for malnutrition risk. She lives alone and only has one family
member who lives nearby. What nutrition interventions is least helpful once she
discharges home?
a. Consult social work to connect her to community resources like Meals on
Wheels
b. Recommend she move into a retirement community
2|Page
, NR 601 Midterm Actual Exam
c. Start high-calorie nutrition supplements at home twice daily
d. Consult dietician to assist with nutritional interventions in the home - ANSWER-
B
You are seeing an 85-year-old gentleman with a 15-year history of diabetes
mellitus, coronary artery disease and coronary artery bypass grafting 7 years ago,
and mild chronic obstructive pulmonary disease. He lives in a senior living
community in an independent apartment and gets help from family with shopping
and medication management. He feels generally well, but complains of occasional
episodes of weakness and nausea in the morning and before lunch.
What is the most appropriate advice for this gentleman with respect to treatment
goals for his diabetes?
a. Check blood glucose three times daily and adjust medications to get
hemoglobin (Hb)A1C <7%.
b. Check blood glucose each morning before breakfast and adjust medications to
keep HbA1C <7.5%.
c. Check blood glucose each morning before breakfast and adjust medications to
keep HbA1C <8%.
d. Stop checking blood glucose or HbA1C. - ANSWER-C Check blood glucose each
morning before breakfast and adjust medications to keep HbA1C <8%.
Which of the following management strategies would have the lowest risk of
hypoglycemia in an older adult with type 2 diabetes mellitus?
a. Metformin
b. Sulfonylurea
c. Exenatide
d. Lantus insulin - ANSWER-A
3|Page
, NR 601 Midterm Actual Exam
You are seeing an 80-year-old woman who recently moved to the area to live
closer to her daughter. She reports a 10-year history of diabetes mellitus, which
she has managed with metformin and glimeperide. She feels well but admits to
having been very busy in the recent past. In fact, she has not seen a doctor in
nearly a year.
Which of the following health assessment measures would be appropriate in this
patient?
a. Oral glucose tolerance test and exercise treadmill test
b. Fasting lipid profile and carotid ultrasound
c. Brief cognitive testing and examination of gait and balance
d. Pelvic examination and Pap smear - ANSWER-C
The most common presenting feature of hyperthyroidism in older adults is:
a. Exophthalmos.
b. Atrial fibrillation.
c. Tremor.
d. Heat intolerance. - ANSWER-B
Hyperthyroidism is diagnosed with which of the following:
a. A decreased serum level of thyroid-stimulating hormone (TSH) and an elevated
serum level of unbound thyroxine (free T4).
b. A normal serum level of TSH and an elevated serum level of unbound thyroxine
(free T4).
4|Page
