NR601 MIDTERM EXAM TEST
BANK 168 QUESTIONS AND
ANSWERS RECENT UPDATE 2025
Which patient is more likely to have osteoporosis
80 y/o. Underweight male who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily
po. What action info statement would indicate she understood your
instructions regarding this med?
Take med with full glass of water when up in the AM 30 min before other food
and meds
60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165.
You teach him about his modifiable cardiac risk factors which include
DM, obesity, hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following
except
Crystal deposition
,In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the
most valuable diagnostic study would be
Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait
described as
Antalgic
Which of the following best describes pain associated with OA
Begins upon arising and after prolonged weight bearing and or use of the
joint
Joint effusions typically occurs later in the course of OA, especially in the
Knee
You ordered CBC for your patient you suspect has polymyalgia rheumatica.
Which 2 clinical findings are common in patients with PMR
Normochromic, normocytic anemia and thrombocytosis
You suspect your patient has PMR and now are concerned that they may
have Giant Cell Arteritis too. Which of the following 2 symptoms are most
indicative of GCA and PMR
Scalp tenderness and aching in shoulder and pelvic girdle
,63 yo Caucasian patient with PMR will begin tx corticosteroids until the
condition has resolved. You look over her records and it has been 2 years
since her last physical exam and any labs or diagnostic tests as she
relocated and had not yet ID'd a provider. In prioritizing your management
plan your first orders should include
Duel energy X-ray scan and updating immunizations
The percentage of the FVC expired in one second is
FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart
The heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his
med is causing a cough and sometimes he has difficulty breathing. Which
med was most likely prescribed?
Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will
be based on his stage of HF which is
Stage C
, 65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is
Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively
is
Echocardiogram
Chronic pain can have major impact on patients ability to function and have
profound impact on overall QOL. Ongoing pain may be linked to
Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds
in patients
>65 y/o
All of the following statements are true about lab values in older adults
except
Abnormal findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a
65y/o African American woman with a h/o HTN and DM and no h/o CKD is
<140/80
BANK 168 QUESTIONS AND
ANSWERS RECENT UPDATE 2025
Which patient is more likely to have osteoporosis
80 y/o. Underweight male who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily
po. What action info statement would indicate she understood your
instructions regarding this med?
Take med with full glass of water when up in the AM 30 min before other food
and meds
60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165.
You teach him about his modifiable cardiac risk factors which include
DM, obesity, hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following
except
Crystal deposition
,In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the
most valuable diagnostic study would be
Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait
described as
Antalgic
Which of the following best describes pain associated with OA
Begins upon arising and after prolonged weight bearing and or use of the
joint
Joint effusions typically occurs later in the course of OA, especially in the
Knee
You ordered CBC for your patient you suspect has polymyalgia rheumatica.
Which 2 clinical findings are common in patients with PMR
Normochromic, normocytic anemia and thrombocytosis
You suspect your patient has PMR and now are concerned that they may
have Giant Cell Arteritis too. Which of the following 2 symptoms are most
indicative of GCA and PMR
Scalp tenderness and aching in shoulder and pelvic girdle
,63 yo Caucasian patient with PMR will begin tx corticosteroids until the
condition has resolved. You look over her records and it has been 2 years
since her last physical exam and any labs or diagnostic tests as she
relocated and had not yet ID'd a provider. In prioritizing your management
plan your first orders should include
Duel energy X-ray scan and updating immunizations
The percentage of the FVC expired in one second is
FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart
The heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his
med is causing a cough and sometimes he has difficulty breathing. Which
med was most likely prescribed?
Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will
be based on his stage of HF which is
Stage C
, 65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is
Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively
is
Echocardiogram
Chronic pain can have major impact on patients ability to function and have
profound impact on overall QOL. Ongoing pain may be linked to
Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds
in patients
>65 y/o
All of the following statements are true about lab values in older adults
except
Abnormal findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a
65y/o African American woman with a h/o HTN and DM and no h/o CKD is
<140/80
