NR 601 Week 6 Quiz 2025| Chamberlain
University| Actual Exam Questions and
Correct Answers and Explanations
A 63-year-old female with recent acute bilateral otitis media, now with vertigo when looking
over her shoulder or rising from bed. The most likely diagnosis is:
A) Vestibular neuritis
B) Benign paroxysmal positional vertigo (BPPV)
C) Meniere’s disease
D) Labyrinthitis
Correct Answer: B) Benign paroxysmal positional vertigo (BPPV)
Explanation: Vertigo triggered by head position changes (e.g., looking over shoulder, rising
from bed) is characteristic of BPPV, often following otitis media due to canalith displacement.
A 71-year-old patient at annual Medicare wellness exam, MMSE score of 20. The nurse
practitioner notes in the diagnosis section:
A) Normal cognitive function
B) Mild cognitive impairment
C) Probable dementia
D) Delirium
Correct Answer: C) Probable dementia
Explanation: An MMSE score of 20 suggests significant cognitive impairment, consistent with
dementia, warranting further evaluation (e.g., Alzheimer’s).
Smith, a 68-year-old male post-transient ischemic attack, on dual antiplatelet therapy. Per
AHA/ASA, he should continue this regimen for:
A) 7 days
B) 21 days
, C) 90 days
D) 6 months
Correct Answer: B) 21 days
Explanation: AHA/ASA guidelines recommend dual antiplatelet therapy (aspirin + clopidogrel)
for 21 days post-TIA to reduce stroke risk, followed by single antiplatelet therapy.
A 70-year-old non-binary patient with Parkinson’s disease, nonmotor symptoms, depression, and
PHQ-9 score of [incomplete, assuming severe]. First-line medication offered is:
A) Amitriptyline
B) Sertraline
C) Bupropion
D) Mirtazapine
Correct Answer: B) Sertraline
Explanation: Sertraline (SSRI) is first-line for depression in Parkinson’s due to efficacy,
tolerability, and minimal interaction with Parkinson’s medications.
Patient with hypertension, diabetes, obesity, hyperlipidemia, obstructive sleep apnea, and hearing
loss is at risk for:
A) Heart failure
B) Osteoporosis
C) Peripheral neuropathy
D) Chronic kidney disease
Correct Answer: A) Heart failure
Explanation: Hypertension, diabetes, obesity, hyperlipidemia, and OSA are major risk factors
for heart failure (Stage A), per ACC/AHA.
When using motivational interviewing, the nurse practitioner will:
A) Direct the patient to make changes
B) Use open-ended questions and reflective listening
C) Provide strict dietary guidelines
University| Actual Exam Questions and
Correct Answers and Explanations
A 63-year-old female with recent acute bilateral otitis media, now with vertigo when looking
over her shoulder or rising from bed. The most likely diagnosis is:
A) Vestibular neuritis
B) Benign paroxysmal positional vertigo (BPPV)
C) Meniere’s disease
D) Labyrinthitis
Correct Answer: B) Benign paroxysmal positional vertigo (BPPV)
Explanation: Vertigo triggered by head position changes (e.g., looking over shoulder, rising
from bed) is characteristic of BPPV, often following otitis media due to canalith displacement.
A 71-year-old patient at annual Medicare wellness exam, MMSE score of 20. The nurse
practitioner notes in the diagnosis section:
A) Normal cognitive function
B) Mild cognitive impairment
C) Probable dementia
D) Delirium
Correct Answer: C) Probable dementia
Explanation: An MMSE score of 20 suggests significant cognitive impairment, consistent with
dementia, warranting further evaluation (e.g., Alzheimer’s).
Smith, a 68-year-old male post-transient ischemic attack, on dual antiplatelet therapy. Per
AHA/ASA, he should continue this regimen for:
A) 7 days
B) 21 days
, C) 90 days
D) 6 months
Correct Answer: B) 21 days
Explanation: AHA/ASA guidelines recommend dual antiplatelet therapy (aspirin + clopidogrel)
for 21 days post-TIA to reduce stroke risk, followed by single antiplatelet therapy.
A 70-year-old non-binary patient with Parkinson’s disease, nonmotor symptoms, depression, and
PHQ-9 score of [incomplete, assuming severe]. First-line medication offered is:
A) Amitriptyline
B) Sertraline
C) Bupropion
D) Mirtazapine
Correct Answer: B) Sertraline
Explanation: Sertraline (SSRI) is first-line for depression in Parkinson’s due to efficacy,
tolerability, and minimal interaction with Parkinson’s medications.
Patient with hypertension, diabetes, obesity, hyperlipidemia, obstructive sleep apnea, and hearing
loss is at risk for:
A) Heart failure
B) Osteoporosis
C) Peripheral neuropathy
D) Chronic kidney disease
Correct Answer: A) Heart failure
Explanation: Hypertension, diabetes, obesity, hyperlipidemia, and OSA are major risk factors
for heart failure (Stage A), per ACC/AHA.
When using motivational interviewing, the nurse practitioner will:
A) Direct the patient to make changes
B) Use open-ended questions and reflective listening
C) Provide strict dietary guidelines
