NU 631 FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
◍ Which of the following statements is true regarding pain?a. all of the
aboveb. if a patient complains of pain but has no physical signs, he or she is
most likely exhibiting drug-seeking behaviorc. pain is a subjective
experience related to actual or potential tissue damaged. acute pain is more
intense and severe than chronic pain.
Answer: c. pain is a subjective experience related to actual or potential tissue
damage
◍ Claire is a patient complaining that her left leg is cool, pale, smaller than her
right, and has thick toenails. Which condition may she be
experiencing?Peripheral artery diseaseAnemiaDeep vein
thrombosisPulmonary embolism.
Answer: Peripheral artery disease
◍ Mrs. G has returned to your office for a follow up visit for urinary
incontinence (UI). Mrs G has followed your 1st line recommendations. She
has quit smoking, drinks plenty of fluids, and has eliminated caffeine and
spicy foods. Despite all these changes, she still experiences U
I. You decide to initiate second line treatement. You recommend:a. bladder
control trainingb. keagelsc. antimuscarinic medicationsd. alpha 1 adrenergic
receptor antagonists.
Answer: c. antimuscarinic medications
◍ According to the palliative care presentation, most elderly patients die:a.
aloneb. at homec. in institutionsd. in pain.
Answer: c. in institutions
◍ A 65 year old caucasian presented to your clinic with the following history
and symptoms: reports good general health, asymptomatic mitral valve
, stenosis, current beta blocker use and physical exam findings unremarkable.
The NP knows this patient's stage of heart failure is:a. Stage Db. Stage B.
Answer: b. Stage B
◍ Age-related changes in the bladder, urethra and ureters include all of the
following in older women except:a. decline in ureteral resistance pressureb.
increased estrogen produciton's influence on the bladder and ureterc. laxity
of the pelvic muscled. decline in bladder outlet function..
Answer: b. increased estrogen production's influence on the bladder and
ureter
◍ When treating depression associated with dementia, which of the following
would be a poor choice and not be prescribeda. desimpramineb.
amitryptylinec. fluoxitined. mirtazapine.
Answer: b. amitryptyline
◍ Which of the following diagnoses should be considered in a patient
presenting with erectile dysfunction?a. diabetes mellitusb. artherosclerosisc.
depressiond. all options are appropriate.
Answer: d. all options are appropriate
◍ Delirium is typically characterized by all of the following except:a. altered
level of consciousnessb. insidious onsetc. inattention.
Answer: b. insidious onset
◍ A 75 year old man is being treated as an outpatient for metastatic prostate
cancer. Which of the following statements is true regarding the management
of pain with opioids in the elderly?a. none of the options are appropriate
managementb. opioids with a long half life, such as methadone, are a good
choice, because they stay inn the system longer and patients do not have to
remember to take multiple pills.
Answer: a. none of the options are appropriate management
◍ A delta wave on the electrocardiogram (ECG) may be present in which
condition?Prinzmetal's anginaBundle branch blockWolff-Parkinson-White
syndromeAortic stenosis.
, Answer: Wolff-Parkinson-White syndrome
◍ A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan
includes:a. repeat fasting plasma glucose in three yearsb. prescribe
Metformin 500mg po BIDc. repeat fasting plasma glucose in one yeard.
refer to ophthalmology for eye exam.
Answer: a. repeat fasting plasma glucose in three years
◍ urinary incontinence is defined as:a. unintentional voiding, loss or leakage
of urineb. urination occurs more frequently during the dayc. continous loss
of urine or leakage of urined. sudden, compelling desire to pass urine that is
difficult to prevent.
Answer: a. unintentional voiding, loss or leakage of urine
◍ Hospice services and palliative care services are underutilized due toa.
denial of impending deathb. confusion remains over when it is appropriate
to consult palliative carec. services are not understoodd. all options are
appropriate.
Answer: d. all options are appropriate
◍ Which of the following is most consistent with a person presenting with
unstable angina?A 5-minute episode of chest tightness brought on by stair
climbing and relieved by restA severe, searing pain that penetrates the chest
and last about 30 seconds.Chest pressure lasting 20 minutes that occurs at
rest"heartburn" relieved by position change.
Answer: Chest pressure lasting 20 minutes that occurs at rest
◍ What of the following patients is a best candidate for statins?Jerry is a
55-year-old male with a history of syncope.Christa is a 61-year-old female
with a history of myocardial infarction (MI).Manny is a 49-year-old male
with a 10-year cardiovascular risk of 6.5%.April is a 38-year-old female
with a low-density lipoprotein (LDL) level of 150..
Answer: Christa is a 61-year-old female with a history of myocardial
infarction (MI).
WITH CORRECT ANSWERS GRADED A+
◍ Which of the following statements is true regarding pain?a. all of the
aboveb. if a patient complains of pain but has no physical signs, he or she is
most likely exhibiting drug-seeking behaviorc. pain is a subjective
experience related to actual or potential tissue damaged. acute pain is more
intense and severe than chronic pain.
Answer: c. pain is a subjective experience related to actual or potential tissue
damage
◍ Claire is a patient complaining that her left leg is cool, pale, smaller than her
right, and has thick toenails. Which condition may she be
experiencing?Peripheral artery diseaseAnemiaDeep vein
thrombosisPulmonary embolism.
Answer: Peripheral artery disease
◍ Mrs. G has returned to your office for a follow up visit for urinary
incontinence (UI). Mrs G has followed your 1st line recommendations. She
has quit smoking, drinks plenty of fluids, and has eliminated caffeine and
spicy foods. Despite all these changes, she still experiences U
I. You decide to initiate second line treatement. You recommend:a. bladder
control trainingb. keagelsc. antimuscarinic medicationsd. alpha 1 adrenergic
receptor antagonists.
Answer: c. antimuscarinic medications
◍ According to the palliative care presentation, most elderly patients die:a.
aloneb. at homec. in institutionsd. in pain.
Answer: c. in institutions
◍ A 65 year old caucasian presented to your clinic with the following history
and symptoms: reports good general health, asymptomatic mitral valve
, stenosis, current beta blocker use and physical exam findings unremarkable.
The NP knows this patient's stage of heart failure is:a. Stage Db. Stage B.
Answer: b. Stage B
◍ Age-related changes in the bladder, urethra and ureters include all of the
following in older women except:a. decline in ureteral resistance pressureb.
increased estrogen produciton's influence on the bladder and ureterc. laxity
of the pelvic muscled. decline in bladder outlet function..
Answer: b. increased estrogen production's influence on the bladder and
ureter
◍ When treating depression associated with dementia, which of the following
would be a poor choice and not be prescribeda. desimpramineb.
amitryptylinec. fluoxitined. mirtazapine.
Answer: b. amitryptyline
◍ Which of the following diagnoses should be considered in a patient
presenting with erectile dysfunction?a. diabetes mellitusb. artherosclerosisc.
depressiond. all options are appropriate.
Answer: d. all options are appropriate
◍ Delirium is typically characterized by all of the following except:a. altered
level of consciousnessb. insidious onsetc. inattention.
Answer: b. insidious onset
◍ A 75 year old man is being treated as an outpatient for metastatic prostate
cancer. Which of the following statements is true regarding the management
of pain with opioids in the elderly?a. none of the options are appropriate
managementb. opioids with a long half life, such as methadone, are a good
choice, because they stay inn the system longer and patients do not have to
remember to take multiple pills.
Answer: a. none of the options are appropriate management
◍ A delta wave on the electrocardiogram (ECG) may be present in which
condition?Prinzmetal's anginaBundle branch blockWolff-Parkinson-White
syndromeAortic stenosis.
, Answer: Wolff-Parkinson-White syndrome
◍ A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan
includes:a. repeat fasting plasma glucose in three yearsb. prescribe
Metformin 500mg po BIDc. repeat fasting plasma glucose in one yeard.
refer to ophthalmology for eye exam.
Answer: a. repeat fasting plasma glucose in three years
◍ urinary incontinence is defined as:a. unintentional voiding, loss or leakage
of urineb. urination occurs more frequently during the dayc. continous loss
of urine or leakage of urined. sudden, compelling desire to pass urine that is
difficult to prevent.
Answer: a. unintentional voiding, loss or leakage of urine
◍ Hospice services and palliative care services are underutilized due toa.
denial of impending deathb. confusion remains over when it is appropriate
to consult palliative carec. services are not understoodd. all options are
appropriate.
Answer: d. all options are appropriate
◍ Which of the following is most consistent with a person presenting with
unstable angina?A 5-minute episode of chest tightness brought on by stair
climbing and relieved by restA severe, searing pain that penetrates the chest
and last about 30 seconds.Chest pressure lasting 20 minutes that occurs at
rest"heartburn" relieved by position change.
Answer: Chest pressure lasting 20 minutes that occurs at rest
◍ What of the following patients is a best candidate for statins?Jerry is a
55-year-old male with a history of syncope.Christa is a 61-year-old female
with a history of myocardial infarction (MI).Manny is a 49-year-old male
with a 10-year cardiovascular risk of 6.5%.April is a 38-year-old female
with a low-density lipoprotein (LDL) level of 150..
Answer: Christa is a 61-year-old female with a history of myocardial
infarction (MI).
