NR 601 Midterm Exam | Questions with Correct Answers
| Latest Update 2026 | Exam Prep | Graded A+
1. What is the primary task for later life in Erikson's developmental stages?
Identity vs. Role Confusion
Intimacy vs. Isolation
Integrity vs. Despair
Generativity vs. Stagnation
2. Keenan is an 72-year-old male admitted to the hospital with a diagnosis of
delirium. Medications with anticholinergic side effects are known to cause
delirium. Which of the following medications are most suspect in contributing
to delirium?
Diphenhydramine
Docusate sodium
Rivastigmine
Donepezil
3. Describe why an echocardiogram is considered the standard test for
evaluating aortic stenosis.
A CT scan is used primarily for detecting coronary artery disease, not
valve issues.
An echocardiogram provides detailed images of the heart's
structure and function, allowing for accurate assessment of aortic
stenosis severity.
An MRI is used for soft tissue evaluation but is not standard for aortic
stenosis.
, A chest X-ray shows the size of the heart but cannot assess valve
function.
4. Which population is not routinely tested for TB according to the guidelines?
hospitalized elderly
homeless individuals
immunocompromised individuals
healthcare workers
5. If an elderly patient is experiencing delirium, which of the following
interventions would be most appropriate to address the underlying causes?
Increase the patient's social interactions
Encourage higher physical activity levels
Provide cognitive training exercises
Review and adjust medications to minimize polypharmacy
6. Which of the following BEST describes the American College of Sports
Medicine's recommendation for exercise for the healthy elderly population?
Moderate intensity exercise for 30 minutes a day, 5-7 days/week
Vigorous intensity exercise for 20 minutes a day, 5-7 days/week
Low to moderate intensity exercise for 30 minutes a day, 3-4
days/week
Moderate intensity exercise for 20 minutes a day, 3-4 days/week
7. In a clinical scenario, if an elderly patient with heart failure is experiencing
severe fatigue and low blood pressure, how might the use of beta agonists
be justified?
, Beta agonists are primarily used for pain management in elderly
patients.
Beta agonists may be used to increase heart rate and improve
cardiac output, addressing fatigue and low blood pressure.
Beta agonists should be avoided as they can worsen fatigue.
Beta agonists would be contraindicated due to the patient's low blood
pressure.
8. What is the primary purpose of bisphosphonates in the treatment of
osteoporosis?
To reduce inflammation
To stimulate bone formation
To prevent bone loss
To increase calcium absorption
9. Why are angina equivalents significant in the context of ischemic heart
disease?
They are used to measure blood pressure changes.
They predict the likelihood of heart surgery.
They indicate the severity of heart muscle damage.
They help identify patients who may experience heart-related issues
without typical chest pain.
10. A patient has had poorly controlled hypertension for more than 10 years.
Indicate the most likely position of his point of maximal impulse (PMI)
6th ICS, right of MCL
5th ICS, left of MCL
, 5th intercostal space (ICS) midclavicular line (MCL)
8th ICS MCL
11. The education of elderly patients with regard to prevent falls include
suggesting the removal of scatter rugs in the home and:
don't take medication that can alter balance
wearing stable sneakers or other shoes with a stable non-skid soles
using stairs whenever possible
wearing shoes with heels not higher than 2 to 3 inches
12. The most helpful diagnostic test to perform during acute gouty arthritis is:
serum uric acid
joint aspirate analysis
XR
ESR
13. If a caregiver implements strategies suggested by a nurse practitioner to
encourage an older adult with cognitive impairment to eat, what might be a
potential outcome?
Improved nutritional intake
Decreased social interaction
Weight loss
Increased cognitive decline
14. About 25 percent of dementia patients also have which of the following
disorders?
| Latest Update 2026 | Exam Prep | Graded A+
1. What is the primary task for later life in Erikson's developmental stages?
Identity vs. Role Confusion
Intimacy vs. Isolation
Integrity vs. Despair
Generativity vs. Stagnation
2. Keenan is an 72-year-old male admitted to the hospital with a diagnosis of
delirium. Medications with anticholinergic side effects are known to cause
delirium. Which of the following medications are most suspect in contributing
to delirium?
Diphenhydramine
Docusate sodium
Rivastigmine
Donepezil
3. Describe why an echocardiogram is considered the standard test for
evaluating aortic stenosis.
A CT scan is used primarily for detecting coronary artery disease, not
valve issues.
An echocardiogram provides detailed images of the heart's
structure and function, allowing for accurate assessment of aortic
stenosis severity.
An MRI is used for soft tissue evaluation but is not standard for aortic
stenosis.
, A chest X-ray shows the size of the heart but cannot assess valve
function.
4. Which population is not routinely tested for TB according to the guidelines?
hospitalized elderly
homeless individuals
immunocompromised individuals
healthcare workers
5. If an elderly patient is experiencing delirium, which of the following
interventions would be most appropriate to address the underlying causes?
Increase the patient's social interactions
Encourage higher physical activity levels
Provide cognitive training exercises
Review and adjust medications to minimize polypharmacy
6. Which of the following BEST describes the American College of Sports
Medicine's recommendation for exercise for the healthy elderly population?
Moderate intensity exercise for 30 minutes a day, 5-7 days/week
Vigorous intensity exercise for 20 minutes a day, 5-7 days/week
Low to moderate intensity exercise for 30 minutes a day, 3-4
days/week
Moderate intensity exercise for 20 minutes a day, 3-4 days/week
7. In a clinical scenario, if an elderly patient with heart failure is experiencing
severe fatigue and low blood pressure, how might the use of beta agonists
be justified?
, Beta agonists are primarily used for pain management in elderly
patients.
Beta agonists may be used to increase heart rate and improve
cardiac output, addressing fatigue and low blood pressure.
Beta agonists should be avoided as they can worsen fatigue.
Beta agonists would be contraindicated due to the patient's low blood
pressure.
8. What is the primary purpose of bisphosphonates in the treatment of
osteoporosis?
To reduce inflammation
To stimulate bone formation
To prevent bone loss
To increase calcium absorption
9. Why are angina equivalents significant in the context of ischemic heart
disease?
They are used to measure blood pressure changes.
They predict the likelihood of heart surgery.
They indicate the severity of heart muscle damage.
They help identify patients who may experience heart-related issues
without typical chest pain.
10. A patient has had poorly controlled hypertension for more than 10 years.
Indicate the most likely position of his point of maximal impulse (PMI)
6th ICS, right of MCL
5th ICS, left of MCL
, 5th intercostal space (ICS) midclavicular line (MCL)
8th ICS MCL
11. The education of elderly patients with regard to prevent falls include
suggesting the removal of scatter rugs in the home and:
don't take medication that can alter balance
wearing stable sneakers or other shoes with a stable non-skid soles
using stairs whenever possible
wearing shoes with heels not higher than 2 to 3 inches
12. The most helpful diagnostic test to perform during acute gouty arthritis is:
serum uric acid
joint aspirate analysis
XR
ESR
13. If a caregiver implements strategies suggested by a nurse practitioner to
encourage an older adult with cognitive impairment to eat, what might be a
potential outcome?
Improved nutritional intake
Decreased social interaction
Weight loss
Increased cognitive decline
14. About 25 percent of dementia patients also have which of the following
disorders?
