NR 601 Midterm Exam Latest 2023 - 2024

NR 601 Midterm Exam (Latest 2023 - 2024) New Full Questions and Answers ( Included ) 100% Correct

1. 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 noninvasive- ly 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

• THe pathophysiology of HF is due to: Inadequate cardiac output to meet the metabolic and O2

demands of the body

• The volume of air a patient to exhale for total duration of the test during maximal effort is: FVC

• According it the 2017 ACC HTN guidelines, normal BP is: <120/80 1 / 2

14. Functional abilities are best assessed by: Observed assessment of function

• LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of

target organ damage. During your eval you will assess for evidence of: Left ventricular hypertrophy

• Aortic regurgitation requires medical treatment for early signs of HF with-

: ACEi

• The volume of air in the lungs at max inflation is: TLC (total lung capacity)

• Preferred amount of exercise for older adults is: 30min/day of aerobic exercise 5 days a week

• You know the following statements regarding th pain of acute coronary syndrome are true

except: Present atypically more often in men than women

• Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate

>100. Patient also has a new tremor in both hands. Which of the following would you suspect: Hyperthyroidism

• 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

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