NR 601 (Latest 2024 / 2025) Midterm Exam - Chamberlain College of Nursing Questions & Answers with rationales

SUBSCRIBE NR 601 Midterm Exam - Chamberlain College of Nursing 1. The percentage of the FVC expired in one second is: Answer FEV1/FVC ratio 2. The aging process causes what normal physiological changes in the heart? Answer The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis. 3. A 55yo 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? Answer Lisinopril 4. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, smokes 1/2 PPD, BMI is 30. No other previous medical dx, no current complaints. According to the AHA/ACC guidelines, JM is stage A HF. Treatment goals for him include: Answer Heart healthy lifestyle 5. MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of HF, which is: Answer Stage C 6. 65yo Caucasian female presents with mitral valve stenosis, physical exam unremarkable. You know her stage of HF is: Answer B 7. DG, 65yo man, presents for eval of CP and L -sided shoulder pain, beginning after strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise 0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest. Occasional nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by limiting activity. Pain is worse today, did not go away after stopped walking. BP 120/80, HR 72 and regular. Normal heart sounds, no murmur, S1, S2. Which differential dx would be most likely? SUBSCRIBE Answer Coronary artery dz w/angina pectoris 8. The best way to dx structural heart dz/dysfunction non -invasively is: Answer Echocardiogram 9. Chronic pain can have major impact on pt's ability to function and have profound impact on overall QOL. Ongoing pain may be linked to: Answer Depression, sleep disturbance, decreased socialization 10. The Beers criteria are appropriate for use in evaluating use of certain meds in pts: Answer >65yo 11. Pt presents with c/o increasing SOB, cough w/occasional white sputum, fatigue. As part of the plan you order labs. You know the likelihood of HF is low if the BNP is: Answer <100 12. All of the following statements are true about lab values in older adults except: a. Normal ranges may not be applicable to older adults b. Abnormal findings are often due to physiological aging c. Reference ranges are preferable d. References values are not necessarily acceptable values Answer b 13. According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65yo African American woman w/a h/o HTN and DM and no h/o CKD is: Answer <140/80 14. The pathophysiology of HF is due to: Answer Inadequate cardiac output to meet the metabolic and O2 demands of the body SUBSCRIBE 15. A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough w/increased sputum, worse in the AM, occurring over past 3 months. She tells you, "I have the same thing year after year." W hich of the following choices would you consider strongly in your critical thinking process? Answer Chronic bronchitis 16. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet controlled. His BMI is 32. He has HTN, smoker (10 cigs/day x20yrs). He denies other medical problems. Fam hx includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He is asymptomatic today, exam is normal, EKG NSR. According to AHA/ACC guidelines, JM is at risk for what stage of HF? Answer Stage A 17. The volume of air a pt is able to exhale for total duration of the test during maximal effort is: Answer FVC 18. According to the 2017 ACC HTN guidelines, normal BP is: Answer <120/80 19. Functional abilities are best assessed by: Answer Observed assessment of function 20. LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include prevention of target organ damage. During your eval you will assess for evidence of: Answer L ventricular hypertrophy 21. Aortic regurgitation requires medical treatment for early signs of HF with: Answer ACEi 22. The volume of air in the lungs at max inflation is: SUBSCRIBE Answer TLC (total lung capacity) 23. Preferred amount of exercise for older adults is: Answer 30min/day of aerobic activity 5 days/wk 24. The total volume of air a pt is able to exhale in the first second during max effort is: Answer FEV1 25. You know the following statements regarding the pain of acute coronary syndrome are true except: Answer Present atypically more often in men than women 26. Elderly pt presents w/new onset of feeling heart race, fatigue. EKG reveals afib w/rate >100. Pt also has a new tremor in both hands. Which of the following would you suspect? Answer Hyperthyroidism 27. 62yo female c/o fatigue, lack of energy. Constipation increased, pt gained 10lbs in past 3mo. Depression is denied although pt reports lack of interest in usual hobbies. VS are WNL, skin is dry/cool. Which of the following must be included in the DD? Answer Hypothyroidism 28. Mrs. Black, 87yo, has been taking 100mcg Synthroid x10yrs. She comes for routine follow -up, feeling well. HR is 90. Your first response is to: Answer Order TSH 29. Which pt is most likely to have osteoporosis? 80yr underweight male who smokes and has been on steroids for psoriasis 29.When evaluating the expected outcome for hypothyroid elderly pt on levothyroxine, you will: