NR601 Week 4: Midterm Exam [may-2026]



The NP is following a 75-year-old female with established PAD who reports worsening claudication despite adherence to medical therapy and lifestyle changes. Which of the following is the MOST appropriate next step in her management?
- ✅ Refer for magnetic resonance angiography
- Recommend home walking
- Schedule an urgent limb amputation
- Begin intravenous heparin therapy
The NP is teaching a patient about primordial prevention strategies to reduce the risk of developing cardiovascular disease. Which of the following actions BEST exemplifies primordial prevention?
- Undergoing annual cholesterol screenings
- ✅ Engaging in regular physical activity and eating a healthy diet
- Taking prescribed antihypertensive medication daily
- Using aspirin therapy to prevent heart attacks
Which of the following statements best reflects appropriate interpretation of the Friedewald formula for estimating LDL cholesterol in a standard lipid panel?
- It calculates non-HDL-C by subtracting LDL-C from total cholesterol
- The formula is accurate regardless of triglyceride levels or fasting status
- ✅ The formula is invalid when triglyceride levels exceed 400 mg/dL
- It provides a direct measurement of LDL-C using enzymatic analysis
A 78-year-old patient with mild cognitive impairment is being evaluated for a surgical procedure. The NP is concerned about the patient’s ability to understand the risks and benefits of the surgery. Which of the following is the most appropriate initial step in evaluating the patient’s medical decision-making capacity?
- Proceed with assigning a legal guardian to make medical decisions
- Document the patient as medically incompetent and involve a surrogate decision-maker for all future decisions
- Refer the patient for formal neuropsychological testing to assess global cognitive function
- ✅ Assess whether the patient has received and comprehended all relevant information, accounting for any sensory or language barriers
The NP is evaluating whether a patient with ischemic heart disease should be started on a beta- adrenergic blocker. Which patient would a beta-adrenergic blocker be CONTRAINDICATED?
- ✅ A patient with severe bradycardia and a history of mental depression
- A patient with hypertension and no history of lung disease
- An insulin-dependent patient with mild bronchial obstruction
- A patient with stable angina and controlled diabetes……………………………………..please purchase this 100% accurate entire exam at $99 only





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