NR601\NR601 ACTUAL EXAM QUESTIONS AND ANSWERS 2024 [A
GUARANTEED]
1. A 58-year-old patient with type 2 diabetes presents with fatigue and frequent urination.
What is the most appropriate initial diagnostic test to assess the patient's glycemic
control?
a) Hemoglobin A1c
b) Fasting blood glucose
c) Oral glucose tolerance test
d) Random blood glucose
Answer: a) Hemoglobin A1c
Rationale: The Hemoglobin A1c test provides an average of the patient's blood glucose levels
over the past 2-3 months, which is the most comprehensive measure of long-term glycemic
control.
2. A patient is diagnosed with hypertension and prescribed a thiazide diuretic. What is an
important side effect to monitor for with this medication?
a) Hyperkalemia
b) Hypoglycemia
c) Hypokalemia
d) Hyperuricemia
Answer: c) Hypokalemia
Rationale: Thiazide diuretics can cause hypokalemia, so monitoring potassium levels is crucial.
3. When developing a care plan for a patient with chronic obstructive pulmonary disease
(COPD), which of the following is a priority intervention?
a) Encourage high fluid intake
b) Initiate a high-calorie diet
c) Provide oxygen therapy as needed
d) Promote regular physical activity
Answer: c) Provide oxygen therapy as needed
,Rationale: Oxygen therapy can help manage hypoxemia and improve oxygenation in patients
with COPD.
4. A research study on the effectiveness of a new intervention for post-surgical pain
management finds that the intervention significantly reduces pain scores compared to
the standard treatment. What type of research design is most likely used in this study?
a) Case-control study
b) Randomized controlled trial
c) Cohort study
d) Cross-sectional study
Answer: b) Randomized controlled trial
Rationale: A randomized controlled trial (RCT) is the gold standard for evaluating the
effectiveness of an intervention.
5. What is the primary purpose of using evidence-based practice (EBP) in clinical
settings?
a) To standardize care across all patients
b) To integrate the best research evidence with clinical expertise and patient values
c) To reduce healthcare costs
d) To comply with regulatory requirements
Answer: b) To integrate the best research evidence with clinical expertise and patient
values
Rationale: EBP aims to combine the best available evidence with clinical expertise and patient
preferences to make informed decisions about patient care.
6. A 65-year-old patient with heart failure is experiencing shortness of breath and
swelling in the lower extremities. Which class of medication is typically used to manage
fluid overload in this condition?
a) Beta-blockers
b) ACE inhibitors
c) Diuretics
d) Calcium channel blockers
Answer: c) Diuretics
, Rationale: Diuretics help reduce fluid overload by promoting urine production and decreasing
swelling and shortness of breath in heart failure patients.
7. In a patient with a history of stroke, which of the following interventions is most
important to prevent a recurrent stroke?
a) Starting anticoagulant therapy
b) Increasing physical activity levels
c) Enhancing dietary fiber intake
d) Implementing a smoking cessation program
Answer: a) Starting anticoagulant therapy
Rationale: Anticoagulant therapy is commonly used to prevent recurrent strokes, particularly if
the stroke was due to a thrombotic event.
8. When interpreting a research study's findings, what is the significance of a p-value
less than 0.05?
a) The results are not statistically significant
b) The results are statistically significant
c) The sample size is too small
d) The study has a high risk of bias
Answer: b) The results are statistically significant
Rationale: A p-value less than 0.05 typically indicates that the results are statistically significant,
meaning the observed effect is unlikely to have occurred by chance.
9. A patient with chronic kidney disease (CKD) is prescribed erythropoiesis-stimulating
agents (ESAs). What is the primary reason for this treatment?
a) To manage hyperkalemia
b) To improve bone density
c) To treat anemia
d) To reduce proteinuria
Answer: c) To treat anemia
Rationale: ESAs are used to treat anemia in patients with CKD by stimulating the production of
red blood cells.
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