NR601- PRIMARY CARE OF THE MATURING AND
AGED FAMILY- MIDTERM EXAM STUDY GUIDE
COVERING WEEKS 1–4 COURSE WORK
|CHAMBERLAIN UNIVERSITY WITH QUESTIONS
AND CORRECT ANSWERS GRADED A+
1. The percentage of the FVC expired in one second is:
A) FEV1/FVC ratio
B) Peak expiratory flow
C) Total lung capacity
D) Residual volume
Correct Answer A
Rationale In geriatric nursing, pulmonary function tests like
spirometry are used to assess respiratory changes with aging,
where the FEV1/FVC ratio helps identify obstructive or restrictive
patterns common in older adults.
2. The aging process causes what normal physiological changes
in the heart?
A) The heart valve thickens and becomes rigid, secondary to
fibrosis and sclerosis
B) Increased elasticity of heart valves
C) Decreased myocardial contractility without fibrosis
D) Reduced cardiac output due to enlarged chambers
, Correct Answer A
Rationale Geriatric nursing principles recognize that age-
related cardiac changes, such as valve fibrosis and sclerosis,
contribute to increased risk of heart failure and other
cardiovascular issues in older adults.
3. A 55-year-old Caucasian male follows up after referral to a
cardiologist. He thinks his medication is causing a cough and
sometimes difficulty breathing. Which medication was most likely
prescribed?
A) Lisinopril
B) Metoprolol
C) Amlodipine
D) Atorvastatin
Correct Answer A
Rationale In geriatric nursing, ACE inhibitors like lisinopril are
commonly prescribed for hypertension but can cause dry cough
due to bradykinin accumulation, a side effect more notable in
older patients.
4. MJ presents with history of structural damage with current
symptoms of heart failure. Treatment will be based on his stage of
heart failure, which is:
A) Stage C
B) Stage A
, C) Stage B
D) Stage D
Correct Answer A
Rationale Geriatric nursing emphasizes staging heart failure
per ACC/AHA guidelines; stage C involves structural heart
disease with current symptoms, guiding treatments like GDMT to
improve outcomes in vulnerable older adults.
5. A 65-year-old Caucasian presents with mitral valve stenosis,
physical exam is unremarkable. You know her stage of heart
failure is:
A) Stage B
B) Stage A
C) Stage C
D) Stage D
Correct Answer A
Rationale In older adults, asymptomatic structural heart
disease (e.g., valve stenosis) indicates pre-HF stage B, where
geriatric nursing focuses on prevention and monitoring to delay
progression to symptomatic HF.
6. The best way to diagnose structural heart disease/dysfunction
noninvasively is:
A) Echocardiogram
, B) Chest X-ray
C) ECG
D) Blood pressure measurement
Correct Answer A
Rationale Geriatric nursing prioritizes noninvasive tools like
echocardiography for assessing cardiac structure in aging
patients, as it evaluates valve function and ejection fraction
without risks associated with invasive procedures.
7. Chronic pain can have major impact on patient's ability to
function and have profound impact on overall QOL. Ongoing pain
may be linked to:
A) Depression, sleep disturbance, decreased socialization
B) Increased physical activity
C) Improved cognitive function
D) Enhanced immune response
Correct Answer A
Rationale In geriatric nursing, chronic pain in older adults often
correlates with psychological and social declines like depression
and isolation, necessitating holistic management to maintain
quality of life.
8. The Beers criteria are appropriate for use in evaluating use of
certain meds in patients:
AGED FAMILY- MIDTERM EXAM STUDY GUIDE
COVERING WEEKS 1–4 COURSE WORK
|CHAMBERLAIN UNIVERSITY WITH QUESTIONS
AND CORRECT ANSWERS GRADED A+
1. The percentage of the FVC expired in one second is:
A) FEV1/FVC ratio
B) Peak expiratory flow
C) Total lung capacity
D) Residual volume
Correct Answer A
Rationale In geriatric nursing, pulmonary function tests like
spirometry are used to assess respiratory changes with aging,
where the FEV1/FVC ratio helps identify obstructive or restrictive
patterns common in older adults.
2. The aging process causes what normal physiological changes
in the heart?
A) The heart valve thickens and becomes rigid, secondary to
fibrosis and sclerosis
B) Increased elasticity of heart valves
C) Decreased myocardial contractility without fibrosis
D) Reduced cardiac output due to enlarged chambers
, Correct Answer A
Rationale Geriatric nursing principles recognize that age-
related cardiac changes, such as valve fibrosis and sclerosis,
contribute to increased risk of heart failure and other
cardiovascular issues in older adults.
3. A 55-year-old Caucasian male follows up after referral to a
cardiologist. He thinks his medication is causing a cough and
sometimes difficulty breathing. Which medication was most likely
prescribed?
A) Lisinopril
B) Metoprolol
C) Amlodipine
D) Atorvastatin
Correct Answer A
Rationale In geriatric nursing, ACE inhibitors like lisinopril are
commonly prescribed for hypertension but can cause dry cough
due to bradykinin accumulation, a side effect more notable in
older patients.
4. MJ presents with history of structural damage with current
symptoms of heart failure. Treatment will be based on his stage of
heart failure, which is:
A) Stage C
B) Stage A
, C) Stage B
D) Stage D
Correct Answer A
Rationale Geriatric nursing emphasizes staging heart failure
per ACC/AHA guidelines; stage C involves structural heart
disease with current symptoms, guiding treatments like GDMT to
improve outcomes in vulnerable older adults.
5. A 65-year-old Caucasian presents with mitral valve stenosis,
physical exam is unremarkable. You know her stage of heart
failure is:
A) Stage B
B) Stage A
C) Stage C
D) Stage D
Correct Answer A
Rationale In older adults, asymptomatic structural heart
disease (e.g., valve stenosis) indicates pre-HF stage B, where
geriatric nursing focuses on prevention and monitoring to delay
progression to symptomatic HF.
6. The best way to diagnose structural heart disease/dysfunction
noninvasively is:
A) Echocardiogram
, B) Chest X-ray
C) ECG
D) Blood pressure measurement
Correct Answer A
Rationale Geriatric nursing prioritizes noninvasive tools like
echocardiography for assessing cardiac structure in aging
patients, as it evaluates valve function and ejection fraction
without risks associated with invasive procedures.
7. Chronic pain can have major impact on patient's ability to
function and have profound impact on overall QOL. Ongoing pain
may be linked to:
A) Depression, sleep disturbance, decreased socialization
B) Increased physical activity
C) Improved cognitive function
D) Enhanced immune response
Correct Answer A
Rationale In geriatric nursing, chronic pain in older adults often
correlates with psychological and social declines like depression
and isolation, necessitating holistic management to maintain
quality of life.
8. The Beers criteria are appropriate for use in evaluating use of
certain meds in patients:
