NR601 Exam 1: Primary Care of the Maturing & Aged Family Practicum
Questions and Answers and Explanations | Latest - Chamberlain
1. Which of the following is considered an Instrumental Activity of Daily Living
(IADL)?
A. Bathing
B. Managing finances
C. Dressing
D. Toileting
Answer: B
Explanation: IADLs are more complex tasks necessary for living independently in the
community, such as managing finances, shopping, and using the telephone. Bathing,
dressing, and toileting are basic ADLs.
2. According to the Beers Criteria, which medication should generally be
avoided in older adults due to the high risk of anticholinergic effects?
A. Diphenhydramine
B. Metformin
C. Lisinopril
D. Atorvastatin
Answer: A
,Explanation: Diphenhydramine is a first-generation antihistamine with strong
anticholinergic properties that increase the risk of confusion, falls, and urinary retention in
older adults.
3. What is the characteristic clinical presentation of delirium compared to
dementia?
A. Gradual onset and progressive decline
B. Stable course over months
C. Primary deficit in long-term memory
D. Acute onset and fluctuating level of consciousness
Answer: D
Explanation: Delirium is characterized by an acute onset, fluctuating course, and
disturbances in attention and consciousness, whereas dementia is typically progressive
and stable.
4. The ‘Mini-Cog’ assessment tool for dementia consists of which two primary
components?
A. Naming objects and reading a sentence
B. Orientation to time and place
C. Three-word recall and clock drawing test
D. Serial 7s and spelling ‘world’ backward
Answer: C
,Explanation: The Mini-Cog uses a three-word recall test for memory and a clock drawing
test to evaluate executive function and visuospatial skills.
5. Which age-related physiological change affects the pharmacokinetics of
water-soluble drugs?
A. Increased total body water
B. Decreased total body water
C. Decreased total body fat
D. Increased serum albumin
Answer: B
Explanation: Older adults experience a decrease in total body water, which can lead to
higher serum concentrations of water-soluble drugs.
6. What is the USPSTF recommendation for screening for Abdominal Aortic
Aneurysm (AAA)?
A. Screening for women aged 65 to 75 who have never smoked
B. Annual screening for all adults over 65
C. One-time screening by ultrasonography in men aged 65 to 75 who have ever smoked
D. Screening only if the patient presents with abdominal pain
Answer: C
Explanation: The USPSTF recommends a one-time screening for AAA by ultrasonography
in men aged 65 to 75 years who have ever smoked.
, 7. An 80-year-old patient presents with a T-score of -2.6 on a DXA scan. How is
this interpreted?
A. Normal bone density
B. Osteoporosis
C. Osteopenia
D. Severe Osteoarthritis
Answer: B
Explanation: A T-score of -2.5 or lower is the diagnostic threshold for osteoporosis.
8. Which of the following is a key component of the ‘Frailty Phenotype’ defined
by Fried et al.?
A. Increased appetite
B. Rapid gait speed
C. High physical activity levels
D. Unintentional weight loss
Answer: D
Explanation: The Fried phenotype includes five criteria: unintentional weight loss,
exhaustion, low physical activity, slowed walking speed, and weak grip strength.
9. What is the first-line treatment for an older adult with primary insomnia?
A. Zolpidem
Questions and Answers and Explanations | Latest - Chamberlain
1. Which of the following is considered an Instrumental Activity of Daily Living
(IADL)?
A. Bathing
B. Managing finances
C. Dressing
D. Toileting
Answer: B
Explanation: IADLs are more complex tasks necessary for living independently in the
community, such as managing finances, shopping, and using the telephone. Bathing,
dressing, and toileting are basic ADLs.
2. According to the Beers Criteria, which medication should generally be
avoided in older adults due to the high risk of anticholinergic effects?
A. Diphenhydramine
B. Metformin
C. Lisinopril
D. Atorvastatin
Answer: A
,Explanation: Diphenhydramine is a first-generation antihistamine with strong
anticholinergic properties that increase the risk of confusion, falls, and urinary retention in
older adults.
3. What is the characteristic clinical presentation of delirium compared to
dementia?
A. Gradual onset and progressive decline
B. Stable course over months
C. Primary deficit in long-term memory
D. Acute onset and fluctuating level of consciousness
Answer: D
Explanation: Delirium is characterized by an acute onset, fluctuating course, and
disturbances in attention and consciousness, whereas dementia is typically progressive
and stable.
4. The ‘Mini-Cog’ assessment tool for dementia consists of which two primary
components?
A. Naming objects and reading a sentence
B. Orientation to time and place
C. Three-word recall and clock drawing test
D. Serial 7s and spelling ‘world’ backward
Answer: C
,Explanation: The Mini-Cog uses a three-word recall test for memory and a clock drawing
test to evaluate executive function and visuospatial skills.
5. Which age-related physiological change affects the pharmacokinetics of
water-soluble drugs?
A. Increased total body water
B. Decreased total body water
C. Decreased total body fat
D. Increased serum albumin
Answer: B
Explanation: Older adults experience a decrease in total body water, which can lead to
higher serum concentrations of water-soluble drugs.
6. What is the USPSTF recommendation for screening for Abdominal Aortic
Aneurysm (AAA)?
A. Screening for women aged 65 to 75 who have never smoked
B. Annual screening for all adults over 65
C. One-time screening by ultrasonography in men aged 65 to 75 who have ever smoked
D. Screening only if the patient presents with abdominal pain
Answer: C
Explanation: The USPSTF recommends a one-time screening for AAA by ultrasonography
in men aged 65 to 75 years who have ever smoked.
, 7. An 80-year-old patient presents with a T-score of -2.6 on a DXA scan. How is
this interpreted?
A. Normal bone density
B. Osteoporosis
C. Osteopenia
D. Severe Osteoarthritis
Answer: B
Explanation: A T-score of -2.5 or lower is the diagnostic threshold for osteoporosis.
8. Which of the following is a key component of the ‘Frailty Phenotype’ defined
by Fried et al.?
A. Increased appetite
B. Rapid gait speed
C. High physical activity levels
D. Unintentional weight loss
Answer: D
Explanation: The Fried phenotype includes five criteria: unintentional weight loss,
exhaustion, low physical activity, slowed walking speed, and weak grip strength.
9. What is the first-line treatment for an older adult with primary insomnia?
A. Zolpidem
