NR601 Final Exam: 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. Managing finances
B. Feeding oneself
C. Bathing
D. Dressing
Answer: A
Explanation: IADLs are more complex tasks necessary for living independently in the
community, such as managing finances, shopping, and medication management, whereas
ADLs (bathing, dressing, feeding) are basic self-care tasks.
2. According to the Beers Criteria, which medication class should be avoided in
elderly patients due to the high risk of orthostatic hypotension and
bradycardia?
A. Alpha-1 blockers
B. ACE inhibitors
C. Thiazide diuretics
D. Biguanides
,Answer: A
Explanation: Alpha-1 blockers (e.g., doxazosin, prazosin) are associated with a high risk of
orthostatic hypotension in the elderly and are generally not recommended as first-line
treatment for hypertension in this population.
3. A 75-year-old patient presents with a T-score of -2.6 on a DXA scan. How is
this interpreted?
A. Normal bone density
B. Osteopenia
C. Osteoporosis
D. Severe Osteoporosis
Answer: C
Explanation: A T-score of -2.5 or lower is the diagnostic threshold for osteoporosis
according to the WHO criteria.
4. Which of the following is a core clinical feature of Delirium that distinguishes
it from Dementia?
A. Acute change in mental status and fluctuating course
B. Gradual onset over years
C. Irreversible cognitive decline
D. Intact level of consciousness
Answer: A
,Explanation: Delirium is characterized by an acute onset, fluctuating course, and
disturbances in attention and consciousness, whereas dementia is typically progressive
and chronic.
5. In the management of COPD, which tool is used to assess the severity of
airflow limitation based on post-bronchodilator FEV1?
A. NYHA Classification
B. CURB-65
C. GOLD Criteria
D. CHADS2 Score
Answer: C
Explanation: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria
are used to classify the severity of airflow limitation in COPD patients.
6. Medicare Part B primarily covers which of the following?
A. Inpatient hospital stays
B. Outpatient provider visits and medical supplies
C. Prescription drug coverage
D. Hospice care
Answer: B
Explanation: Medicare Part B covers outpatient services, provider visits, durable medical
equipment, and some preventive services. Part A covers hospital stays.
, 7. What is the first-line treatment for an older adult diagnosed with mild-to-
moderate Depression?
A. Amitriptyline
B. Benzodiazepines
C. Selective Serotonin Reuptake Inhibitors (SSRIs)
D. Electroconvulsive therapy (ECT)
Answer: C
Explanation: SSRIs (like Sertraline or Escitalopram) are preferred in the elderly due to a
more favorable side-effect profile compared to TCAs like Amitriptyline.
8. A ‘Timed Up and Go’ (TUG) test result of 15 seconds indicates:
A. Normal mobility
B. High risk for falls
C. Superior athletic performance
D. The need for immediate hospitalization
Answer: B
Explanation: A TUG score of 12 seconds or more is often used as a cutoff to indicate an
increased risk of falls in community-dwelling older adults.
Practicum Questions and Answers and Explanations | Latest -
Chamberlain
1. Which of the following is considered an Instrumental Activity of Daily Living
(IADL)?
A. Managing finances
B. Feeding oneself
C. Bathing
D. Dressing
Answer: A
Explanation: IADLs are more complex tasks necessary for living independently in the
community, such as managing finances, shopping, and medication management, whereas
ADLs (bathing, dressing, feeding) are basic self-care tasks.
2. According to the Beers Criteria, which medication class should be avoided in
elderly patients due to the high risk of orthostatic hypotension and
bradycardia?
A. Alpha-1 blockers
B. ACE inhibitors
C. Thiazide diuretics
D. Biguanides
,Answer: A
Explanation: Alpha-1 blockers (e.g., doxazosin, prazosin) are associated with a high risk of
orthostatic hypotension in the elderly and are generally not recommended as first-line
treatment for hypertension in this population.
3. A 75-year-old patient presents with a T-score of -2.6 on a DXA scan. How is
this interpreted?
A. Normal bone density
B. Osteopenia
C. Osteoporosis
D. Severe Osteoporosis
Answer: C
Explanation: A T-score of -2.5 or lower is the diagnostic threshold for osteoporosis
according to the WHO criteria.
4. Which of the following is a core clinical feature of Delirium that distinguishes
it from Dementia?
A. Acute change in mental status and fluctuating course
B. Gradual onset over years
C. Irreversible cognitive decline
D. Intact level of consciousness
Answer: A
,Explanation: Delirium is characterized by an acute onset, fluctuating course, and
disturbances in attention and consciousness, whereas dementia is typically progressive
and chronic.
5. In the management of COPD, which tool is used to assess the severity of
airflow limitation based on post-bronchodilator FEV1?
A. NYHA Classification
B. CURB-65
C. GOLD Criteria
D. CHADS2 Score
Answer: C
Explanation: The Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria
are used to classify the severity of airflow limitation in COPD patients.
6. Medicare Part B primarily covers which of the following?
A. Inpatient hospital stays
B. Outpatient provider visits and medical supplies
C. Prescription drug coverage
D. Hospice care
Answer: B
Explanation: Medicare Part B covers outpatient services, provider visits, durable medical
equipment, and some preventive services. Part A covers hospital stays.
, 7. What is the first-line treatment for an older adult diagnosed with mild-to-
moderate Depression?
A. Amitriptyline
B. Benzodiazepines
C. Selective Serotonin Reuptake Inhibitors (SSRIs)
D. Electroconvulsive therapy (ECT)
Answer: C
Explanation: SSRIs (like Sertraline or Escitalopram) are preferred in the elderly due to a
more favorable side-effect profile compared to TCAs like Amitriptyline.
8. A ‘Timed Up and Go’ (TUG) test result of 15 seconds indicates:
A. Normal mobility
B. High risk for falls
C. Superior athletic performance
D. The need for immediate hospitalization
Answer: B
Explanation: A TUG score of 12 seconds or more is often used as a cutoff to indicate an
increased risk of falls in community-dwelling older adults.
