NR601 Exam 2: Primary Care of the Maturing & Aged Family Practicum
Questions and Answers and Explanations | Latest - Chamberlain
1. Which part of Medicare covers outpatient services, including provider visits
and laboratory tests?
A. Medicare Part A
B. Medicare Part D
C. Medicare Part C
D. Medicare Part B
Answer: D
Explanation: Medicare Part B covers medically necessary services like doctors’ services
and outpatient care. Part A covers hospital insurance, Part C is Medicare Advantage, and
Part D covers prescription drugs.
2. An elderly patient is unable to manage their finances or shop for groceries.
These activities are classified as:
A. Basic Activities of Daily Living (ADLs)
B. Functional Capacity Requirements
C. Advanced Activities of Daily Living (AADLs)
D. Instrumental Activities of Daily Living (IADLs)
Answer: D
,Explanation: IADLs are complex skills needed to live independently, such as managing
finances, shopping, and preparing meals. ADLs are basic self-care tasks like bathing and
dressing.
3. Which of the following is the gold standard for diagnosing Osteoporosis?
A. Plain X-ray of the hip
B. Serum Calcium and Vitamin D levels
C. Dual-energy X-ray absorptiometry (DEXA) scan
D. Quantitative Computed Tomography (QCT)
Answer: C
Explanation: A DEXA scan is the gold standard for measuring bone mineral density and
diagnosing osteoporosis.
4. A T-score of -2.6 on a DEXA scan indicates which condition?
A. Osteoporosis
B. Osteopenia
C. Normal bone density
D. Severe Osteoporosis with fracture
Answer: A
Explanation: Osteoporosis is defined as a T-score of -2.5 or lower. Osteopenia is between -
1.0 and -2.5.
,5. According to the GOLD criteria, a post-bronchodilator FEV1/FVC ratio of less
than what confirms the diagnosis of COPD?
A. 0.7
B. 0.6
C. 0.5
D. 0.8
Answer: A
Explanation: The diagnosis of COPD is confirmed by a persistent airflow limitation defined
as a post-bronchodilator FEV1/FVC ratio < 0.70.
6. Which classification of Heart Failure involves slight limitation of physical
activity where ordinary activity results in fatigue or palpitations?
A. NYHA Class I
B. NYHA Class IV
C. NYHA Class III
D. NYHA Class II
Answer: D
Explanation: NYHA Class II indicates slight limitation of physical activity. Ordinary
physical activity results in fatigue, palpitations, or dyspnea.
, 7. What is the first-line pharmacological treatment for an older adult with newly
diagnosed Hypertension and no comorbidities?
A. Beta-blocker
B. Loop Diuretic
C. Alpha-blocker
D. Thiazide-type diuretic
Answer: D
Explanation: JNC 8 guidelines suggest thiazide-type diuretics, CCBs, ACE inhibitors, or
ARBs as initial therapy for the general non-black geriatric population.
8. A patient presents with acute onset of confusion, fluctuating consciousness,
and inattention. This most likely represents:
A. Alzheimer’s Disease
B. Dementia with Lewy Bodies
C. Major Depressive Disorder
D. Delirium
Answer: D
Explanation: Delirium is characterized by acute onset, fluctuating course, inattention, and
disorganized thinking, unlike the gradual decline seen in dementia.
Questions and Answers and Explanations | Latest - Chamberlain
1. Which part of Medicare covers outpatient services, including provider visits
and laboratory tests?
A. Medicare Part A
B. Medicare Part D
C. Medicare Part C
D. Medicare Part B
Answer: D
Explanation: Medicare Part B covers medically necessary services like doctors’ services
and outpatient care. Part A covers hospital insurance, Part C is Medicare Advantage, and
Part D covers prescription drugs.
2. An elderly patient is unable to manage their finances or shop for groceries.
These activities are classified as:
A. Basic Activities of Daily Living (ADLs)
B. Functional Capacity Requirements
C. Advanced Activities of Daily Living (AADLs)
D. Instrumental Activities of Daily Living (IADLs)
Answer: D
,Explanation: IADLs are complex skills needed to live independently, such as managing
finances, shopping, and preparing meals. ADLs are basic self-care tasks like bathing and
dressing.
3. Which of the following is the gold standard for diagnosing Osteoporosis?
A. Plain X-ray of the hip
B. Serum Calcium and Vitamin D levels
C. Dual-energy X-ray absorptiometry (DEXA) scan
D. Quantitative Computed Tomography (QCT)
Answer: C
Explanation: A DEXA scan is the gold standard for measuring bone mineral density and
diagnosing osteoporosis.
4. A T-score of -2.6 on a DEXA scan indicates which condition?
A. Osteoporosis
B. Osteopenia
C. Normal bone density
D. Severe Osteoporosis with fracture
Answer: A
Explanation: Osteoporosis is defined as a T-score of -2.5 or lower. Osteopenia is between -
1.0 and -2.5.
,5. According to the GOLD criteria, a post-bronchodilator FEV1/FVC ratio of less
than what confirms the diagnosis of COPD?
A. 0.7
B. 0.6
C. 0.5
D. 0.8
Answer: A
Explanation: The diagnosis of COPD is confirmed by a persistent airflow limitation defined
as a post-bronchodilator FEV1/FVC ratio < 0.70.
6. Which classification of Heart Failure involves slight limitation of physical
activity where ordinary activity results in fatigue or palpitations?
A. NYHA Class I
B. NYHA Class IV
C. NYHA Class III
D. NYHA Class II
Answer: D
Explanation: NYHA Class II indicates slight limitation of physical activity. Ordinary
physical activity results in fatigue, palpitations, or dyspnea.
, 7. What is the first-line pharmacological treatment for an older adult with newly
diagnosed Hypertension and no comorbidities?
A. Beta-blocker
B. Loop Diuretic
C. Alpha-blocker
D. Thiazide-type diuretic
Answer: D
Explanation: JNC 8 guidelines suggest thiazide-type diuretics, CCBs, ACE inhibitors, or
ARBs as initial therapy for the general non-black geriatric population.
8. A patient presents with acute onset of confusion, fluctuating consciousness,
and inattention. This most likely represents:
A. Alzheimer’s Disease
B. Dementia with Lewy Bodies
C. Major Depressive Disorder
D. Delirium
Answer: D
Explanation: Delirium is characterized by acute onset, fluctuating course, inattention, and
disorganized thinking, unlike the gradual decline seen in dementia.
