NR 601 Week 1 Quiz Actual Exam 2026/2027: Complete
Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Primary Care of the Older Adult | Q1 – Q10
Section 2 | Geriatric Assessment Tools | Q11 – Q20
Section 3 | Common Geriatric Syndromes | Q21 – Q30
Section 4 | Polypharmacy and Medication Management | Q31 – Q40
Section 5 | Health Promotion and Disease Prevention in Aging | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
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SECTION 1: PRIMARY CARE OF THE OLDER ADULT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 72-year-old man arrives for his annual Medicare wellness visit and reports no acute
complaints. He asks what preventive services are included in this benefit. His last
colonoscopy was four years ago and was normal. During the visit, the nurse practitioner
reviews his medical and family history, updates his medication list, and discusses
advance care planning.
A. Comprehensive physical examination and screening colonoscopy
B. Health risk assessment, medical history review, and personalized prevention plan ✓
CORRECT
C. Annual electrocardiogram and complete metabolic panel
D. Cognitive testing and referral to a geriatrician
Correct Answer: B
Rationale: The Medicare Annual Wellness Visit focuses on health risk assessment,
medical and family history, and developing a personalized prevention plan without
,requiring a comprehensive physical exam. A comprehensive physical and colonoscopy
are not components of the AWV, though they may be ordered separately based on
findings. Primary care providers often schedule AWVs separately from problem-based
visits to allow adequate time for preventive counseling and advance care planning.
Question 2 of 50
A 68-year-old woman is seen in the clinic for fatigue and mild confusion that has
developed gradually over three months. Her daughter reports the patient has been cold
intolerant and constipated. On examination, delayed relaxation of the deep tendon
reflexes is noted. Her vital signs are stable and her skin is dry.
A. Exophthalmos and tremor
B. Tachycardia and heat intolerance
C. Weight loss and increased appetite
D. Fatigue, confusion, and constipation ✓ CORRECT
Correct Answer: D
Rationale: Older adults with hypothyroidism often present with nonspecific
neuropsychiatric and constitutional symptoms such as fatigue, cognitive slowing, and
constipation rather than the classic presentation seen in younger patients.
Hyperthyroidism, not hypothyroidism, causes heat intolerance, tachycardia, and weight
loss. Nurse practitioners should maintain a low threshold for thyroid testing in older
adults with new cognitive changes because symptoms are frequently attributed to
normal aging or dementia.
Question 3 of 50
A 78-year-old man with hypertension and type 2 diabetes tells the nurse practitioner he
has been falling asleep in his recliner during the day. His wife reports he snores loudly,
gasps for air, and stops breathing at night. His blood pressure today is 148 over 82
mmHg, and his current medications include metformin and lisinopril.
,A. Screen for obstructive sleep apnea and consider continuous positive airway pressure
✓ CORRECT
B. Increase his antihypertensive medications to target nocturnal dipping
C. Prescribe a stimulant to improve daytime alertness
D. Reassure him that daytime napping is normal in older adults
Correct Answer: A
Rationale: Excessive daytime sleepiness, loud snoring, and witnessed apneas are
cardinal symptoms of obstructive sleep apnea, which is common in older adults with
cardiovascular comorbidities and contributes to resistant hypertension. Increasing
antihypertensives or prescribing stimulants treats symptoms without addressing the
underlying sleep-disordered breathing. Primary care providers should screen older
adults with resistant hypertension or daytime somnolence for OSA because treatment
reduces cardiovascular risk and improves quality of life.
Question 4 of 50
An 82-year-old woman who lives alone and was recently widowed reports unintentional
weight loss of 12 pounds over the past six months. She says food does not taste good
anymore and she does not feel like cooking for one. Her physical examination is largely
unremarkable and her laboratory studies are pending.
A. Prescribe an appetite stimulant such as mirtazapine immediately
B. Order a CT scan of the abdomen and pelvis to rule out malignancy
C. Screen for depression, social isolation, and functional ability to prepare meals ✓
CORRECT
D. Recommend a high-calorie protein supplement and recheck in one year
Correct Answer: C
Rationale: Unintentional weight loss in older adults requires a comprehensive geriatric
assessment that includes psychosocial factors such as depression, grief, social
isolation, and functional impairments in meal preparation before pursuing invasive
testing or pharmacological appetite stimulation. Ordering advanced imaging
, prematurely is low-yield when the history suggests psychosocial contributors, and
annual recheck is too delayed for significant weight loss. Geriatric primary care visits
should routinely include questions about who prepares meals and whether grief or
depression is affecting nutritional intake.
Question 5 of 50
A 75-year-old man asks about prostate cancer screening during his annual exam. He is
African American, has no family history of prostate cancer, and his prior PSA three years
ago was 1.2 ng per milliliter. He is otherwise healthy and walks two miles daily.
A. Annual PSA testing and digital rectal exam beginning now
B. Individualized decision-making about PSA screening based on life expectancy and
patient preference ✓ CORRECT
C. Routine PSA screening every two years until age 85
D. No discussion needed because prostate cancer screening is universally discouraged
Correct Answer: B
Rationale: The USPSTF recommends individualized prostate cancer screening decisions
for men aged 55 to 69 based on potential benefits and harms, considering life
expectancy, race, and patient values, rather than routine annual or biennial testing.
Discouraging all discussion ignores the elevated risk in African American men and the
importance of shared decision-making. Nurse practitioners should use decision aids
during wellness visits to help older men understand the trade-offs between early
detection and overdiagnosis.
Question 6 of 50
An 84-year-old woman with type 2 diabetes, moderate dementia, and a history of falls
presents for follow-up. Her hemoglobin A1c is 7.2 percent and she takes glyburide. She
is frail, uses a walker, and her daughter reports two episodes of shakiness in the past
month.
Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Primary Care of the Older Adult | Q1 – Q10
Section 2 | Geriatric Assessment Tools | Q11 – Q20
Section 3 | Common Geriatric Syndromes | Q21 – Q30
Section 4 | Polypharmacy and Medication Management | Q31 – Q40
Section 5 | Health Promotion and Disease Prevention in Aging | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: PRIMARY CARE OF THE OLDER ADULT Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 72-year-old man arrives for his annual Medicare wellness visit and reports no acute
complaints. He asks what preventive services are included in this benefit. His last
colonoscopy was four years ago and was normal. During the visit, the nurse practitioner
reviews his medical and family history, updates his medication list, and discusses
advance care planning.
A. Comprehensive physical examination and screening colonoscopy
B. Health risk assessment, medical history review, and personalized prevention plan ✓
CORRECT
C. Annual electrocardiogram and complete metabolic panel
D. Cognitive testing and referral to a geriatrician
Correct Answer: B
Rationale: The Medicare Annual Wellness Visit focuses on health risk assessment,
medical and family history, and developing a personalized prevention plan without
,requiring a comprehensive physical exam. A comprehensive physical and colonoscopy
are not components of the AWV, though they may be ordered separately based on
findings. Primary care providers often schedule AWVs separately from problem-based
visits to allow adequate time for preventive counseling and advance care planning.
Question 2 of 50
A 68-year-old woman is seen in the clinic for fatigue and mild confusion that has
developed gradually over three months. Her daughter reports the patient has been cold
intolerant and constipated. On examination, delayed relaxation of the deep tendon
reflexes is noted. Her vital signs are stable and her skin is dry.
A. Exophthalmos and tremor
B. Tachycardia and heat intolerance
C. Weight loss and increased appetite
D. Fatigue, confusion, and constipation ✓ CORRECT
Correct Answer: D
Rationale: Older adults with hypothyroidism often present with nonspecific
neuropsychiatric and constitutional symptoms such as fatigue, cognitive slowing, and
constipation rather than the classic presentation seen in younger patients.
Hyperthyroidism, not hypothyroidism, causes heat intolerance, tachycardia, and weight
loss. Nurse practitioners should maintain a low threshold for thyroid testing in older
adults with new cognitive changes because symptoms are frequently attributed to
normal aging or dementia.
Question 3 of 50
A 78-year-old man with hypertension and type 2 diabetes tells the nurse practitioner he
has been falling asleep in his recliner during the day. His wife reports he snores loudly,
gasps for air, and stops breathing at night. His blood pressure today is 148 over 82
mmHg, and his current medications include metformin and lisinopril.
,A. Screen for obstructive sleep apnea and consider continuous positive airway pressure
✓ CORRECT
B. Increase his antihypertensive medications to target nocturnal dipping
C. Prescribe a stimulant to improve daytime alertness
D. Reassure him that daytime napping is normal in older adults
Correct Answer: A
Rationale: Excessive daytime sleepiness, loud snoring, and witnessed apneas are
cardinal symptoms of obstructive sleep apnea, which is common in older adults with
cardiovascular comorbidities and contributes to resistant hypertension. Increasing
antihypertensives or prescribing stimulants treats symptoms without addressing the
underlying sleep-disordered breathing. Primary care providers should screen older
adults with resistant hypertension or daytime somnolence for OSA because treatment
reduces cardiovascular risk and improves quality of life.
Question 4 of 50
An 82-year-old woman who lives alone and was recently widowed reports unintentional
weight loss of 12 pounds over the past six months. She says food does not taste good
anymore and she does not feel like cooking for one. Her physical examination is largely
unremarkable and her laboratory studies are pending.
A. Prescribe an appetite stimulant such as mirtazapine immediately
B. Order a CT scan of the abdomen and pelvis to rule out malignancy
C. Screen for depression, social isolation, and functional ability to prepare meals ✓
CORRECT
D. Recommend a high-calorie protein supplement and recheck in one year
Correct Answer: C
Rationale: Unintentional weight loss in older adults requires a comprehensive geriatric
assessment that includes psychosocial factors such as depression, grief, social
isolation, and functional impairments in meal preparation before pursuing invasive
testing or pharmacological appetite stimulation. Ordering advanced imaging
, prematurely is low-yield when the history suggests psychosocial contributors, and
annual recheck is too delayed for significant weight loss. Geriatric primary care visits
should routinely include questions about who prepares meals and whether grief or
depression is affecting nutritional intake.
Question 5 of 50
A 75-year-old man asks about prostate cancer screening during his annual exam. He is
African American, has no family history of prostate cancer, and his prior PSA three years
ago was 1.2 ng per milliliter. He is otherwise healthy and walks two miles daily.
A. Annual PSA testing and digital rectal exam beginning now
B. Individualized decision-making about PSA screening based on life expectancy and
patient preference ✓ CORRECT
C. Routine PSA screening every two years until age 85
D. No discussion needed because prostate cancer screening is universally discouraged
Correct Answer: B
Rationale: The USPSTF recommends individualized prostate cancer screening decisions
for men aged 55 to 69 based on potential benefits and harms, considering life
expectancy, race, and patient values, rather than routine annual or biennial testing.
Discouraging all discussion ignores the elevated risk in African American men and the
importance of shared decision-making. Nurse practitioners should use decision aids
during wellness visits to help older men understand the trade-offs between early
detection and overdiagnosis.
Question 6 of 50
An 84-year-old woman with type 2 diabetes, moderate dementia, and a history of falls
presents for follow-up. Her hemoglobin A1c is 7.2 percent and she takes glyburide. She
is frail, uses a walker, and her daughter reports two episodes of shakiness in the past
month.
