NR601 Final Exam | Primary Care of the Maturing & Aged Family Practicum | 2026/2027
NR601 / NR 601
Final Examination
Questions & Answers
Primary Care of the Maturing & Aged Family Practicum
Latest Edition
Verified Answers with Comprehensive Rationales
150 Questions | 12 Content Sections
Aligned with Chamberlain University NR601 Curriculum Standards
AGNP/FNP Certification Competency Preparation
Total Questions 150 Format Multiple Choice (A-D)
Sections 12 Cognitive Levels 30% Recall / 50% Application / 20% Analysis
Table of Contents
Section 1: Geriatric Assessment, Prevention, and Health Maintenance (Q1-Q20 | 20 Questions)
Section 2: Cardiovascular Disorders (Q21-Q35 | 15 Questions)
Section 3: Endocrine and Metabolic Disorders (Q36-Q45 | 10 Questions)
Section 4: Neurological and Cognitive Disorders (Q46-Q60 | 15 Questions)
Section 5: Mental Health in Older Adults (Q61-Q70 | 10 Questions)
Section 6: Musculoskeletal Disorders (Q71-Q80 | 10 Questions)
Section 7: Genitourinary and Renal Disorders (Q81-Q95 | 15 Questions)
Page 1
, NR601 Final Exam | Primary Care of the Maturing & Aged Family Practicum | 2026/2027
Section 8: Respiratory and Pulmonary Disorders (Q96-Q100 | 5 Questions)
Section 9: Palliative and End-of-Life Care (Q101-Q110 | 10 Questions)
Section 10: Medication Management and Polypharmacy (Q111-Q120 | 10 Questions)
Section 11: Infectious Diseases and Special Populations (Q121-Q130 | 10 Questions)
Section 12: Integrated Clinical Scenarios and Comprehensive Reasoning (Q131-Q150 | 20 Questions)
Page 2
, NR601 Final Exam | Primary Care of the Maturing & Aged Family Practicum | 2026/2027
Section 1: Geriatric Assessment, Prevention, and Health Maintenance
Questions 1-20
Q1: A 72-year-old female presents for her annual wellness visit. She lives alone, reports no falls, and states she
walks 30 minutes daily. Which component of the Comprehensive Geriatric Assessment (CGA) is MOST
critical to evaluate in this patient who appears functionally independent?
A. Cardiac stress testing
B. Nutritional status assessment including screening for malnutrition [CORRECT]
C. Genetic testing for hereditary cancers
D. Immediate referral for home physical therapy
Correct Answer: B
Rationale: The CGA evaluates functional, cognitive, nutritional, social, and fall risk domains. Nutritional assessment is critical
even in independent older adults because malnutrition often goes unrecognized and contributes to sarcopenia, immune
dysfunction, and increased morbidity. Cardiac stress testing and genetic testing are not routine CGA components, and PT referral
is unnecessary without identified functional deficits.
Q2: According to current USPSTF guidelines, at what age should colorectal cancer screening with
colonoscopy be routinely recommended to discontinue for average-risk adults?
A. Age 65
B. Age 70
C. Age 75 [CORRECT]
D. Age 80
Correct Answer: C
Rationale: Current guidelines recommend routine colorectal cancer screening through age 75 for average-risk adults. Between ages
76-85, the decision to screen should be individualized based on patient health status, prior screening history, and comorbidities.
After age 85, screening is not recommended regardless of health status.
Q3: A 68-year-old female with no risk factors asks about bone density screening. According to current
recommendations, when should she receive her first DEXA scan?
A. At age 60
B. At age 65 [CORRECT]
C. At age 70
D. Only if she experiences a fracture
Correct Answer: B
Rationale: DEXA screening is recommended for all women at age 65 and older, regardless of risk factors. For men, screening
begins at age 70. Earlier screening is indicated for postmenopausal women younger than 65 with additional risk factors such as low
body weight, prior fracture, or family history of osteoporosis.
Q4: A 52-year-old male patient asks about prostate cancer screening with PSA testing. What is the MOST
appropriate clinical approach according to current guidelines?
A. Begin PSA screening immediately at age 52
B. Engage in shared decision-making about PSA screening starting at age 55 [CORRECT]
C. Defer PSA testing until age 65
D. Order a PSA test annually regardless of patient preference
Correct Answer: B
Page 3
, NR601 Final Exam | Primary Care of the Maturing & Aged Family Practicum | 2026/2027
Rationale: Current guidelines recommend shared decision-making for PSA-based prostate cancer screening in men ages 55-69.
The decision should incorporate the patient's values, preferences, and understanding of the potential benefits and harms of
screening, including false positives, overdiagnosis, and treatment complications.
Q5: A 66-year-old patient receives the recombinant zoster vaccine (Shingrix). Which statement about this
vaccination is CORRECT?
A. It is a single-dose vaccine recommended for adults 60 and older
B. It requires two doses administered 2-6 months apart and is recommended for adults 50 and older
[CORRECT]
C. It is a live attenuated vaccine contraindicated in immunocompromised patients
D. It provides lifetime immunity after a single dose
Correct Answer: B
Rationale: Shingrix is a recombinant zoster vaccine recommended for adults aged 50 and older. It requires two doses separated by
2-6 months. Unlike the older Zostavax (live attenuated), Shingrix is not a live vaccine and is safe for immunocompromised
patients. It does not provide lifetime immunity and booster discussions may be warranted.
Q6: A 74-year-old patient has not received a Tdap booster. Which immunization statement is MOST
accurate?
A. Tdap should be administered every 5 years in older adults
B. A single dose of Tdap should replace one Td booster, then Td every 10 years thereafter [CORRECT]
C. Tdap is contraindicated in adults over 65
D. Tdap is only indicated if the patient has an open wound
Correct Answer: B
Rationale: Current recommendations state that all adults should receive a single dose of Tdap to replace one Td booster, followed
by Td booster every 10 years. This is especially important for older adults who may have close contact with infants, to provide
protection against pertussis (whooping cough).
Q7: The nurse practitioner is counseling a 70-year-old patient about physical activity. Which recommendation
is MOST consistent with geriatric exercise guidelines?
A. Begin a high-intensity interval training program to maximize cardiovascular benefit
B. Start low and go slow, with gradual progression of intensity and duration [CORRECT]
C. Avoid resistance training due to the risk of musculoskeletal injury
D. Limit physical activity to walking only, as balance exercises are unsafe
Correct Answer: B
Rationale: The geriatric exercise principle of 'start low and go slow' emphasizes beginning at a low intensity and gradually
progressing. This approach minimizes injury risk, promotes adherence, and allows the older adult's body to adapt. Resistance
training is actually encouraged to combat sarcopenia, and balance exercises are critical for fall prevention.
Q8: A 78-year-old male is found to have a serum albumin of 3.0 g/dL and a BMI of 19. What is the
recommended daily protein intake for this patient to address his nutritional status?
A. 0.5-0.6 g/kg/day
B. 0.8 g/kg/day (RDA for general adults)
C. 1.0-1.2 g/kg/day [CORRECT]
D. 2.0 g/kg/day
Correct Answer: C
Page 4
NR601 / NR 601
Final Examination
Questions & Answers
Primary Care of the Maturing & Aged Family Practicum
Latest Edition
Verified Answers with Comprehensive Rationales
150 Questions | 12 Content Sections
Aligned with Chamberlain University NR601 Curriculum Standards
AGNP/FNP Certification Competency Preparation
Total Questions 150 Format Multiple Choice (A-D)
Sections 12 Cognitive Levels 30% Recall / 50% Application / 20% Analysis
Table of Contents
Section 1: Geriatric Assessment, Prevention, and Health Maintenance (Q1-Q20 | 20 Questions)
Section 2: Cardiovascular Disorders (Q21-Q35 | 15 Questions)
Section 3: Endocrine and Metabolic Disorders (Q36-Q45 | 10 Questions)
Section 4: Neurological and Cognitive Disorders (Q46-Q60 | 15 Questions)
Section 5: Mental Health in Older Adults (Q61-Q70 | 10 Questions)
Section 6: Musculoskeletal Disorders (Q71-Q80 | 10 Questions)
Section 7: Genitourinary and Renal Disorders (Q81-Q95 | 15 Questions)
Page 1
, NR601 Final Exam | Primary Care of the Maturing & Aged Family Practicum | 2026/2027
Section 8: Respiratory and Pulmonary Disorders (Q96-Q100 | 5 Questions)
Section 9: Palliative and End-of-Life Care (Q101-Q110 | 10 Questions)
Section 10: Medication Management and Polypharmacy (Q111-Q120 | 10 Questions)
Section 11: Infectious Diseases and Special Populations (Q121-Q130 | 10 Questions)
Section 12: Integrated Clinical Scenarios and Comprehensive Reasoning (Q131-Q150 | 20 Questions)
Page 2
, NR601 Final Exam | Primary Care of the Maturing & Aged Family Practicum | 2026/2027
Section 1: Geriatric Assessment, Prevention, and Health Maintenance
Questions 1-20
Q1: A 72-year-old female presents for her annual wellness visit. She lives alone, reports no falls, and states she
walks 30 minutes daily. Which component of the Comprehensive Geriatric Assessment (CGA) is MOST
critical to evaluate in this patient who appears functionally independent?
A. Cardiac stress testing
B. Nutritional status assessment including screening for malnutrition [CORRECT]
C. Genetic testing for hereditary cancers
D. Immediate referral for home physical therapy
Correct Answer: B
Rationale: The CGA evaluates functional, cognitive, nutritional, social, and fall risk domains. Nutritional assessment is critical
even in independent older adults because malnutrition often goes unrecognized and contributes to sarcopenia, immune
dysfunction, and increased morbidity. Cardiac stress testing and genetic testing are not routine CGA components, and PT referral
is unnecessary without identified functional deficits.
Q2: According to current USPSTF guidelines, at what age should colorectal cancer screening with
colonoscopy be routinely recommended to discontinue for average-risk adults?
A. Age 65
B. Age 70
C. Age 75 [CORRECT]
D. Age 80
Correct Answer: C
Rationale: Current guidelines recommend routine colorectal cancer screening through age 75 for average-risk adults. Between ages
76-85, the decision to screen should be individualized based on patient health status, prior screening history, and comorbidities.
After age 85, screening is not recommended regardless of health status.
Q3: A 68-year-old female with no risk factors asks about bone density screening. According to current
recommendations, when should she receive her first DEXA scan?
A. At age 60
B. At age 65 [CORRECT]
C. At age 70
D. Only if she experiences a fracture
Correct Answer: B
Rationale: DEXA screening is recommended for all women at age 65 and older, regardless of risk factors. For men, screening
begins at age 70. Earlier screening is indicated for postmenopausal women younger than 65 with additional risk factors such as low
body weight, prior fracture, or family history of osteoporosis.
Q4: A 52-year-old male patient asks about prostate cancer screening with PSA testing. What is the MOST
appropriate clinical approach according to current guidelines?
A. Begin PSA screening immediately at age 52
B. Engage in shared decision-making about PSA screening starting at age 55 [CORRECT]
C. Defer PSA testing until age 65
D. Order a PSA test annually regardless of patient preference
Correct Answer: B
Page 3
, NR601 Final Exam | Primary Care of the Maturing & Aged Family Practicum | 2026/2027
Rationale: Current guidelines recommend shared decision-making for PSA-based prostate cancer screening in men ages 55-69.
The decision should incorporate the patient's values, preferences, and understanding of the potential benefits and harms of
screening, including false positives, overdiagnosis, and treatment complications.
Q5: A 66-year-old patient receives the recombinant zoster vaccine (Shingrix). Which statement about this
vaccination is CORRECT?
A. It is a single-dose vaccine recommended for adults 60 and older
B. It requires two doses administered 2-6 months apart and is recommended for adults 50 and older
[CORRECT]
C. It is a live attenuated vaccine contraindicated in immunocompromised patients
D. It provides lifetime immunity after a single dose
Correct Answer: B
Rationale: Shingrix is a recombinant zoster vaccine recommended for adults aged 50 and older. It requires two doses separated by
2-6 months. Unlike the older Zostavax (live attenuated), Shingrix is not a live vaccine and is safe for immunocompromised
patients. It does not provide lifetime immunity and booster discussions may be warranted.
Q6: A 74-year-old patient has not received a Tdap booster. Which immunization statement is MOST
accurate?
A. Tdap should be administered every 5 years in older adults
B. A single dose of Tdap should replace one Td booster, then Td every 10 years thereafter [CORRECT]
C. Tdap is contraindicated in adults over 65
D. Tdap is only indicated if the patient has an open wound
Correct Answer: B
Rationale: Current recommendations state that all adults should receive a single dose of Tdap to replace one Td booster, followed
by Td booster every 10 years. This is especially important for older adults who may have close contact with infants, to provide
protection against pertussis (whooping cough).
Q7: The nurse practitioner is counseling a 70-year-old patient about physical activity. Which recommendation
is MOST consistent with geriatric exercise guidelines?
A. Begin a high-intensity interval training program to maximize cardiovascular benefit
B. Start low and go slow, with gradual progression of intensity and duration [CORRECT]
C. Avoid resistance training due to the risk of musculoskeletal injury
D. Limit physical activity to walking only, as balance exercises are unsafe
Correct Answer: B
Rationale: The geriatric exercise principle of 'start low and go slow' emphasizes beginning at a low intensity and gradually
progressing. This approach minimizes injury risk, promotes adherence, and allows the older adult's body to adapt. Resistance
training is actually encouraged to combat sarcopenia, and balance exercises are critical for fall prevention.
Q8: A 78-year-old male is found to have a serum albumin of 3.0 g/dL and a BMI of 19. What is the
recommended daily protein intake for this patient to address his nutritional status?
A. 0.5-0.6 g/kg/day
B. 0.8 g/kg/day (RDA for general adults)
C. 1.0-1.2 g/kg/day [CORRECT]
D. 2.0 g/kg/day
Correct Answer: C
Page 4
