NR 601 FINAL EXAM 2026/2027 | MOST TESTED | 100 VERIFIED Q&A | PRIMARY
CARE OF THE MATURING & AGED FAMILY | MULTIPLE-CHOICES | DETAILED
RATIONALES | CHAMBERLAIN UNIVERSITY | PASS GUARANTEED - A+ GRADED
SECTION 1: PREVENTIVE CARE & HEALTH MAINTENANCE
Questions 1-15
Question 1
An 81-year-old transgender female with a history of depression and hyperlipidemia presents to your clinic for
routine care. She endorses a history of smoking, currently smoking 1 pack per day, and occasionally drinks a
glass of wine, although she denies
licit
il drug use. She reports she takes atorvastatin 20 mg and subcutaneous
estrogen therapy. Which of the following is the most important next step in this patient's primary care?
A) Counseling on starting aspirin
B) Counseling on alcohol cessation
C) Counseling on smoking cessation
D) Counseling on mammogram
Correct Answer: C
Rationale: Smoking cessation provides the greatest single mortality and morbidity benefit for older adults;
even in later life, quitting smoking reduces cardiovascular and cancer risk significantly within months to years
. This should be prioritized overther
o preventive interventions.
Question 2
An 86-year-old female comes to your office for a wellness visit. She would like to make her partner her
medical decision
- maker. They are not married. What is the most appropriate recommendation?
A) Advise them to file an advanced directive
B) Advise them to get married
C) Advise them to draft a living will only
D) Advise them to appoint a healthcare proxy
, NR 601 FINAL EXAM 2026/2027 | MOST TESTED | 100 VERIFIED Q&A | PRIMARY
CARE OF THE MATURING & AGED FAMILY | MULTIPLE-CHOICES | DETAILED
RATIONALES | CHAMBERLAIN UNIVERSITY | PASS GUARANTEED - A+ GRADED
Correct Answer: A
Rationale: An advanced directive is the appropriate legal document for unmarried partners to designate
medical decision
- making authority. Without this legal documentation, unmarried partners lack standing to
make medical decisions, whereas a POLST only add
resses specific medical interventions for serious illness .
Question 3
An 84-year-old male with a history of heart failure and diabetes reports he is sexually active with men and
women with intermittent condom use. What STI testing should be offered?
A) Urine testing only
B) Blood testing only
C) Urine testing, blood testing, anal swab, and oropharyngeal swab
D) No testing is needed at his age
Correct Answer: C
Rationale: Sexually active older adults with multiple partners should receive comprehensive STI screening
including urine testing, blood testing, anal swabs, and oropharyngeal swabs based on sexual practices and
exposure sites .
Question 4
An 86-year-old man with a PSA of 10 ng/mL after responding well to tamsulosin for a UTI. Next step?
A) Immediate prostate biopsy
B) Referral for prostate MRI
C) Repeat PSA in 6 months
D) Start androgen deprivation therapy
, NR 601 FINAL EXAM 2026/2027 | MOST TESTED | 100 VERIFIED Q&A | PRIMARY
CARE OF THE MATURING & AGED FAMILY | MULTIPLE-CHOICES | DETAILED
RATIONALES | CHAMBERLAIN UNIVERSITY | PASS GUARANTEED - A+ GRADED
Correct Answer: C
Rationale: PSA elevation can be transiently elevated due to UTI or instrumentation. After a UTI, repeating
PSA in 6 months is appropriate before proceeding with biopsy or imaging .
Question 5
In which patient is chemical or surgical castration likely to prolong survival?
A) A 78-year-old man who had a radical prostatectomy and radiation 10 years ago and now has a PSA of 24.5
ng/mL and a positive bone scan
B) A 65-year-old man with a PSA of 5.5 and negative biopsy
C) A 70-year-old man with BPH symptoms only
D) A 75-year-old man with localized prostate cancer on active surveillance
Correct Answer: A
Rationale: Androgen deprivation therapy is indicated for metastatic prostate cancer (PSA elevation with
positive bone scan) and has been shown to prolong survival in this setting .
Question 6
An 85-year-old woman with a-cm
9 fungating breast mass and arm edema. Next step in management?
A) Perform lumpectomy immediately
B) Order palliative chemotherapy only
C) The mass should be biopsied to study hormone receptor and HER2/neu antigen status
D) Refer for hospice care
, NR 601 FINAL EXAM 2026/2027 | MOST TESTED | 100 VERIFIED Q&A | PRIMARY
CARE OF THE MATURING & AGED FAMILY | MULTIPLE-CHOICES | DETAILED
RATIONALES | CHAMBERLAIN UNIVERSITY | PASS GUARANTEED - A+ GRADED
Correct Answer: C
Rationale: Biopsy to determine hormone receptor and HER2/neu status is essential to guide treatment
decisions, even in advanced breast cancer .
Question 7
A 78-year-old man has a localized colonic adenocarcinoma resected without node dissection. Should he have
chemotherapy?
A) Yes, all colon cancer patients need chemotherapy
B) No because he can be followed with serial carcinoembryonic antigens and CT scans
C) Only if he has symptoms
D) Only if he has a family history of colon cancer
Correct Answer: B
Rationale: For localized colon cancer resected without node dissection, surveillance with serial CEA and CT
scans may be appropriate; chemotherapy is not indicated for all cases .
Question 8
An 80-year-old woman with pelvic masses adherent to the ovarian ligament. Best first step?
A) Immediate surgery
B) Invite her to return with a family member and have a long talk about the diagnostic and therapeutic
options
C) Order CA-125 only
D) Refer to gynecologic oncology
Correct Answer: B
CARE OF THE MATURING & AGED FAMILY | MULTIPLE-CHOICES | DETAILED
RATIONALES | CHAMBERLAIN UNIVERSITY | PASS GUARANTEED - A+ GRADED
SECTION 1: PREVENTIVE CARE & HEALTH MAINTENANCE
Questions 1-15
Question 1
An 81-year-old transgender female with a history of depression and hyperlipidemia presents to your clinic for
routine care. She endorses a history of smoking, currently smoking 1 pack per day, and occasionally drinks a
glass of wine, although she denies
licit
il drug use. She reports she takes atorvastatin 20 mg and subcutaneous
estrogen therapy. Which of the following is the most important next step in this patient's primary care?
A) Counseling on starting aspirin
B) Counseling on alcohol cessation
C) Counseling on smoking cessation
D) Counseling on mammogram
Correct Answer: C
Rationale: Smoking cessation provides the greatest single mortality and morbidity benefit for older adults;
even in later life, quitting smoking reduces cardiovascular and cancer risk significantly within months to years
. This should be prioritized overther
o preventive interventions.
Question 2
An 86-year-old female comes to your office for a wellness visit. She would like to make her partner her
medical decision
- maker. They are not married. What is the most appropriate recommendation?
A) Advise them to file an advanced directive
B) Advise them to get married
C) Advise them to draft a living will only
D) Advise them to appoint a healthcare proxy
, NR 601 FINAL EXAM 2026/2027 | MOST TESTED | 100 VERIFIED Q&A | PRIMARY
CARE OF THE MATURING & AGED FAMILY | MULTIPLE-CHOICES | DETAILED
RATIONALES | CHAMBERLAIN UNIVERSITY | PASS GUARANTEED - A+ GRADED
Correct Answer: A
Rationale: An advanced directive is the appropriate legal document for unmarried partners to designate
medical decision
- making authority. Without this legal documentation, unmarried partners lack standing to
make medical decisions, whereas a POLST only add
resses specific medical interventions for serious illness .
Question 3
An 84-year-old male with a history of heart failure and diabetes reports he is sexually active with men and
women with intermittent condom use. What STI testing should be offered?
A) Urine testing only
B) Blood testing only
C) Urine testing, blood testing, anal swab, and oropharyngeal swab
D) No testing is needed at his age
Correct Answer: C
Rationale: Sexually active older adults with multiple partners should receive comprehensive STI screening
including urine testing, blood testing, anal swabs, and oropharyngeal swabs based on sexual practices and
exposure sites .
Question 4
An 86-year-old man with a PSA of 10 ng/mL after responding well to tamsulosin for a UTI. Next step?
A) Immediate prostate biopsy
B) Referral for prostate MRI
C) Repeat PSA in 6 months
D) Start androgen deprivation therapy
, NR 601 FINAL EXAM 2026/2027 | MOST TESTED | 100 VERIFIED Q&A | PRIMARY
CARE OF THE MATURING & AGED FAMILY | MULTIPLE-CHOICES | DETAILED
RATIONALES | CHAMBERLAIN UNIVERSITY | PASS GUARANTEED - A+ GRADED
Correct Answer: C
Rationale: PSA elevation can be transiently elevated due to UTI or instrumentation. After a UTI, repeating
PSA in 6 months is appropriate before proceeding with biopsy or imaging .
Question 5
In which patient is chemical or surgical castration likely to prolong survival?
A) A 78-year-old man who had a radical prostatectomy and radiation 10 years ago and now has a PSA of 24.5
ng/mL and a positive bone scan
B) A 65-year-old man with a PSA of 5.5 and negative biopsy
C) A 70-year-old man with BPH symptoms only
D) A 75-year-old man with localized prostate cancer on active surveillance
Correct Answer: A
Rationale: Androgen deprivation therapy is indicated for metastatic prostate cancer (PSA elevation with
positive bone scan) and has been shown to prolong survival in this setting .
Question 6
An 85-year-old woman with a-cm
9 fungating breast mass and arm edema. Next step in management?
A) Perform lumpectomy immediately
B) Order palliative chemotherapy only
C) The mass should be biopsied to study hormone receptor and HER2/neu antigen status
D) Refer for hospice care
, NR 601 FINAL EXAM 2026/2027 | MOST TESTED | 100 VERIFIED Q&A | PRIMARY
CARE OF THE MATURING & AGED FAMILY | MULTIPLE-CHOICES | DETAILED
RATIONALES | CHAMBERLAIN UNIVERSITY | PASS GUARANTEED - A+ GRADED
Correct Answer: C
Rationale: Biopsy to determine hormone receptor and HER2/neu status is essential to guide treatment
decisions, even in advanced breast cancer .
Question 7
A 78-year-old man has a localized colonic adenocarcinoma resected without node dissection. Should he have
chemotherapy?
A) Yes, all colon cancer patients need chemotherapy
B) No because he can be followed with serial carcinoembryonic antigens and CT scans
C) Only if he has symptoms
D) Only if he has a family history of colon cancer
Correct Answer: B
Rationale: For localized colon cancer resected without node dissection, surveillance with serial CEA and CT
scans may be appropriate; chemotherapy is not indicated for all cases .
Question 8
An 80-year-old woman with pelvic masses adherent to the ovarian ligament. Best first step?
A) Immediate surgery
B) Invite her to return with a family member and have a long talk about the diagnostic and therapeutic
options
C) Order CA-125 only
D) Refer to gynecologic oncology
Correct Answer: B
