NR 601 PRIMARY CARE OF THE MATURING AND AGED
FAMILY CHAMBERLAIN UNIVERSITY QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES
100% GUARANTEED PASS!!
<LATEST VERSION>
Question 1
A 74-year-old woman presents for her annual wellness visit. She reports no major
complaints but admits she has fallen twice during the past six months while
walking to the bathroom at night. She remains independent with dressing, bathing,
and meal preparation. Which assessment should the nurse practitioner prioritize
next?
A. Mini-Mental State Examination (MMSE)
B. Timed Up and Go (TUG) test
C. Depression screening using PHQ-9
D. Snellen visual acuity examination
Answer: B
Rationale: A history of multiple falls requires immediate evaluation of gait,
balance, and mobility. The Timed Up and Go (TUG) test is a validated screening
tool for fall risk in older adults and helps identify individuals needing further
intervention. Cognitive, depression, and vision screening remain important but are
secondary after recurrent falls.
,Question 2
An 82-year-old man with hypertension and chronic kidney disease presents for
follow-up. His office blood pressure averages 148/82 mmHg despite adherence to
lisinopril therapy. Home blood pressure readings average 126/74 mmHg. Which is
the most appropriate next step?
A. Increase the lisinopril dose immediately.
B. Add a calcium channel blocker.
C. Continue the current regimen and recognize possible white-coat hypertension.
D. Discontinue lisinopril due to kidney disease.
Answer: C
Rationale: Consistently normal home blood pressure with elevated office readings
suggests white-coat hypertension. Treatment decisions should incorporate home or
ambulatory blood pressure monitoring before intensifying therapy.
Question 3
A 77-year-old woman reports increasing forgetfulness over the past year. She
misplaces household items but independently manages finances, medications, and
shopping. Her family has noticed occasional word-finding difficulty. Which
diagnosis is most consistent with these findings?
A. Delirium
B. Mild cognitive impairment
C. Major neurocognitive disorder
D. Normal aging
Answer: B
Rationale: Mild cognitive impairment involves measurable cognitive decline
without significant impairment in independent daily functioning. Dementia
requires interference with independence, while delirium presents acutely with
fluctuating attention.
,Question 4
An 80-year-old patient with osteoarthritis asks which exercise program provides
the greatest overall health benefit.
A. Vigorous resistance training daily
B. Walking 30 minutes five days each week with strength and balance exercises
C. Stretching once weekly
D. High-intensity interval training every day
Answer: B
Rationale: Older adults should perform at least 150 minutes of moderate aerobic
activity weekly combined with muscle-strengthening and balance exercises to
improve cardiovascular health, mobility, and fall prevention.
Question 5
A 79-year-old woman with type 2 diabetes experiences frequent hypoglycemic
episodes despite an HbA1c of 6.2%. Which management approach is most
appropriate?
A. Intensify therapy to achieve HbA1c below 6%
B. Continue current medications unchanged
C. Individualize glycemic targets and reduce hypoglycemia risk
D. Stop all diabetes medications
Answer: C
Rationale: Glycemic goals in older adults should reflect overall health, life
expectancy, and hypoglycemia risk. Preventing hypoglycemia often takes priority
over achieving very low HbA1c values.
, Question 6
A healthy 72-year-old man asks about pneumococcal vaccination. He has never
received any pneumococcal vaccine. Which recommendation is most appropriate?
A. No vaccination is indicated.
B. Administer an age-appropriate pneumococcal vaccine according to current
recommendations.
C. Delay vaccination until age 80.
D. Vaccinate only if chronic lung disease develops.
Answer: B
Rationale: Adults aged 65 years and older who have not previously received a
pneumococcal conjugate vaccine should receive vaccination according to current
CDC recommendations.
Question 7
A 75-year-old woman presents with confusion that developed over 24 hours. Her
daughter reports she was functioning normally yesterday. Urinalysis demonstrates
pyuria and bacteriuria. What is the most likely diagnosis?
A. Alzheimer's disease
B. Vascular dementia
C. Delirium secondary to urinary tract infection
D. Depression
Answer: C
Rationale: Delirium develops acutely and fluctuates throughout the day. Infection
is one of the most common precipitating factors in older adults.
FAMILY CHAMBERLAIN UNIVERSITY QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES
100% GUARANTEED PASS!!
<LATEST VERSION>
Question 1
A 74-year-old woman presents for her annual wellness visit. She reports no major
complaints but admits she has fallen twice during the past six months while
walking to the bathroom at night. She remains independent with dressing, bathing,
and meal preparation. Which assessment should the nurse practitioner prioritize
next?
A. Mini-Mental State Examination (MMSE)
B. Timed Up and Go (TUG) test
C. Depression screening using PHQ-9
D. Snellen visual acuity examination
Answer: B
Rationale: A history of multiple falls requires immediate evaluation of gait,
balance, and mobility. The Timed Up and Go (TUG) test is a validated screening
tool for fall risk in older adults and helps identify individuals needing further
intervention. Cognitive, depression, and vision screening remain important but are
secondary after recurrent falls.
,Question 2
An 82-year-old man with hypertension and chronic kidney disease presents for
follow-up. His office blood pressure averages 148/82 mmHg despite adherence to
lisinopril therapy. Home blood pressure readings average 126/74 mmHg. Which is
the most appropriate next step?
A. Increase the lisinopril dose immediately.
B. Add a calcium channel blocker.
C. Continue the current regimen and recognize possible white-coat hypertension.
D. Discontinue lisinopril due to kidney disease.
Answer: C
Rationale: Consistently normal home blood pressure with elevated office readings
suggests white-coat hypertension. Treatment decisions should incorporate home or
ambulatory blood pressure monitoring before intensifying therapy.
Question 3
A 77-year-old woman reports increasing forgetfulness over the past year. She
misplaces household items but independently manages finances, medications, and
shopping. Her family has noticed occasional word-finding difficulty. Which
diagnosis is most consistent with these findings?
A. Delirium
B. Mild cognitive impairment
C. Major neurocognitive disorder
D. Normal aging
Answer: B
Rationale: Mild cognitive impairment involves measurable cognitive decline
without significant impairment in independent daily functioning. Dementia
requires interference with independence, while delirium presents acutely with
fluctuating attention.
,Question 4
An 80-year-old patient with osteoarthritis asks which exercise program provides
the greatest overall health benefit.
A. Vigorous resistance training daily
B. Walking 30 minutes five days each week with strength and balance exercises
C. Stretching once weekly
D. High-intensity interval training every day
Answer: B
Rationale: Older adults should perform at least 150 minutes of moderate aerobic
activity weekly combined with muscle-strengthening and balance exercises to
improve cardiovascular health, mobility, and fall prevention.
Question 5
A 79-year-old woman with type 2 diabetes experiences frequent hypoglycemic
episodes despite an HbA1c of 6.2%. Which management approach is most
appropriate?
A. Intensify therapy to achieve HbA1c below 6%
B. Continue current medications unchanged
C. Individualize glycemic targets and reduce hypoglycemia risk
D. Stop all diabetes medications
Answer: C
Rationale: Glycemic goals in older adults should reflect overall health, life
expectancy, and hypoglycemia risk. Preventing hypoglycemia often takes priority
over achieving very low HbA1c values.
, Question 6
A healthy 72-year-old man asks about pneumococcal vaccination. He has never
received any pneumococcal vaccine. Which recommendation is most appropriate?
A. No vaccination is indicated.
B. Administer an age-appropriate pneumococcal vaccine according to current
recommendations.
C. Delay vaccination until age 80.
D. Vaccinate only if chronic lung disease develops.
Answer: B
Rationale: Adults aged 65 years and older who have not previously received a
pneumococcal conjugate vaccine should receive vaccination according to current
CDC recommendations.
Question 7
A 75-year-old woman presents with confusion that developed over 24 hours. Her
daughter reports she was functioning normally yesterday. Urinalysis demonstrates
pyuria and bacteriuria. What is the most likely diagnosis?
A. Alzheimer's disease
B. Vascular dementia
C. Delirium secondary to urinary tract infection
D. Depression
Answer: C
Rationale: Delirium develops acutely and fluctuates throughout the day. Infection
is one of the most common precipitating factors in older adults.
