NR601/NR 601 Midterm Primary Care Maturing & Aged
Family Actual 2026/2027 with Detailed Rationales | 100%
Verified | Pass Guaranteed
SECTION 1: GERIATRIC ASSESSMENT & HEALTH PROMOTION
(Questions 1–18)
Q1: A 78-year-old patient is being evaluated using a comprehensive geriatric
assessment. Which component is considered the cornerstone for determining the
patient's ability to live independently?
A. Comprehensive metabolic panel
B. Functional status assessment
C. Bone density screening
D. Electrocardiogram
Correct Answer: B
Rationale: Correct because functional status assessment evaluates activities of daily
living (ADLs) and instrumental activities of daily living (IADLs), which are the
cornerstone for determining independence in older adults and guiding care planning.
Q2: During a cognitive assessment, a nurse practitioner administers the Mini-Mental
State Examination (MMSE) to an 82-year-old patient. A score below which value is
generally considered indicative of cognitive impairment?
A. 26
,B. 24
C. 20
D. 18
Correct Answer: B
Rationale: Correct because an MMSE score of less than 24 out of 30 points suggests
cognitive impairment and warrants further evaluation for dementia or delirium in older
adults.
Q3: Which screening tool is most appropriate for assessing fall risk in a
community-dwelling older adult during a routine wellness visit?
A. PHQ-9
B. Timed Up and Go (TUG) test
C. AUDIT-C
D. Geriatric Depression Scale
Correct Answer: B
Rationale: Correct because the Timed Up and Go (TUG) test is a validated, quick
functional measure that assesses mobility and balance to identify older adults at
increased risk for falls.
Q4: A 75-year-old woman presents for her annual wellness visit. According to USPSTF
guidelines, which cancer screening recommendation is most appropriate?
A. Annual Pap smear until age 85
,B. Colonoscopy every 10 years until age 75, then individualized
C. Annual mammography until age 90
D. Annual PSA testing
Correct Answer: B
Rationale: Correct because USPSTF recommends colorectal cancer screening until age
75, with individualized decision-making between ages 76–85 based on overall health
and prior screening history.
Q5: An 80-year-old patient has lost 12 pounds over the past 6 months without dieting.
Which assessment finding would be most concerning for underlying pathology?
A. Decreased appetite due to reduced taste sensation
B. Involuntary weight loss exceeding 5% of baseline body weight
C. Reduced caloric intake due to social isolation
D. Weight loss associated with intentional exercise increase
Correct Answer: B
Rationale: Correct because involuntary weight loss greater than 5% of baseline body
weight over 6–12 months in older adults is a red flag for malignancy, depression,
malabsorption, or other serious underlying conditions requiring evaluation.
Q6: When performing a psychosocial assessment on an older adult, which factor is
most strongly associated with increased mortality and functional decline?
A. Living in a rural community
, B. Social isolation and loneliness
C. Owning a pet
D. Participating in volunteer activities
Correct Answer: B
Rationale: Correct because social isolation and loneliness in older adults are
independent risk factors for increased mortality, cardiovascular disease, functional
decline, and depression, comparable to smoking and obesity.
Q7: A nurse practitioner is conducting a medication review for an 81-year-old patient
taking 14 medications. Which tool is most appropriate for identifying potentially
inappropriate medications in older adults?
A. DSM-5 criteria
B. Beers Criteria
C. CAGE questionnaire
D. Braden Scale
Correct Answer: B
Rationale: Correct because the Beers Criteria, updated by the American Geriatrics
Society, identifies potentially inappropriate medications that should be avoided or used
with caution in older adults due to heightened risk of adverse effects.
Q8: Which age-related physiological change in the cardiovascular system increases the
risk of heart failure in older adults?
Family Actual 2026/2027 with Detailed Rationales | 100%
Verified | Pass Guaranteed
SECTION 1: GERIATRIC ASSESSMENT & HEALTH PROMOTION
(Questions 1–18)
Q1: A 78-year-old patient is being evaluated using a comprehensive geriatric
assessment. Which component is considered the cornerstone for determining the
patient's ability to live independently?
A. Comprehensive metabolic panel
B. Functional status assessment
C. Bone density screening
D. Electrocardiogram
Correct Answer: B
Rationale: Correct because functional status assessment evaluates activities of daily
living (ADLs) and instrumental activities of daily living (IADLs), which are the
cornerstone for determining independence in older adults and guiding care planning.
Q2: During a cognitive assessment, a nurse practitioner administers the Mini-Mental
State Examination (MMSE) to an 82-year-old patient. A score below which value is
generally considered indicative of cognitive impairment?
A. 26
,B. 24
C. 20
D. 18
Correct Answer: B
Rationale: Correct because an MMSE score of less than 24 out of 30 points suggests
cognitive impairment and warrants further evaluation for dementia or delirium in older
adults.
Q3: Which screening tool is most appropriate for assessing fall risk in a
community-dwelling older adult during a routine wellness visit?
A. PHQ-9
B. Timed Up and Go (TUG) test
C. AUDIT-C
D. Geriatric Depression Scale
Correct Answer: B
Rationale: Correct because the Timed Up and Go (TUG) test is a validated, quick
functional measure that assesses mobility and balance to identify older adults at
increased risk for falls.
Q4: A 75-year-old woman presents for her annual wellness visit. According to USPSTF
guidelines, which cancer screening recommendation is most appropriate?
A. Annual Pap smear until age 85
,B. Colonoscopy every 10 years until age 75, then individualized
C. Annual mammography until age 90
D. Annual PSA testing
Correct Answer: B
Rationale: Correct because USPSTF recommends colorectal cancer screening until age
75, with individualized decision-making between ages 76–85 based on overall health
and prior screening history.
Q5: An 80-year-old patient has lost 12 pounds over the past 6 months without dieting.
Which assessment finding would be most concerning for underlying pathology?
A. Decreased appetite due to reduced taste sensation
B. Involuntary weight loss exceeding 5% of baseline body weight
C. Reduced caloric intake due to social isolation
D. Weight loss associated with intentional exercise increase
Correct Answer: B
Rationale: Correct because involuntary weight loss greater than 5% of baseline body
weight over 6–12 months in older adults is a red flag for malignancy, depression,
malabsorption, or other serious underlying conditions requiring evaluation.
Q6: When performing a psychosocial assessment on an older adult, which factor is
most strongly associated with increased mortality and functional decline?
A. Living in a rural community
, B. Social isolation and loneliness
C. Owning a pet
D. Participating in volunteer activities
Correct Answer: B
Rationale: Correct because social isolation and loneliness in older adults are
independent risk factors for increased mortality, cardiovascular disease, functional
decline, and depression, comparable to smoking and obesity.
Q7: A nurse practitioner is conducting a medication review for an 81-year-old patient
taking 14 medications. Which tool is most appropriate for identifying potentially
inappropriate medications in older adults?
A. DSM-5 criteria
B. Beers Criteria
C. CAGE questionnaire
D. Braden Scale
Correct Answer: B
Rationale: Correct because the Beers Criteria, updated by the American Geriatrics
Society, identifies potentially inappropriate medications that should be avoided or used
with caution in older adults due to heightened risk of adverse effects.
Q8: Which age-related physiological change in the cardiovascular system increases the
risk of heart failure in older adults?
