NR601 Midterm Exam: 2026/2027 Edition - 75 Questions &
Verified Correct Answers
Introduction:
This 75-question practice midterm mirrors Chamberlain NR601 Primary Care of the
Maturing and Aged Family content. It tests geriatric assessment, polypharmacy,
Beers Criteria, and atypical disease presentation with bolded answers and rationales for
active learning. Balanced A/B/C/D distribution simulates real exam conditions. Designed
for second-round review to close knowledge gaps in chronic disease management and
geriatric syndromes Correct answer is Bold Green
TOPICS COVERED IN THIS EXAM SET:
• Normal aging changes - renal, cardiac, baroreceptor, sleep, sensory
presbycusis/presbyopia
• Geriatric syndromes - falls, delirium vs dementia vs depression, incontinence, frailty,
sarcopenia
• Cognitive assessment - Mini-Cog, MCI vs dementia, Alzheimer's management
• Polypharmacy, Beers Criteria, anticholinergic burden, NSAIDs/opioids risks
• Osteoporosis, osteoarthritis, fall prevention, TUG test
• Cardiovascular - HTN goals <130/80, HFrEF quadruple therapy, AFib anticoagulation,
stroke protocol
• Diabetes - A1C goal <7.5% in healthy older
• Vaccines - flu annual, pneumococcal PCV20/21, Shingrix 50+
• Cancer screening stops - colorectal 75-85, cervical 65, PSA shared decision >70
• Nutrition, weight loss, dysphagia, constipation
• B12 deficiency, thyroid disorders in elderly
• Health promotion - DASH diet, exercise multicomponent, pain management
• Palliative vs hospice, advance directives, elder abuse, caregiver burden, health literac
1. A 72-year-old reports dizziness when standing. Most likely cause related to
aging?
A. Increased baroreceptor sensitivity
B. Decreased baroreceptor sensitivity and orthostatic hypotension
C. Increased cardiac output
D. Hypertension only
Rationale: Aging decreases baroreceptor response, causing orthostatic hypotension.
2. Which screening is recommended for all adults 65+ annually?
A. Testosterone level
B. Fall risk assessment
C. Chest X-ray
D. Brain MRI
Rationale: CDC and USPSTF recommend annual fall risk screening in older adults.
, 3. A 68-year-old with new confusion, inattention, waxing/waning course. Most
likely?
C. Delirium
A. Dementia
B. Depression
C. Delirium
D. Normal aging
Rationale: Acute onset, inattention, fluctuating course = delirium.
4. Which medication increases fall risk most in elderly?
A. Acetaminophen
C. Benzodiazepines
B. Lisinopril
C. Benzodiazepines
D. Metformin
Rationale: Benzos cause sedation, impaired balance - Beers Criteria.
5. Normal age-related change in kidney function is:
C. Decreased GFR by ∼1 mL/min/year after age 40
A. Increased GFR
B. No change in GFR
C. Decreased GFR
D. Increased creatinine clearance
Rationale: GFR declines with age.
6. A 75-year-old with creatinine 1.0 mg/dL may still have reduced renal function
because:
A. Decreased muscle mass lowers creatinine production, masking low GFR
B. Creatinine is always accurate
C. Older adults have more muscle
D. Kidney function improves with age
Rationale: Low muscle mass makes serum creatinine falsely reassuring.
7. Polypharmacy is defined as:
A. Use of 5 or more medications
B. Use of 2 medications
C. Use of only OTC meds
D. Use of 1 high-risk med
Rationale: Common definition is ≥5 medications.
8. Which is on Beers Criteria to avoid in elderly?
C. Diphenhydramine
A. Acetaminophen
B. Fluticasone
C. Diphenhydramine
D. Atorvastatin
Rationale: Anticholinergics like diphenhydramine increase delirium, retention, falls.
9. First-line treatment for mild-moderate Alzheimer's dementia is:
B. Cholinesterase inhibitor like donepezil
A. Benzodiazepine
B. Cholinesterase inhibitor
Verified Correct Answers
Introduction:
This 75-question practice midterm mirrors Chamberlain NR601 Primary Care of the
Maturing and Aged Family content. It tests geriatric assessment, polypharmacy,
Beers Criteria, and atypical disease presentation with bolded answers and rationales for
active learning. Balanced A/B/C/D distribution simulates real exam conditions. Designed
for second-round review to close knowledge gaps in chronic disease management and
geriatric syndromes Correct answer is Bold Green
TOPICS COVERED IN THIS EXAM SET:
• Normal aging changes - renal, cardiac, baroreceptor, sleep, sensory
presbycusis/presbyopia
• Geriatric syndromes - falls, delirium vs dementia vs depression, incontinence, frailty,
sarcopenia
• Cognitive assessment - Mini-Cog, MCI vs dementia, Alzheimer's management
• Polypharmacy, Beers Criteria, anticholinergic burden, NSAIDs/opioids risks
• Osteoporosis, osteoarthritis, fall prevention, TUG test
• Cardiovascular - HTN goals <130/80, HFrEF quadruple therapy, AFib anticoagulation,
stroke protocol
• Diabetes - A1C goal <7.5% in healthy older
• Vaccines - flu annual, pneumococcal PCV20/21, Shingrix 50+
• Cancer screening stops - colorectal 75-85, cervical 65, PSA shared decision >70
• Nutrition, weight loss, dysphagia, constipation
• B12 deficiency, thyroid disorders in elderly
• Health promotion - DASH diet, exercise multicomponent, pain management
• Palliative vs hospice, advance directives, elder abuse, caregiver burden, health literac
1. A 72-year-old reports dizziness when standing. Most likely cause related to
aging?
A. Increased baroreceptor sensitivity
B. Decreased baroreceptor sensitivity and orthostatic hypotension
C. Increased cardiac output
D. Hypertension only
Rationale: Aging decreases baroreceptor response, causing orthostatic hypotension.
2. Which screening is recommended for all adults 65+ annually?
A. Testosterone level
B. Fall risk assessment
C. Chest X-ray
D. Brain MRI
Rationale: CDC and USPSTF recommend annual fall risk screening in older adults.
, 3. A 68-year-old with new confusion, inattention, waxing/waning course. Most
likely?
C. Delirium
A. Dementia
B. Depression
C. Delirium
D. Normal aging
Rationale: Acute onset, inattention, fluctuating course = delirium.
4. Which medication increases fall risk most in elderly?
A. Acetaminophen
C. Benzodiazepines
B. Lisinopril
C. Benzodiazepines
D. Metformin
Rationale: Benzos cause sedation, impaired balance - Beers Criteria.
5. Normal age-related change in kidney function is:
C. Decreased GFR by ∼1 mL/min/year after age 40
A. Increased GFR
B. No change in GFR
C. Decreased GFR
D. Increased creatinine clearance
Rationale: GFR declines with age.
6. A 75-year-old with creatinine 1.0 mg/dL may still have reduced renal function
because:
A. Decreased muscle mass lowers creatinine production, masking low GFR
B. Creatinine is always accurate
C. Older adults have more muscle
D. Kidney function improves with age
Rationale: Low muscle mass makes serum creatinine falsely reassuring.
7. Polypharmacy is defined as:
A. Use of 5 or more medications
B. Use of 2 medications
C. Use of only OTC meds
D. Use of 1 high-risk med
Rationale: Common definition is ≥5 medications.
8. Which is on Beers Criteria to avoid in elderly?
C. Diphenhydramine
A. Acetaminophen
B. Fluticasone
C. Diphenhydramine
D. Atorvastatin
Rationale: Anticholinergics like diphenhydramine increase delirium, retention, falls.
9. First-line treatment for mild-moderate Alzheimer's dementia is:
B. Cholinesterase inhibitor like donepezil
A. Benzodiazepine
B. Cholinesterase inhibitor
