NR 601 Final Exam Prep: Primary Care Maturing & Aged Fa… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Final Exam Prep: Primary Care Maturing &
Aged Family 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NR 601 Final Exam Prep: Primary Care Maturing & Aged Fa… 2026 Update • Verified Answers
Questions & Verified Answers
1. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Managing finances
C. Dressing
D. Toileting
Answer: B
Rationale: IADLs are activities related to independent living, such as managing finances, shopping, and meal
preparation. Bathing, dressing, and toileting are basic Activities of Daily Living (ADLs). Exam questions often
test the ability to distinguish this concept from closely related distractors, making a clear rationale essential for
mastery.
2. According to the Beers Criteria, which class of medication should generally be avoided in
older adults due to the risk of confusion and falls?
A. ACE inhibitors
B. Biguanides
C. Statins
D. Anticholinergics
Answer: D
Rationale: Anticholinergics are on the Beers list because they increase the risk of confusion, blurred vision,
urinary retention, and falls in the elderly. This is an important clinical concept because selecting the correct
answer (D) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
3. Which clinical tool is specifically designed to screen for delirium in the hospital or clinical
setting?
A. The PHQ-9
B. The GDS
C. The Katz Index
D. The CAM (Confusion Assessment Method)
Answer: D
Rationale: The Confusion Assessment Method (CAM) is the gold standard for identifying delirium, focusing on
acute onset, inattention, and disorganized thinking. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge
in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Final Exam Prep: Primary Care Maturing & Aged Fa… 2026 Update • Verified Answers
4. A 75-year-old patient presents with unintentional weight loss of 10 lbs in 6 months. What is
the most appropriate first step?
A. Prescribe an appetite stimulant
B. Perform a comprehensive history and physical exam to rule out malignancy
C. Recommend high-calorie protein shakes
D. Wait 3 months and re-weigh
Answer: B
Rationale: Unintentional weight loss in the elderly is a red flag. The priority is to investigate underlying causes,
including depression, malignancy, or hyperthyroidism, before symptomatic treatment. This is an important
clinical concept because selecting the correct answer (B) requires understanding both the pathophysiology and
the practical nursing implications.
5. Which of Fried’s Frailty Criteria involves measuring grip strength?
A. Low physical activity
B. Weakness
C. Slow walking speed
D. Exhaustion
Answer: B
Rationale: Under Fried’s Phenotype of Frailty, ‘Weakness’ is specifically measured by grip strength, usually
adjusted for gender and BMI. This is an important clinical concept because selecting the correct answer (B)
requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
6. In the ‘Get Up and Go’ test, a time of more than how many seconds indicates an increased
risk for falls?
A. 12 seconds
B. 5 seconds
C. 20 seconds
D. 30 seconds
Answer: A
Rationale: While thresholds vary slightly by source, most geriatric guidelines (like the CDC STEADI) suggest
that 12 seconds or more on the Timed Up and Go (TUG) test indicates a fall risk. This is an important clinical
concept because selecting the correct answer (A) requires understanding both the pathophysiology and the
practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Final Exam Prep: Primary Care Maturing &
Aged Family 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NR 601 Final Exam Prep: Primary Care Maturing & Aged Fa… 2026 Update • Verified Answers
Questions & Verified Answers
1. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Managing finances
C. Dressing
D. Toileting
Answer: B
Rationale: IADLs are activities related to independent living, such as managing finances, shopping, and meal
preparation. Bathing, dressing, and toileting are basic Activities of Daily Living (ADLs). Exam questions often
test the ability to distinguish this concept from closely related distractors, making a clear rationale essential for
mastery.
2. According to the Beers Criteria, which class of medication should generally be avoided in
older adults due to the risk of confusion and falls?
A. ACE inhibitors
B. Biguanides
C. Statins
D. Anticholinergics
Answer: D
Rationale: Anticholinergics are on the Beers list because they increase the risk of confusion, blurred vision,
urinary retention, and falls in the elderly. This is an important clinical concept because selecting the correct
answer (D) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
3. Which clinical tool is specifically designed to screen for delirium in the hospital or clinical
setting?
A. The PHQ-9
B. The GDS
C. The Katz Index
D. The CAM (Confusion Assessment Method)
Answer: D
Rationale: The Confusion Assessment Method (CAM) is the gold standard for identifying delirium, focusing on
acute onset, inattention, and disorganized thinking. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge
in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Final Exam Prep: Primary Care Maturing & Aged Fa… 2026 Update • Verified Answers
4. A 75-year-old patient presents with unintentional weight loss of 10 lbs in 6 months. What is
the most appropriate first step?
A. Prescribe an appetite stimulant
B. Perform a comprehensive history and physical exam to rule out malignancy
C. Recommend high-calorie protein shakes
D. Wait 3 months and re-weigh
Answer: B
Rationale: Unintentional weight loss in the elderly is a red flag. The priority is to investigate underlying causes,
including depression, malignancy, or hyperthyroidism, before symptomatic treatment. This is an important
clinical concept because selecting the correct answer (B) requires understanding both the pathophysiology and
the practical nursing implications.
5. Which of Fried’s Frailty Criteria involves measuring grip strength?
A. Low physical activity
B. Weakness
C. Slow walking speed
D. Exhaustion
Answer: B
Rationale: Under Fried’s Phenotype of Frailty, ‘Weakness’ is specifically measured by grip strength, usually
adjusted for gender and BMI. This is an important clinical concept because selecting the correct answer (B)
requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
6. In the ‘Get Up and Go’ test, a time of more than how many seconds indicates an increased
risk for falls?
A. 12 seconds
B. 5 seconds
C. 20 seconds
D. 30 seconds
Answer: A
Rationale: While thresholds vary slightly by source, most geriatric guidelines (like the CDC STEADI) suggest
that 12 seconds or more on the Timed Up and Go (TUG) test indicates a fall risk. This is an important clinical
concept because selecting the correct answer (A) requires understanding both the pathophysiology and the
practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
