NR 601 Midterm Exam: Primary Care of the Maturing and A… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Midterm Exam: Primary Care of the Maturing
and 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 Midterm Exam: Primary Care of the Maturing and A… 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 involve more complex tasks required to live independently in the community, 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 medication class should be avoided in older adults
due to the high risk of GI bleeding?
A. ACE Inhibitors
B. Beta-blockers
C. Chronic use of NSAIDs
D. Statins
Answer: C
Rationale: The Beers Criteria recommends avoiding chronic use of nonsteroidal anti- inflammatory drugs
(NSAIDs) in older adults because of the increased risk of gastrointestinal bleeding and peptic ulcer disease.
This is an important clinical concept because selecting the correct answer (C) requires understanding both the
pathophysiology and the practical nursing implications.
3. What is the primary physiological change in the cardiovascular system of an aging adult?
A. Increased arterial compliance
B. Decreased left ventricular wall thickness
C. Increased arterial stiffness
D. Increased resting heart rate
Answer: C
Rationale: Aging is associated with increased arterial stiffness and decreased compliance, which contributes to
higher systolic blood pressure and pulse pressure. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (C) requires understanding both the pathophysiology and the practical nursing
implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Midterm Exam: Primary Care of the Maturing and A… 2026 Update • Verified Answers
4. A 75-year-old patient presents with acute confusion, fluctuating levels of consciousness, and
inattention. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Depression
D. Vascular Dementia
Answer: B
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention and
consciousness, often triggered by an underlying medical condition. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
5. Which screening tool is most appropriate for assessing depression in the geriatric
population?
A. Mini-Mental State Exam (MMSE)
B. CAGE Questionnaire
C. Geriatric Depression Scale (GDS)
D. Confusion Assessment Method (CAM)
Answer: C
Rationale: The Geriatric Depression Scale (GDS) is a validated tool specifically designed to screen for
depression in older adults. This is an important clinical concept because selecting the correct answer (C)
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. A target HbA1c of 7.5% to 8.0% is most appropriate for which type of older adult?
A. Newly diagnosed, healthy 65-year-old
B. Older adult with multiple chronic illnesses and functional impairment
C. Adult with Type 1 Diabetes since childhood
D. Any patient over the age of 60
Answer: B
Rationale: For older adults with complex health needs, multiple chronic illnesses, or functional dependencies,
a less stringent HbA1c target (7.5-8.0% or higher) is recommended to avoid hypoglycemia. Exam questions
often test the ability to distinguish this concept from closely related distractors, making a clear rationale
essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Midterm Exam: Primary Care of the Maturing
and 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 Midterm Exam: Primary Care of the Maturing and A… 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 involve more complex tasks required to live independently in the community, 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 medication class should be avoided in older adults
due to the high risk of GI bleeding?
A. ACE Inhibitors
B. Beta-blockers
C. Chronic use of NSAIDs
D. Statins
Answer: C
Rationale: The Beers Criteria recommends avoiding chronic use of nonsteroidal anti- inflammatory drugs
(NSAIDs) in older adults because of the increased risk of gastrointestinal bleeding and peptic ulcer disease.
This is an important clinical concept because selecting the correct answer (C) requires understanding both the
pathophysiology and the practical nursing implications.
3. What is the primary physiological change in the cardiovascular system of an aging adult?
A. Increased arterial compliance
B. Decreased left ventricular wall thickness
C. Increased arterial stiffness
D. Increased resting heart rate
Answer: C
Rationale: Aging is associated with increased arterial stiffness and decreased compliance, which contributes to
higher systolic blood pressure and pulse pressure. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (C) requires understanding both the pathophysiology and the practical nursing
implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Midterm Exam: Primary Care of the Maturing and A… 2026 Update • Verified Answers
4. A 75-year-old patient presents with acute confusion, fluctuating levels of consciousness, and
inattention. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Depression
D. Vascular Dementia
Answer: B
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention and
consciousness, often triggered by an underlying medical condition. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
5. Which screening tool is most appropriate for assessing depression in the geriatric
population?
A. Mini-Mental State Exam (MMSE)
B. CAGE Questionnaire
C. Geriatric Depression Scale (GDS)
D. Confusion Assessment Method (CAM)
Answer: C
Rationale: The Geriatric Depression Scale (GDS) is a validated tool specifically designed to screen for
depression in older adults. This is an important clinical concept because selecting the correct answer (C)
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. A target HbA1c of 7.5% to 8.0% is most appropriate for which type of older adult?
A. Newly diagnosed, healthy 65-year-old
B. Older adult with multiple chronic illnesses and functional impairment
C. Adult with Type 1 Diabetes since childhood
D. Any patient over the age of 60
Answer: B
Rationale: For older adults with complex health needs, multiple chronic illnesses, or functional dependencies,
a less stringent HbA1c target (7.5-8.0% or higher) is recommended to avoid hypoglycemia. Exam questions
often test the ability to distinguish this concept from closely related distractors, making a clear rationale
essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
