NR 601 Midterm Exam – Primary Care of the Maturing and … 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 … 2026 Update • Verified Answers
Questions & Verified Answers
1. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Dressing
C. Toileting
D. Managing finances
Answer: D
Rationale: IADLs are more complex activities necessary for living independently in the community, such as
managing finances, shopping, and using a telephone. Bathing, dressing, and toileting are basic ADLs. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
2. The Beers Criteria is primarily used to:
A. Identify potentially inappropriate medications for older adults
B. Determine the stage of Alzheimer’s disease
C. Calculate the risk of falls in the home setting
D. Assess nutritional status in frail elderly patients
Answer: A
Rationale: The Beers Criteria is a guideline for healthcare professionals to help improve the safety of
prescribing medications for older adults by identifying drugs with risks that may outweigh benefits. Applying this
knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. A 75-year-old patient presents with acute onset of confusion and fluctuating levels of
consciousness. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Vascular Dementia
D. Major Depressive Disorder
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. This is an important clinical concept
because selecting the correct answer (B) 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 … 2026 Update • Verified Answers
4. According to the JNC 8 guidelines, what is the blood pressure goal for an adult aged 60 or
older without diabetes or CKD?
A. < 120/80 mmHg
B. < 150/90 mmHg
C. < 140/90 mmHg
D. < 130/80 mmHg
Answer: B
Rationale: JNC 8 recommends a blood pressure goal of less than 150/90 mmHg for patients aged 60 and older
who do not have diabetes or chronic kidney disease. Recognizing this principle allows the nurse to prioritize
care, anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
5. Which screening tool is most appropriate for a quick assessment of cognitive impairment in
a primary care setting?
A. PHQ-9
B. The Morse Fall Scale
C. The Braden Scale
D. The Mini-Cog
Answer: D
Rationale: The Mini-Cog is a fast, 3-minute tool that combines a 3-item recall test and a clock-drawing test to
screen for cognitive impairment. 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.
6. At what age should routine screening for colorectal cancer generally stop for most adults?
A. 65 years old
B. 70 years old
C. 85 years old
D. 75 years old
Answer: D
Rationale: USPSTF recommends screening for colorectal cancer in adults aged 50 to 75. Decisions to screen
those 76 to 85 should be individualized based on health status and prior screening history. This is an important
clinical concept because selecting the correct answer (D) requires understanding both the pathophysiology and
the practical nursing implications.
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 … 2026 Update • Verified Answers
Questions & Verified Answers
1. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Dressing
C. Toileting
D. Managing finances
Answer: D
Rationale: IADLs are more complex activities necessary for living independently in the community, such as
managing finances, shopping, and using a telephone. Bathing, dressing, and toileting are basic ADLs. Applying
this knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
2. The Beers Criteria is primarily used to:
A. Identify potentially inappropriate medications for older adults
B. Determine the stage of Alzheimer’s disease
C. Calculate the risk of falls in the home setting
D. Assess nutritional status in frail elderly patients
Answer: A
Rationale: The Beers Criteria is a guideline for healthcare professionals to help improve the safety of
prescribing medications for older adults by identifying drugs with risks that may outweigh benefits. Applying this
knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. A 75-year-old patient presents with acute onset of confusion and fluctuating levels of
consciousness. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Vascular Dementia
D. Major Depressive Disorder
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. This is an important clinical concept
because selecting the correct answer (B) 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 … 2026 Update • Verified Answers
4. According to the JNC 8 guidelines, what is the blood pressure goal for an adult aged 60 or
older without diabetes or CKD?
A. < 120/80 mmHg
B. < 150/90 mmHg
C. < 140/90 mmHg
D. < 130/80 mmHg
Answer: B
Rationale: JNC 8 recommends a blood pressure goal of less than 150/90 mmHg for patients aged 60 and older
who do not have diabetes or chronic kidney disease. Recognizing this principle allows the nurse to prioritize
care, anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
5. Which screening tool is most appropriate for a quick assessment of cognitive impairment in
a primary care setting?
A. PHQ-9
B. The Morse Fall Scale
C. The Braden Scale
D. The Mini-Cog
Answer: D
Rationale: The Mini-Cog is a fast, 3-minute tool that combines a 3-item recall test and a clock-drawing test to
screen for cognitive impairment. 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.
6. At what age should routine screening for colorectal cancer generally stop for most adults?
A. 65 years old
B. 70 years old
C. 85 years old
D. 75 years old
Answer: D
Rationale: USPSTF recommends screening for colorectal cancer in adults aged 50 to 75. Decisions to screen
those 76 to 85 should be individualized based on health status and prior screening history. This is an important
clinical concept because selecting the correct answer (D) requires understanding both the pathophysiology and
the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
