NR601 WEEK 4 MIDTERM EXAM DUE 2ND AUGUST 2026 COMPLETE ACTUAL
EXAM QUESTIONS 1-100 | NR 601 PRIMARY CARE OF THE MATURING AND AGED
FAMILY PRACTICUM | NR 601 MIDTERM AND FINALS EXAMPLIFY ONLINE
PROCTORED EXAM.PDF]
,Core Domains:
1. Principles of Geriatric Care and Comprehensive Geriatric Assessment
2. Physiological Changes of Aging and Their Clinical Implications
3. Cardiovascular and Cerebrovascular Disorders in Older Adults
4. Respiratory Disorders and Management in the Aging Population
5. Geriatric Syndromes: Falls, Frailty, Polypharmacy, and Incontinence
6. Neurocognitive Disorders and Mental Health in Older Adults
7. Endocrine and Metabolic Disorders in the Maturing and Aged
8. Musculoskeletal Disorders and Osteoporosis Management
9. Pharmacokinetics and Pharmacodynamics in the Aging Patient
10. Health Promotion, Screening, and Preventive Care in Older Adults
Introduction:
This comprehensive examination is designed to assess the advanced practice
nursing student's knowledge and clinical reasoning in primary care of the
maturing and aged family. The assessment evaluates foundational geriatric
principles, physiological changes of aging, evidence-based screening and
management strategies, and clinical decision-making essential for safe and
effective care of older adults. Through multiple-choice questions and clinical
scenarios, candidates demonstrate their ability to integrate geriatric
assessment principles, interpret age-related changes, and develop appropriate
treatment plans for common conditions in the aging population. The
examination emphasizes real-world application, critical thinking, and
professional judgment required for autonomous practice in geriatric primary
care. Each question challenges the learner to apply current guidelines and best
practices in managing complex health conditions in older adults.
SECTION ONE: QUESTIONS 1-100
Question 1
,An 82-year-old woman values remaining independent and living at home.
Which approach to care best aligns with geriatric best practices for this
patient?
A. Disease-centered care with protocol-driven management
B. Goal-oriented, patient-centered care focused on function and quality of life
C. Hospital-based care for all older adults regardless of preference
D. Provider-directed care without patient input
B. Goal-oriented, patient-centered care focused on function and quality of
life
RATIONALE: Geriatric care prioritizes function, independence, quality of
life, and the patient's personal goals rather than focusing only on disease
treatment. This approach, central to the Comprehensive Geriatric Assessment
model, ensures care plans are tailored to what matters most to the older adult.
Question 2
Which geriatric assessment evaluates medical, functional, and psychosocial
domains to guide care planning?
A. Mini-Mental State Examination (MMSE)
B. Comprehensive Geriatric Assessment (CGA)
C. Timed Up and Go (TUG) Test
D. Geriatric Depression Scale (GDS)
B. Comprehensive Geriatric Assessment (CGA)
RATIONALE: The CGA is a multidimensional, interdisciplinary diagnostic
process designed to determine an older person's medical, psychosocial, and
functional capabilities and problems. It evaluates medical problems,
cognition, mood, mobility, function, medications, social support, and
environment to create an individualized care plan.
Question 3
, Which aging theory emphasizes oxidative stress and supports antioxidant-
rich diets?
A. Continuity theory
B. Free radical theory
C. Disengagement theory
D. Activity theory
B. Free radical theory
RATIONALE: The free radical theory of aging proposes that cumulative
oxidative damage from free radicals contributes to cellular aging and age-
related diseases. This theory supports the use of antioxidant-rich diets to
neutralize free radicals and potentially slow the aging process.
Question 4
A 60-year-old woman presents with a chief complaint of uncomfortable
breathing on exertion. She has had a minimally productive cough for several
years that does not bother her. On further questioning, she states that her
breathing gets much worse when she lies down. The most likely cause of her
dyspnea is:
A. Chronic obstructive pulmonary disease
B. Cardiac (heart failure)
C. Asthma
D. Gastroesophageal reflux disease
B. Cardiac (heart failure)
RATIONALE: Dyspnea that worsens when lying down (orthopnea) is a
classic symptom of heart failure. The minimally productive cough for several
years suggests possible chronic lung disease, but the orthopnea points toward
a cardiac etiology. Heart failure is a common cause of dyspnea in older adults
and should be evaluated with echocardiography and BNP testing.
Question 5
EXAM QUESTIONS 1-100 | NR 601 PRIMARY CARE OF THE MATURING AND AGED
FAMILY PRACTICUM | NR 601 MIDTERM AND FINALS EXAMPLIFY ONLINE
PROCTORED EXAM.PDF]
,Core Domains:
1. Principles of Geriatric Care and Comprehensive Geriatric Assessment
2. Physiological Changes of Aging and Their Clinical Implications
3. Cardiovascular and Cerebrovascular Disorders in Older Adults
4. Respiratory Disorders and Management in the Aging Population
5. Geriatric Syndromes: Falls, Frailty, Polypharmacy, and Incontinence
6. Neurocognitive Disorders and Mental Health in Older Adults
7. Endocrine and Metabolic Disorders in the Maturing and Aged
8. Musculoskeletal Disorders and Osteoporosis Management
9. Pharmacokinetics and Pharmacodynamics in the Aging Patient
10. Health Promotion, Screening, and Preventive Care in Older Adults
Introduction:
This comprehensive examination is designed to assess the advanced practice
nursing student's knowledge and clinical reasoning in primary care of the
maturing and aged family. The assessment evaluates foundational geriatric
principles, physiological changes of aging, evidence-based screening and
management strategies, and clinical decision-making essential for safe and
effective care of older adults. Through multiple-choice questions and clinical
scenarios, candidates demonstrate their ability to integrate geriatric
assessment principles, interpret age-related changes, and develop appropriate
treatment plans for common conditions in the aging population. The
examination emphasizes real-world application, critical thinking, and
professional judgment required for autonomous practice in geriatric primary
care. Each question challenges the learner to apply current guidelines and best
practices in managing complex health conditions in older adults.
SECTION ONE: QUESTIONS 1-100
Question 1
,An 82-year-old woman values remaining independent and living at home.
Which approach to care best aligns with geriatric best practices for this
patient?
A. Disease-centered care with protocol-driven management
B. Goal-oriented, patient-centered care focused on function and quality of life
C. Hospital-based care for all older adults regardless of preference
D. Provider-directed care without patient input
B. Goal-oriented, patient-centered care focused on function and quality of
life
RATIONALE: Geriatric care prioritizes function, independence, quality of
life, and the patient's personal goals rather than focusing only on disease
treatment. This approach, central to the Comprehensive Geriatric Assessment
model, ensures care plans are tailored to what matters most to the older adult.
Question 2
Which geriatric assessment evaluates medical, functional, and psychosocial
domains to guide care planning?
A. Mini-Mental State Examination (MMSE)
B. Comprehensive Geriatric Assessment (CGA)
C. Timed Up and Go (TUG) Test
D. Geriatric Depression Scale (GDS)
B. Comprehensive Geriatric Assessment (CGA)
RATIONALE: The CGA is a multidimensional, interdisciplinary diagnostic
process designed to determine an older person's medical, psychosocial, and
functional capabilities and problems. It evaluates medical problems,
cognition, mood, mobility, function, medications, social support, and
environment to create an individualized care plan.
Question 3
, Which aging theory emphasizes oxidative stress and supports antioxidant-
rich diets?
A. Continuity theory
B. Free radical theory
C. Disengagement theory
D. Activity theory
B. Free radical theory
RATIONALE: The free radical theory of aging proposes that cumulative
oxidative damage from free radicals contributes to cellular aging and age-
related diseases. This theory supports the use of antioxidant-rich diets to
neutralize free radicals and potentially slow the aging process.
Question 4
A 60-year-old woman presents with a chief complaint of uncomfortable
breathing on exertion. She has had a minimally productive cough for several
years that does not bother her. On further questioning, she states that her
breathing gets much worse when she lies down. The most likely cause of her
dyspnea is:
A. Chronic obstructive pulmonary disease
B. Cardiac (heart failure)
C. Asthma
D. Gastroesophageal reflux disease
B. Cardiac (heart failure)
RATIONALE: Dyspnea that worsens when lying down (orthopnea) is a
classic symptom of heart failure. The minimally productive cough for several
years suggests possible chronic lung disease, but the orthopnea points toward
a cardiac etiology. Heart failure is a common cause of dyspnea in older adults
and should be evaluated with echocardiography and BNP testing.
Question 5
