FAMILY NURSE PRACTITIONER · GERONTOLOGY PRIMARY CARE
NR601 / NR 601 Midterm Exam A+
(Latest 2026/2027 Update)
Primary Care of the Maturing and Aged Family
Prep Questions and Verified Answers | 100% Correct | Grade A –
Chamberlain
2026/2027 Official Exam · Primary Care of Older Adults
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ 1. Principles of Aging, Assessment & Prevention
■ 2. Cardiovascular Conditions in Older Adults
■ 3. Respiratory Conditions & Pulmonary Function
■ 4. Polypharmacy, Beers Criteria & Prescribing Safety
■ 5. Geriatric Syndromes & Functional Assessment
STUVIAACTUALEXAM
Passing Score: 80% · 1 Mark per Question · Application/Analysis Level
, SECTION 1: Principles of Aging, Assessment & Prevention
Q1. A 78-year-old woman presents for a wellness visit. The nurse practitioner emphasizes that aging is heterogeneous and that chronological age alone should
not dictate care decisions. Which principle of geriatric primary care is being applied?
A. All adults over 65 should receive identical treatment protocols regardless of function.
B. Disease-centered care is always preferred over function-centered care in older adults.
C. Preventive services stop being useful after age 75.
D. Care should be individualized based on function, multimorbidity, goals and life expectancy rather than age alone.
Correct Answer: D
Rationale: Geriatric care recognizes wide variation among older adults. Functional status, comorbidities, patient goals and remaining life expectancy guide decisions more appropriately
than chronological age alone.
Q2. An 82-year-old man is categorized as “oldest-old.” In common geriatric demographic frameworks used in primary care education, this category typically
refers to which age range?
A. 85 years and older
B. 55–64 years
C. 65–74 years
D. 75–84 years
Correct Answer: A
Rationale: Standard categories often designate 65–74 as young-old, 75–84 as middle-old, and ≥85 as oldest-old. These labels help frame epidemiologic risk but do not replace
individualized assessment.
Q3. A 70-year-old patient asks which immunizations are routinely recommended for older adults in primary care. Beyond the annual influenza vaccine, which
additional immunizations are prioritized for most adults ≥65 years?
A. Only childhood catch-up vaccines; no adult vaccines are indicated.
B. Pneumococcal vaccination (per current ACIP schedule), zoster (recombinant), tetanus-diphtheria-pertussis boosters as indicated, and COVID-19 vaccination per
current guidance.
C. Live attenuated influenza vaccine exclusively for all older adults.
D. No pneumococcal or zoster vaccines are ever recommended after age 65.
Correct Answer: B
Rationale: ACIP recommends pneumococcal, recombinant zoster, Td/Tdap as indicated, and COVID-19 vaccines for older adults, in addition to annual influenza vaccine, to reduce
preventable morbidity and mortality.
Q4. A 68-year-old woman with a 30-pack-year smoking history quit 5 years ago. She asks about lung-cancer screening. According to USPSTF guidance
commonly taught in FNP programs, which statement is correct?
A. Lung-cancer screening is never indicated after smoking cessation.
B. Chest X-ray annually is the preferred screening modality for all former smokers.
C. Screening continues lifelong regardless of age or life expectancy.
D. Annual low-dose CT screening is recommended for adults aged 50–80 years with a ≥20 pack-year history who currently smoke or have quit within the past 15 years,
after shared decision-making.
Correct Answer: D
Rationale: USPSTF recommends annual LDCT for eligible adults 50–80 years with sufficient smoking history who still smoke or quit within 15 years, provided they are healthy enough
to benefit from early detection and treatment.
Q5. During a comprehensive geriatric assessment, the NP evaluates activities of daily living (ADLs). Which set of functions is correctly classified as basic
ADLs?
A. Bathing, dressing, toileting, transferring, continence and feeding
B. Managing finances, shopping and using transportation
C. Only cognitive testing with the Mini-Cog
D. Medication reconciliation alone
Correct Answer: A
Rationale: Basic ADLs (often assessed with the Katz index) include bathing, dressing, toileting, transferring, continence and feeding. Instrumental ADLs (Lawton) cover more complex
tasks such as finances, shopping and transportation.
Q6. A 75-year-old patient scores poorly on the Timed Up and Go (TUG) test. What does this finding primarily indicate, and what is the clinical implication?
A. Excellent mobility; no fall-risk interventions are needed.
B. Impaired mobility and increased fall risk, prompting multifactorial fall assessment and preventive strategies.
C. A definitive diagnosis of Parkinson disease.
D. That the patient requires immediate nursing-home placement.
Correct Answer: B
Rationale: A prolonged TUG time is associated with higher fall risk. It triggers further evaluation of gait, strength, vision, medications and environment, and guides interventions to
reduce falls.
Q7. Health equity considerations in the care of older adults include recognition that which factors can create disparities in access and outcomes?
A. Only genetic differences; social factors are irrelevant.
B. Age alone determines all outcomes equally for every older adult.
C. Socioeconomic status, race/ethnicity, geographic location, health literacy, transportation and systemic barriers that affect screening, treatment and follow-up.
D. Disparities disappear after age 65 because of Medicare coverage.
Correct Answer: C
Rationale: Social determinants of health continue to shape outcomes in older adults. NPs must identify and address barriers to equitable preventive care, diagnosis and
chronic-disease management.
NR601 Midterm · Page 2
NR601 / NR 601 Midterm Exam A+
(Latest 2026/2027 Update)
Primary Care of the Maturing and Aged Family
Prep Questions and Verified Answers | 100% Correct | Grade A –
Chamberlain
2026/2027 Official Exam · Primary Care of Older Adults
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ 1. Principles of Aging, Assessment & Prevention
■ 2. Cardiovascular Conditions in Older Adults
■ 3. Respiratory Conditions & Pulmonary Function
■ 4. Polypharmacy, Beers Criteria & Prescribing Safety
■ 5. Geriatric Syndromes & Functional Assessment
STUVIAACTUALEXAM
Passing Score: 80% · 1 Mark per Question · Application/Analysis Level
, SECTION 1: Principles of Aging, Assessment & Prevention
Q1. A 78-year-old woman presents for a wellness visit. The nurse practitioner emphasizes that aging is heterogeneous and that chronological age alone should
not dictate care decisions. Which principle of geriatric primary care is being applied?
A. All adults over 65 should receive identical treatment protocols regardless of function.
B. Disease-centered care is always preferred over function-centered care in older adults.
C. Preventive services stop being useful after age 75.
D. Care should be individualized based on function, multimorbidity, goals and life expectancy rather than age alone.
Correct Answer: D
Rationale: Geriatric care recognizes wide variation among older adults. Functional status, comorbidities, patient goals and remaining life expectancy guide decisions more appropriately
than chronological age alone.
Q2. An 82-year-old man is categorized as “oldest-old.” In common geriatric demographic frameworks used in primary care education, this category typically
refers to which age range?
A. 85 years and older
B. 55–64 years
C. 65–74 years
D. 75–84 years
Correct Answer: A
Rationale: Standard categories often designate 65–74 as young-old, 75–84 as middle-old, and ≥85 as oldest-old. These labels help frame epidemiologic risk but do not replace
individualized assessment.
Q3. A 70-year-old patient asks which immunizations are routinely recommended for older adults in primary care. Beyond the annual influenza vaccine, which
additional immunizations are prioritized for most adults ≥65 years?
A. Only childhood catch-up vaccines; no adult vaccines are indicated.
B. Pneumococcal vaccination (per current ACIP schedule), zoster (recombinant), tetanus-diphtheria-pertussis boosters as indicated, and COVID-19 vaccination per
current guidance.
C. Live attenuated influenza vaccine exclusively for all older adults.
D. No pneumococcal or zoster vaccines are ever recommended after age 65.
Correct Answer: B
Rationale: ACIP recommends pneumococcal, recombinant zoster, Td/Tdap as indicated, and COVID-19 vaccines for older adults, in addition to annual influenza vaccine, to reduce
preventable morbidity and mortality.
Q4. A 68-year-old woman with a 30-pack-year smoking history quit 5 years ago. She asks about lung-cancer screening. According to USPSTF guidance
commonly taught in FNP programs, which statement is correct?
A. Lung-cancer screening is never indicated after smoking cessation.
B. Chest X-ray annually is the preferred screening modality for all former smokers.
C. Screening continues lifelong regardless of age or life expectancy.
D. Annual low-dose CT screening is recommended for adults aged 50–80 years with a ≥20 pack-year history who currently smoke or have quit within the past 15 years,
after shared decision-making.
Correct Answer: D
Rationale: USPSTF recommends annual LDCT for eligible adults 50–80 years with sufficient smoking history who still smoke or quit within 15 years, provided they are healthy enough
to benefit from early detection and treatment.
Q5. During a comprehensive geriatric assessment, the NP evaluates activities of daily living (ADLs). Which set of functions is correctly classified as basic
ADLs?
A. Bathing, dressing, toileting, transferring, continence and feeding
B. Managing finances, shopping and using transportation
C. Only cognitive testing with the Mini-Cog
D. Medication reconciliation alone
Correct Answer: A
Rationale: Basic ADLs (often assessed with the Katz index) include bathing, dressing, toileting, transferring, continence and feeding. Instrumental ADLs (Lawton) cover more complex
tasks such as finances, shopping and transportation.
Q6. A 75-year-old patient scores poorly on the Timed Up and Go (TUG) test. What does this finding primarily indicate, and what is the clinical implication?
A. Excellent mobility; no fall-risk interventions are needed.
B. Impaired mobility and increased fall risk, prompting multifactorial fall assessment and preventive strategies.
C. A definitive diagnosis of Parkinson disease.
D. That the patient requires immediate nursing-home placement.
Correct Answer: B
Rationale: A prolonged TUG time is associated with higher fall risk. It triggers further evaluation of gait, strength, vision, medications and environment, and guides interventions to
reduce falls.
Q7. Health equity considerations in the care of older adults include recognition that which factors can create disparities in access and outcomes?
A. Only genetic differences; social factors are irrelevant.
B. Age alone determines all outcomes equally for every older adult.
C. Socioeconomic status, race/ethnicity, geographic location, health literacy, transportation and systemic barriers that affect screening, treatment and follow-up.
D. Disparities disappear after age 65 because of Medicare coverage.
Correct Answer: C
Rationale: Social determinants of health continue to shape outcomes in older adults. NPs must identify and address barriers to equitable preventive care, diagnosis and
chronic-disease management.
NR601 Midterm · Page 2
