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NR 601 PRIMARY CARE: COLLABORATIVE MANAGEMENT
OF ADULT HEALTH – MIDTERM EXAMINATION 2026
COMPLETE (105) CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
ADULT HEALTH
Prepare for the Chamberlain NR 601 Primary Care: Collaborative Management of Adult
Health – Midterm Examination with this comprehensive practice resource designed to
support your exam preparation. It features exam-style questions covering adult
primary care, health promotion, disease prevention, diagnostic reasoning,
pharmacology, chronic disease management, and evidence-based clinical decision-
making. Use it to reinforce essential concepts, assess your knowledge, and build
confidence before your midterm exam. An excellent study aid for Chamberlain nursing
students preparing for the NR 601 course.
MULTIPLE CHOICE.
Question 1: What are two established tools to evaluate functional health?
A. Katz activities of daily living scale and Lawton and Brody Scale for
Instrumental Activities of daily living
B. Mini-Mental State Exam and Montreal Cognitive Assessment
C. Beers Criteria and STOPP/START tool
D. Medical Outcomes Study Short Form 36 and Lubben Social Network Scale
Correct answer: A. Katz activities of daily living scale and Lawton and
Brody Scale for Instrumental Activities of daily living
Rationale: The Katz ADL scale evaluates basic self-care tasks (bathing,
dressing, toileting, transferring, continence, feeding), while the Lawton
and Brody IADL scale assesses more complex activities needed for
independent living (managing finances, transportation, shopping, meal
preparation, housekeeping, medication management, phone use) .
Question 2: True or False: Abnormal lab results are part of the aging process.
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A. True
B. False
Correct answer: B. False
Rationale: Abnormal laboratory results should not be attributed solely to
aging without further investigation. While physiological changes occur
with aging, abnormal findings warrant evaluation for underlying pathology
rather than being dismissed as "normal for age" .
Question 3: What is FEV1?
A. Forced expiratory volume in 1 second
B. Functional expiratory volume in 1 minute
C. Forced expiratory vital capacity
D. Functional expiratory volume index
Correct answer: A. Forced expiratory volume in 1 second
Rationale: FEV1 is the volume of air forcibly exhaled in the first second of
a forced vital capacity maneuver. It is a key spirometry measurement
used to diagnose and monitor obstructive and restrictive lung diseases .
Question 4: Which of the following is an atypical presentation of acute
abdominal illness in older adults?
A. Localized rebound tenderness
B. Vague symptoms and acute confusion
C. Sudden onset of severe pain
D. Fever and chills
Correct answer: B. Vague symptoms and acute confusion
Rationale: Older adults often present atypically with acute abdominal
illness. Common atypical presentations include vague symptoms, acute
confusion, constipation, mild discomfort, and tachypnea rather than
classic localized findings .
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Question 5: Which of the following is an atypical presentation of depression
in older adults?
A. Sad mood and tearfulness
B. Anorexia and vague abdominal cramps
C. Social withdrawal
D. Psychomotor retardation
Correct answer: B. Anorexia and vague abdominal cramps
Rationale: Depression in older adults often presents atypically with
somatic complaints, anorexia, vague abdominal cramps, new
constipation, agitation, insomnia, and lack of sadness rather than classic
mood symptoms .
Question 6: A patient presents with fatigue, weakness, weight loss,
palpitations, and tachycardia. Which condition should the provider suspect?
A. Hypothyroidism
B. Apathetic thyrotoxicosis (hyperthyroidism)
C. Depression
D. Anemia
Correct answer: B. Apathetic thyrotoxicosis (hyperthyroidism)
Rationale: Apathetic thyrotoxicosis is an atypical presentation of
hyperthyroidism in older adults characterized by fatigue, weakness,
weight loss, palpitations, tachycardia, and potentially new-onset atrial
fibrillation or heart failure if undiagnosed .
Question 7: Which of the following is an atypical presentation of myocardial
infarction (MI) in older adults?
A. Crushing substernal chest pain radiating to the left arm
B. No chest pain, fatigue, nausea, and decreased cognition
C. Diaphoresis and shortness of breath
D. Palpitations and anxiety
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Correct answer: B. No chest pain, fatigue, nausea, and decreased
cognition
Rationale: Older adults often experience "silent" MIs with atypical
symptoms including no chest pain, fatigue, nausea, decreased function
and cognition, dyspnea, epigastric pain, and weakness. Women are more
likely to have non-Q wave MIs .
Question 8: Mr. A experienced a brief onset of right-sided weakness, slurred
speech, and confusion yesterday. The symptoms have resolved and the CT is
normal. What is the next step of the plan for Mr. A?
A. Assure the patient that he will not experience the symptoms again
B. Identify modifiable cardiovascular risk factors
C. Order ASA 81mg stat
D. Order a stat EEG and administer O2 by mask
Correct answer: B. Identify modifiable cardiovascular risk factors
Rationale: This presentation is consistent with a transient ischemic
attack (TIA). The priority is to identify and manage modifiable
cardiovascular risk factors (hypertension, diabetes, hyperlipidemia,
smoking) to prevent future stroke. Aspirin may be indicated but requires
risk assessment. TIA symptoms typically resolve within 24 hours, but the
patient remains at increased stroke risk .
Question 9: A 56-year-old male patient screened for diabetes has a fasting
plasma glucose level of 96 mg/dL. The nurse practitioner management plan
includes:
A. Repeat fasting plasma glucose in three years
B. Prescribe Metformin 500mg PO BID
C. Repeat fasting plasma glucose in one year
D. Refer to ophthalmology for eye exam
Correct answer: A. Repeat fasting plasma glucose in three years
Rationale: A fasting plasma glucose of 96 mg/dL is within normal limits
NR 601 PRIMARY CARE: COLLABORATIVE MANAGEMENT
OF ADULT HEALTH – MIDTERM EXAMINATION 2026
COMPLETE (105) CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
ADULT HEALTH
Prepare for the Chamberlain NR 601 Primary Care: Collaborative Management of Adult
Health – Midterm Examination with this comprehensive practice resource designed to
support your exam preparation. It features exam-style questions covering adult
primary care, health promotion, disease prevention, diagnostic reasoning,
pharmacology, chronic disease management, and evidence-based clinical decision-
making. Use it to reinforce essential concepts, assess your knowledge, and build
confidence before your midterm exam. An excellent study aid for Chamberlain nursing
students preparing for the NR 601 course.
MULTIPLE CHOICE.
Question 1: What are two established tools to evaluate functional health?
A. Katz activities of daily living scale and Lawton and Brody Scale for
Instrumental Activities of daily living
B. Mini-Mental State Exam and Montreal Cognitive Assessment
C. Beers Criteria and STOPP/START tool
D. Medical Outcomes Study Short Form 36 and Lubben Social Network Scale
Correct answer: A. Katz activities of daily living scale and Lawton and
Brody Scale for Instrumental Activities of daily living
Rationale: The Katz ADL scale evaluates basic self-care tasks (bathing,
dressing, toileting, transferring, continence, feeding), while the Lawton
and Brody IADL scale assesses more complex activities needed for
independent living (managing finances, transportation, shopping, meal
preparation, housekeeping, medication management, phone use) .
Question 2: True or False: Abnormal lab results are part of the aging process.
, Page 2 of 39
A. True
B. False
Correct answer: B. False
Rationale: Abnormal laboratory results should not be attributed solely to
aging without further investigation. While physiological changes occur
with aging, abnormal findings warrant evaluation for underlying pathology
rather than being dismissed as "normal for age" .
Question 3: What is FEV1?
A. Forced expiratory volume in 1 second
B. Functional expiratory volume in 1 minute
C. Forced expiratory vital capacity
D. Functional expiratory volume index
Correct answer: A. Forced expiratory volume in 1 second
Rationale: FEV1 is the volume of air forcibly exhaled in the first second of
a forced vital capacity maneuver. It is a key spirometry measurement
used to diagnose and monitor obstructive and restrictive lung diseases .
Question 4: Which of the following is an atypical presentation of acute
abdominal illness in older adults?
A. Localized rebound tenderness
B. Vague symptoms and acute confusion
C. Sudden onset of severe pain
D. Fever and chills
Correct answer: B. Vague symptoms and acute confusion
Rationale: Older adults often present atypically with acute abdominal
illness. Common atypical presentations include vague symptoms, acute
confusion, constipation, mild discomfort, and tachypnea rather than
classic localized findings .
, Page 3 of 39
Question 5: Which of the following is an atypical presentation of depression
in older adults?
A. Sad mood and tearfulness
B. Anorexia and vague abdominal cramps
C. Social withdrawal
D. Psychomotor retardation
Correct answer: B. Anorexia and vague abdominal cramps
Rationale: Depression in older adults often presents atypically with
somatic complaints, anorexia, vague abdominal cramps, new
constipation, agitation, insomnia, and lack of sadness rather than classic
mood symptoms .
Question 6: A patient presents with fatigue, weakness, weight loss,
palpitations, and tachycardia. Which condition should the provider suspect?
A. Hypothyroidism
B. Apathetic thyrotoxicosis (hyperthyroidism)
C. Depression
D. Anemia
Correct answer: B. Apathetic thyrotoxicosis (hyperthyroidism)
Rationale: Apathetic thyrotoxicosis is an atypical presentation of
hyperthyroidism in older adults characterized by fatigue, weakness,
weight loss, palpitations, tachycardia, and potentially new-onset atrial
fibrillation or heart failure if undiagnosed .
Question 7: Which of the following is an atypical presentation of myocardial
infarction (MI) in older adults?
A. Crushing substernal chest pain radiating to the left arm
B. No chest pain, fatigue, nausea, and decreased cognition
C. Diaphoresis and shortness of breath
D. Palpitations and anxiety
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Correct answer: B. No chest pain, fatigue, nausea, and decreased
cognition
Rationale: Older adults often experience "silent" MIs with atypical
symptoms including no chest pain, fatigue, nausea, decreased function
and cognition, dyspnea, epigastric pain, and weakness. Women are more
likely to have non-Q wave MIs .
Question 8: Mr. A experienced a brief onset of right-sided weakness, slurred
speech, and confusion yesterday. The symptoms have resolved and the CT is
normal. What is the next step of the plan for Mr. A?
A. Assure the patient that he will not experience the symptoms again
B. Identify modifiable cardiovascular risk factors
C. Order ASA 81mg stat
D. Order a stat EEG and administer O2 by mask
Correct answer: B. Identify modifiable cardiovascular risk factors
Rationale: This presentation is consistent with a transient ischemic
attack (TIA). The priority is to identify and manage modifiable
cardiovascular risk factors (hypertension, diabetes, hyperlipidemia,
smoking) to prevent future stroke. Aspirin may be indicated but requires
risk assessment. TIA symptoms typically resolve within 24 hours, but the
patient remains at increased stroke risk .
Question 9: A 56-year-old male patient screened for diabetes has a fasting
plasma glucose level of 96 mg/dL. The nurse practitioner management plan
includes:
A. Repeat fasting plasma glucose in three years
B. Prescribe Metformin 500mg PO BID
C. Repeat fasting plasma glucose in one year
D. Refer to ophthalmology for eye exam
Correct answer: A. Repeat fasting plasma glucose in three years
Rationale: A fasting plasma glucose of 96 mg/dL is within normal limits
