Chamberlain College of Nursing | NR 601 Primary Care of the Maturing and Aged Family
Practicum
NR 601 Primary Care of the Maturing and
Aged Family Practicum Midterm
Examination 2026/2027 | Verified Questions
Chamberlain College of Nursing | NR 601 Primary Care of the Maturing and Aged Family Practicum |
University-Level Advanced Nursing Students
75 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain College of Nursing | NR 601 Primary Care of the Maturing and Aged Family Practicum
Midterm Comprehensive Examination Actual Exam | Academic Year 2026/2027
NR 601 Primary Care of the Maturing and Aged Family Practicum Midterm Examination 2026/2027 | Verified Questions
,INTRODUCTION
This Midterm Comprehensive Examination contains 75 original verified questions designed for
university-level advanced nursing students enrolled in NR 601 Primary Care of the Maturing and Aged
Family Practicum at Chamberlain College of Nursing. The questions are distributed across four core
domains aligned with the official midterm content outline: Geriatric Assessment and Health Promotion
(19 questions), Chronic Disease Management in Older Adults (19 questions), Acute Care and
Pharmacological Interventions (19 questions), and Psychosocial and Cognitive Care in Aging (18
questions). Content is aligned with the official NR 601 midterm course objectives for the 2026/2027
academic year and draws upon foundational geriatric primary care principles from established advanced
nursing and gerontology frameworks. The examination is constructed to reinforce comprehensive
geriatric assessment, chronic disease management, safe pharmacotherapy, and cognitive-psychosocial
care competencies essential for actual exam readiness and clinical proficiency.
ACTUAL QUESTIONS
Domain 1: Geriatric Assessment and Health Promotion
Question 1. Which screening tool is most commonly used in primary care to assess fall risk
in older adults?
A. Timed Up and Go (TUG) test and history of falls
B. Mini-Mental State Examination only
C. Only serum vitamin D level without functional assessment
D. Geriatric Depression Scale exclusively
Correct Answer: A
Rationale: Fall risk assessment includes history of falls and performance measures such as the Timed
Up and Go test, often combined with gait, balance, and medication review.
Question 2. The Comprehensive Geriatric Assessment (CGA) typically evaluates:
A. Only blood pressure and glucose
B. Medical, functional, cognitive, psychological, and social domains
C. Only laboratory values without functional status
D. Exclusive focus on acute hospital diagnoses
Correct Answer: B
Rationale: CGA is a multidimensional process that includes medical, functional, cognitive, affective, and
social assessment to guide care planning.
Question 3. An older adult with unintentional weight loss of 10% over 6 months should
prompt evaluation for:
A. Normal aging without investigation
B. Immediate permanent tube feeding without assessment
C. Underlying medical, dental, social, or psychiatric causes of malnutrition
D. Only increased exercise without nutritional review
Correct Answer: C
Rationale: Significant unintentional weight loss in older adults warrants systematic evaluation for
medical disease, oral health, depression, cognition, and social barriers to eating.
Question 4. Which vaccine is specifically recommended for adults 65 years and older to
prevent pneumococcal disease?
A. Pneumococcal conjugate and/or polysaccharide vaccines per current CDC schedules
B. Only annual influenza without pneumococcal coverage
C. Live attenuated vaccines exclusively
NR 601 Primary Care of the Maturing and Aged Family Practicum Midterm Examination 2026/2027 | Verified Questions
, D. No pneumococcal vaccine after age 65
Correct Answer: A
Rationale: Adults 65 and older should receive pneumococcal vaccination according to current
sequential or single-product recommendations.
Question 5. Presbycusis is best described as:
A. Sudden unilateral hearing loss requiring emergency care only
B. Age-related sensorineural hearing loss, often bilateral and high-frequency
C. Conductive loss from cerumen only in all cases
D. Normal hearing with no age-related change
Correct Answer: B
Rationale: Presbycusis is progressive, typically bilateral high-frequency sensorineural hearing loss
associated with aging.
Question 6. The Beers Criteria are used primarily to:
A. List preferred antibiotics for pneumonia
B. Score cognitive impairment severity
C. Identify potentially inappropriate medications in older adults
D. Measure gait speed only
Correct Answer: C
Rationale: The Beers Criteria provide guidance on medications that are potentially inappropriate in
older adults due to risks that often outweigh benefits.
Question 7. Which functional assessment tool rates independence in bathing, dressing,
toileting, transferring, continence, and feeding?
A. Katz Index of Independence in Activities of Daily Living (ADL)
B. Montreal Cognitive Assessment
C. PHQ-9 only
D. FRAX score exclusively
Correct Answer: A
Rationale: The Katz ADL index assesses basic self-care activities; the Lawton IADL scale assesses more
complex instrumental activities.
Question 8. An older adult reports difficulty with medication management, shopping, and
finances. These are examples of deficits in:
A. Basic ADLs only
B. Only cognitive screening scores
C. Acute delirium exclusively
D. Instrumental activities of daily living (IADLs)
Correct Answer: D
Rationale: IADLs include complex tasks such as managing medications, finances, transportation, and
shopping that support independent community living.
Question 9. Orthostatic hypotension in older adults is defined as a drop of:
A. Any change in blood pressure with standing
B. Only an increase in heart rate without BP change
C. ≥20 mm Hg systolic or ≥10 mm Hg diastolic within 3 minutes of standing
D. A rise in systolic pressure of 20 mm Hg
Correct Answer: C
NR 601 Primary Care of the Maturing and Aged Family Practicum Midterm Examination 2026/2027 | Verified Questions
Practicum
NR 601 Primary Care of the Maturing and
Aged Family Practicum Midterm
Examination 2026/2027 | Verified Questions
Chamberlain College of Nursing | NR 601 Primary Care of the Maturing and Aged Family Practicum |
University-Level Advanced Nursing Students
75 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain College of Nursing | NR 601 Primary Care of the Maturing and Aged Family Practicum
Midterm Comprehensive Examination Actual Exam | Academic Year 2026/2027
NR 601 Primary Care of the Maturing and Aged Family Practicum Midterm Examination 2026/2027 | Verified Questions
,INTRODUCTION
This Midterm Comprehensive Examination contains 75 original verified questions designed for
university-level advanced nursing students enrolled in NR 601 Primary Care of the Maturing and Aged
Family Practicum at Chamberlain College of Nursing. The questions are distributed across four core
domains aligned with the official midterm content outline: Geriatric Assessment and Health Promotion
(19 questions), Chronic Disease Management in Older Adults (19 questions), Acute Care and
Pharmacological Interventions (19 questions), and Psychosocial and Cognitive Care in Aging (18
questions). Content is aligned with the official NR 601 midterm course objectives for the 2026/2027
academic year and draws upon foundational geriatric primary care principles from established advanced
nursing and gerontology frameworks. The examination is constructed to reinforce comprehensive
geriatric assessment, chronic disease management, safe pharmacotherapy, and cognitive-psychosocial
care competencies essential for actual exam readiness and clinical proficiency.
ACTUAL QUESTIONS
Domain 1: Geriatric Assessment and Health Promotion
Question 1. Which screening tool is most commonly used in primary care to assess fall risk
in older adults?
A. Timed Up and Go (TUG) test and history of falls
B. Mini-Mental State Examination only
C. Only serum vitamin D level without functional assessment
D. Geriatric Depression Scale exclusively
Correct Answer: A
Rationale: Fall risk assessment includes history of falls and performance measures such as the Timed
Up and Go test, often combined with gait, balance, and medication review.
Question 2. The Comprehensive Geriatric Assessment (CGA) typically evaluates:
A. Only blood pressure and glucose
B. Medical, functional, cognitive, psychological, and social domains
C. Only laboratory values without functional status
D. Exclusive focus on acute hospital diagnoses
Correct Answer: B
Rationale: CGA is a multidimensional process that includes medical, functional, cognitive, affective, and
social assessment to guide care planning.
Question 3. An older adult with unintentional weight loss of 10% over 6 months should
prompt evaluation for:
A. Normal aging without investigation
B. Immediate permanent tube feeding without assessment
C. Underlying medical, dental, social, or psychiatric causes of malnutrition
D. Only increased exercise without nutritional review
Correct Answer: C
Rationale: Significant unintentional weight loss in older adults warrants systematic evaluation for
medical disease, oral health, depression, cognition, and social barriers to eating.
Question 4. Which vaccine is specifically recommended for adults 65 years and older to
prevent pneumococcal disease?
A. Pneumococcal conjugate and/or polysaccharide vaccines per current CDC schedules
B. Only annual influenza without pneumococcal coverage
C. Live attenuated vaccines exclusively
NR 601 Primary Care of the Maturing and Aged Family Practicum Midterm Examination 2026/2027 | Verified Questions
, D. No pneumococcal vaccine after age 65
Correct Answer: A
Rationale: Adults 65 and older should receive pneumococcal vaccination according to current
sequential or single-product recommendations.
Question 5. Presbycusis is best described as:
A. Sudden unilateral hearing loss requiring emergency care only
B. Age-related sensorineural hearing loss, often bilateral and high-frequency
C. Conductive loss from cerumen only in all cases
D. Normal hearing with no age-related change
Correct Answer: B
Rationale: Presbycusis is progressive, typically bilateral high-frequency sensorineural hearing loss
associated with aging.
Question 6. The Beers Criteria are used primarily to:
A. List preferred antibiotics for pneumonia
B. Score cognitive impairment severity
C. Identify potentially inappropriate medications in older adults
D. Measure gait speed only
Correct Answer: C
Rationale: The Beers Criteria provide guidance on medications that are potentially inappropriate in
older adults due to risks that often outweigh benefits.
Question 7. Which functional assessment tool rates independence in bathing, dressing,
toileting, transferring, continence, and feeding?
A. Katz Index of Independence in Activities of Daily Living (ADL)
B. Montreal Cognitive Assessment
C. PHQ-9 only
D. FRAX score exclusively
Correct Answer: A
Rationale: The Katz ADL index assesses basic self-care activities; the Lawton IADL scale assesses more
complex instrumental activities.
Question 8. An older adult reports difficulty with medication management, shopping, and
finances. These are examples of deficits in:
A. Basic ADLs only
B. Only cognitive screening scores
C. Acute delirium exclusively
D. Instrumental activities of daily living (IADLs)
Correct Answer: D
Rationale: IADLs include complex tasks such as managing medications, finances, transportation, and
shopping that support independent community living.
Question 9. Orthostatic hypotension in older adults is defined as a drop of:
A. Any change in blood pressure with standing
B. Only an increase in heart rate without BP change
C. ≥20 mm Hg systolic or ≥10 mm Hg diastolic within 3 minutes of standing
D. A rise in systolic pressure of 20 mm Hg
Correct Answer: C
NR 601 Primary Care of the Maturing and Aged Family Practicum Midterm Examination 2026/2027 | Verified Questions
