NR 601 Midterm Exam with Verified
Questions, Answers, and Rationales Graded A|
2026-2027
Master the complexities of geriatric primary care with this comprehensive NR601 Midterm
Exam guide. Designed to mirror real-world clinical scenarios, this resource helps you bridge
the gap between theory and practice. Evaluate your clinical reasoning, diag nostic skills, and
personalized care planning for complex older adults. Perfect for self-assessment, it boosts
your confidence, identifies knowledge gaps, and ensures you are fully prepared to excel on
exam day and in future clinical rotations.
,Chapter 1: Principles of Primary Care of Older Adults
Which one of the following is most true about the rule of fourths?
What used to be called normal aging can be largely explained by processes that are not normal.
Which one of the following is most true about aging changes?
Stage 3 and 4 sleep decreases.
An old woman who is cared for by attentive, cautious, concerned family is particularly likely to
suffer from which one of the following complications after an episode of gastroenteritis?
Immobility related to overconcern
Which one of the following is most true about psychological aging?
Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often preventable?
Iatrogenic disease
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society?
More nursing services will be required to serve the needs of the
population 85 years of age and older
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
watching television as I get older." The nurse explains that aging
may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting
,Chapter 3: Geriatric Assessment
An 86-year-old male who lives in an assisted living facility is at the clinic. He has a history of
hypertension and manages his own medications. He admits he takes them sometimes. After
speaking to him, you find it unclear if he understands the questions and discussions. Which of
the following evidences that the patient has adequate health literacy?
He knows the names and doses of his medications and can explain why he takes them.
You are performing a geriatric assessment on an 82-year-old female. At the end of the visit,
which of the following would require top priority over the others?
The death of the patient's caregiver
Ms. M's family has noticed memory loss for the past 6 months. She continues to drive but
recently had a fender bender and was caught speeding on a 35-mph road. She insists that she is
safe and needs to drive to church and for shopping. What is the best next step?
Get a driving evaluation.
The following are true statements about bipolar disorders in older
adults except
Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults.
, Chapter 5: Wellness and Prevention
The US Advisory Committee on Immunization Practices and the Centers for Disease Control
currently recommend which one of the following?
a. All older adults be immunized against influenza annually and that they receive at least one
pneumococcal vaccination.
b. All high-risk older adults should receive an additional pneumococcal vaccination 5 years or
more after their first immunization.
c. older adults should receive a one-time revaccination for pneumonia if they were initially
vaccinated more than 5 years previously and were less than 65 years of age at the time of the
initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend that older adults engage in which one of the
following?
150 minutes of moderate intensity physical activity weekly
Guidelines for the primary prevention of stroke recommend that aspirin be used in which one of
the following?
Individuals whose risk is high enough for the benefits to outweigh the risks
Even though older adults are less likely to get counseled for smoking cessation, they have which
one of the following?
The same quit rates as younger individuals
When educating the older adult population about the risks to
physical health that chronic alcohol abuse presents, the nurse
practitioner is especially careful to include the:
Identification of the signs and symptoms of gastrointestinal
bleeding
An older adult client has been voluntarily admitted for treatment of
alcohol dependency. In implementing care, the nurse plans which
intervention based upon knowledge about alcohol and aging?
Assessing the client for both depression and anxiety
Questions, Answers, and Rationales Graded A|
2026-2027
Master the complexities of geriatric primary care with this comprehensive NR601 Midterm
Exam guide. Designed to mirror real-world clinical scenarios, this resource helps you bridge
the gap between theory and practice. Evaluate your clinical reasoning, diag nostic skills, and
personalized care planning for complex older adults. Perfect for self-assessment, it boosts
your confidence, identifies knowledge gaps, and ensures you are fully prepared to excel on
exam day and in future clinical rotations.
,Chapter 1: Principles of Primary Care of Older Adults
Which one of the following is most true about the rule of fourths?
What used to be called normal aging can be largely explained by processes that are not normal.
Which one of the following is most true about aging changes?
Stage 3 and 4 sleep decreases.
An old woman who is cared for by attentive, cautious, concerned family is particularly likely to
suffer from which one of the following complications after an episode of gastroenteritis?
Immobility related to overconcern
Which one of the following is most true about psychological aging?
Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often preventable?
Iatrogenic disease
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society?
More nursing services will be required to serve the needs of the
population 85 years of age and older
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
watching television as I get older." The nurse explains that aging
may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting
,Chapter 3: Geriatric Assessment
An 86-year-old male who lives in an assisted living facility is at the clinic. He has a history of
hypertension and manages his own medications. He admits he takes them sometimes. After
speaking to him, you find it unclear if he understands the questions and discussions. Which of
the following evidences that the patient has adequate health literacy?
He knows the names and doses of his medications and can explain why he takes them.
You are performing a geriatric assessment on an 82-year-old female. At the end of the visit,
which of the following would require top priority over the others?
The death of the patient's caregiver
Ms. M's family has noticed memory loss for the past 6 months. She continues to drive but
recently had a fender bender and was caught speeding on a 35-mph road. She insists that she is
safe and needs to drive to church and for shopping. What is the best next step?
Get a driving evaluation.
The following are true statements about bipolar disorders in older
adults except
Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults.
, Chapter 5: Wellness and Prevention
The US Advisory Committee on Immunization Practices and the Centers for Disease Control
currently recommend which one of the following?
a. All older adults be immunized against influenza annually and that they receive at least one
pneumococcal vaccination.
b. All high-risk older adults should receive an additional pneumococcal vaccination 5 years or
more after their first immunization.
c. older adults should receive a one-time revaccination for pneumonia if they were initially
vaccinated more than 5 years previously and were less than 65 years of age at the time of the
initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend that older adults engage in which one of the
following?
150 minutes of moderate intensity physical activity weekly
Guidelines for the primary prevention of stroke recommend that aspirin be used in which one of
the following?
Individuals whose risk is high enough for the benefits to outweigh the risks
Even though older adults are less likely to get counseled for smoking cessation, they have which
one of the following?
The same quit rates as younger individuals
When educating the older adult population about the risks to
physical health that chronic alcohol abuse presents, the nurse
practitioner is especially careful to include the:
Identification of the signs and symptoms of gastrointestinal
bleeding
An older adult client has been voluntarily admitted for treatment of
alcohol dependency. In implementing care, the nurse plans which
intervention based upon knowledge about alcohol and aging?
Assessing the client for both depression and anxiety
