• NR 601 Midterm 09/08/2026
Exam
NR 601 Midterm Exam – Primary Care of the
Maturing and Aged Family Practicum – (2026)
Actual Questions & Answers (Chamberlain)
100% Guarantee Pass
The proposed mechanism by which diphenhydramine caused delerium is:
a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects –
Correct Answer :a. anticholinergic effects
P 1
, • NR 601 Midterm 09/08/2026
Exam
According to the Palliative Care Presentation, palliative care may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months –
Correct Answer :b. anyone regardless of their life expectancy or disease progression
The highest level of evidence with the use of adjuvant analgesics is with
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant analgesics
c. tricyclic antidepressants avoided due to high adverse affects
d. neuropathic pain patients are candidates for adjuvant analgesia –
Correct Answer :d. neuropathic pain patients are candidates for adjuvant analgesia
According o the Sexuality presentation, the biggest barrier to appropriate sexual evaluation in the older patient
a. older people dont talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. female post menopausal changes - Correct Answer :c. ageist attitudes
P 2
, • NR 601 Midterm 09/08/2026
Exam
The patient with BPH is seen for follow-up.. He has been taking finasteride (Proscar) for 6 months. The clinician
should assess this patient for which of these side effects?
a. headache
b. urinary incontinence
c. hypotensionn
d. impotence - Correct Answer :d. impotence
Which of the following statements is true regarding pain?
a. all of the above
b. if a patient complains of pain but has no physical signs, he or she is most likely exhibiting drug-seeking
behavior
c. pain is a subjective experience related to actual or potential tissue damage
d. acute pain is more intense and severe than chronic pain –
Correct Answer :c. pain is a subjective experience related to actual or potential tissue damage
The highest level of evidence to support interventions at the end of life is with
a. hycosamine for respiratory secretions
b. stimulant laxatives for treating constipation
c. opioids for pain control
d. opioids for dyspnea - Correct Answer :d. opioids for dyspnea
The comorbid psychiatric problem with the highest frequency in dementia is:
a. depression
P 3
, • NR 601 Midterm 09/08/2026
Exam
b,, agitation and aggression
c. psychosis
d. anxiety - Correct Answer :a. depression
According to the World Health Orginazition's analgesic ladder, which drug would be most appropriate in opiate-
niave patient who presents with moderate pain
a. naproxen/morphine
b. asprin/fentanyl
c. acetaminophen/hydrocodone
d. ibuprofen/impraminen - Correct Answer :c. acetaminophen/hydrocodone
K B age 54 presents to your office. her husband has just died suddenly and she states she cannot function. She is
crying all the time, cant seem to focus and she has so much she needs to do to plan the funeral service and get
through the next few days. YOu decide to prescribe a benzodiazepine. Please choose the correct treatment
decision statements below.
a. benzodiazepines are safe to prescribe long term
b. benzodiazepines should not be stopped abruptly if taken for > 1 month
c. benzodiazepines are first line treatment for anxiety in the elderly
d. benzodiazepines should be prescribed at the highest dose tolerated for the best effect - Correct Answer :b.
benzodiazepines should not be stopped abruptly if taken for > 1 month
Mrs. L, a 66 year old Asian female, presented for her yearly physical last week. A review of her chart reveals she
smokes 2 packs of cigarettes a day, and drinks 2 beers every evening since she retired. She stopped walkingn
two years ago when she started having knee pain. As part of heallth maintenance, a DEXA was ordered. You
have received the results, a T score of -2.5. The score is consistant with
a. normal result
b. osteoporosis - Correct Answer :b. osteoporosis
P 4
Exam
NR 601 Midterm Exam – Primary Care of the
Maturing and Aged Family Practicum – (2026)
Actual Questions & Answers (Chamberlain)
100% Guarantee Pass
The proposed mechanism by which diphenhydramine caused delerium is:
a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects –
Correct Answer :a. anticholinergic effects
P 1
, • NR 601 Midterm 09/08/2026
Exam
According to the Palliative Care Presentation, palliative care may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months –
Correct Answer :b. anyone regardless of their life expectancy or disease progression
The highest level of evidence with the use of adjuvant analgesics is with
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant analgesics
c. tricyclic antidepressants avoided due to high adverse affects
d. neuropathic pain patients are candidates for adjuvant analgesia –
Correct Answer :d. neuropathic pain patients are candidates for adjuvant analgesia
According o the Sexuality presentation, the biggest barrier to appropriate sexual evaluation in the older patient
a. older people dont talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. female post menopausal changes - Correct Answer :c. ageist attitudes
P 2
, • NR 601 Midterm 09/08/2026
Exam
The patient with BPH is seen for follow-up.. He has been taking finasteride (Proscar) for 6 months. The clinician
should assess this patient for which of these side effects?
a. headache
b. urinary incontinence
c. hypotensionn
d. impotence - Correct Answer :d. impotence
Which of the following statements is true regarding pain?
a. all of the above
b. if a patient complains of pain but has no physical signs, he or she is most likely exhibiting drug-seeking
behavior
c. pain is a subjective experience related to actual or potential tissue damage
d. acute pain is more intense and severe than chronic pain –
Correct Answer :c. pain is a subjective experience related to actual or potential tissue damage
The highest level of evidence to support interventions at the end of life is with
a. hycosamine for respiratory secretions
b. stimulant laxatives for treating constipation
c. opioids for pain control
d. opioids for dyspnea - Correct Answer :d. opioids for dyspnea
The comorbid psychiatric problem with the highest frequency in dementia is:
a. depression
P 3
, • NR 601 Midterm 09/08/2026
Exam
b,, agitation and aggression
c. psychosis
d. anxiety - Correct Answer :a. depression
According to the World Health Orginazition's analgesic ladder, which drug would be most appropriate in opiate-
niave patient who presents with moderate pain
a. naproxen/morphine
b. asprin/fentanyl
c. acetaminophen/hydrocodone
d. ibuprofen/impraminen - Correct Answer :c. acetaminophen/hydrocodone
K B age 54 presents to your office. her husband has just died suddenly and she states she cannot function. She is
crying all the time, cant seem to focus and she has so much she needs to do to plan the funeral service and get
through the next few days. YOu decide to prescribe a benzodiazepine. Please choose the correct treatment
decision statements below.
a. benzodiazepines are safe to prescribe long term
b. benzodiazepines should not be stopped abruptly if taken for > 1 month
c. benzodiazepines are first line treatment for anxiety in the elderly
d. benzodiazepines should be prescribed at the highest dose tolerated for the best effect - Correct Answer :b.
benzodiazepines should not be stopped abruptly if taken for > 1 month
Mrs. L, a 66 year old Asian female, presented for her yearly physical last week. A review of her chart reveals she
smokes 2 packs of cigarettes a day, and drinks 2 beers every evening since she retired. She stopped walkingn
two years ago when she started having knee pain. As part of heallth maintenance, a DEXA was ordered. You
have received the results, a T score of -2.5. The score is consistant with
a. normal result
b. osteoporosis - Correct Answer :b. osteoporosis
P 4
