NR 601 Midterm Exam Test Bank – 175 Original
Practice Questions with Answers & Rationales –
Geriatric Primary Care
,1. Which physiologic change of aging most affects drug distribution?
A. Increased total body water
B. Increased body fat proportion
C. Increased lean muscle mass
D. Increased serum albumin
Rationale: Increased body fat and decreased water alter distribution of lipid-
soluble drugs.
2. Which screening tool assesses activities of daily living?
A. MMSE
B. Katz ADL scale
C. PHQ-9
D. CAGE
Rationale: Katz index evaluates basic ADLs.
3. Which screening tool assesses instrumental activities of daily living?
A. Katz ADL
B. Lawton IADL scale
C. MMSE
D. GDS
Rationale: Lawton scale measures complex daily tasks.
4. Which is the most appropriate initial evaluation for functional decline?
A. MRI brain
B. Comprehensive geriatric assessment
C. Echocardiogram
, D. Colonoscopy
Rationale: CGA identifies medical, functional, and psychosocial contributors.
5. Which immunization is recommended for adults 65 and older?
A. HPV
B. High-dose influenza vaccine
C. Meningococcal
D. Hepatitis A
Rationale: High-dose influenza vaccine is preferred for older adults.
6. Which is a normal age-related change in taste?
A. Increased sweet sensitivity
B. Decreased taste discrimination
C. Increased salt sensitivity
D. Increased umami
Rationale: Taste discrimination declines with age.
7. Which is a normal age-related change in smell?
A. Increased olfactory acuity
B. Decreased olfactory acuity
C. Increased appetite
D. Increased salivation
Rationale: Olfactory function declines.
8. Which is a normal age-related change in the oral cavity?
A. Increased saliva
B. Decreased saliva
C. Increased enamel
, D. Increased taste buds
Rationale: Dry mouth and enamel wear increase with age.
9. Which is a normal age-related change in the eye?
A. Increased pupil size
B. Decreased tear production
C. Increased accommodation
D. Increased peripheral vision
Rationale: Tear production and accommodation decline.
10.Which is a normal age-related change in the ear?
A. Increased high-frequency hearing
B. Presbycusis
C. Increased cerumen production
D. Increased tympanic compliance
Rationale: Presbycusis is age-related high-frequency hearing loss.
11.Which is a normal age-related change in the skin?
A. Increased dermal thickness
B. Decreased elasticity
C. Increased sebum
D. Increased sweating
Rationale: Collagen and elastin decline.
12.Which is a normal age-related change in the musculoskeletal system?
A. Increased muscle mass
B. Sarcopenia
C. Increased bone density
Practice Questions with Answers & Rationales –
Geriatric Primary Care
,1. Which physiologic change of aging most affects drug distribution?
A. Increased total body water
B. Increased body fat proportion
C. Increased lean muscle mass
D. Increased serum albumin
Rationale: Increased body fat and decreased water alter distribution of lipid-
soluble drugs.
2. Which screening tool assesses activities of daily living?
A. MMSE
B. Katz ADL scale
C. PHQ-9
D. CAGE
Rationale: Katz index evaluates basic ADLs.
3. Which screening tool assesses instrumental activities of daily living?
A. Katz ADL
B. Lawton IADL scale
C. MMSE
D. GDS
Rationale: Lawton scale measures complex daily tasks.
4. Which is the most appropriate initial evaluation for functional decline?
A. MRI brain
B. Comprehensive geriatric assessment
C. Echocardiogram
, D. Colonoscopy
Rationale: CGA identifies medical, functional, and psychosocial contributors.
5. Which immunization is recommended for adults 65 and older?
A. HPV
B. High-dose influenza vaccine
C. Meningococcal
D. Hepatitis A
Rationale: High-dose influenza vaccine is preferred for older adults.
6. Which is a normal age-related change in taste?
A. Increased sweet sensitivity
B. Decreased taste discrimination
C. Increased salt sensitivity
D. Increased umami
Rationale: Taste discrimination declines with age.
7. Which is a normal age-related change in smell?
A. Increased olfactory acuity
B. Decreased olfactory acuity
C. Increased appetite
D. Increased salivation
Rationale: Olfactory function declines.
8. Which is a normal age-related change in the oral cavity?
A. Increased saliva
B. Decreased saliva
C. Increased enamel
, D. Increased taste buds
Rationale: Dry mouth and enamel wear increase with age.
9. Which is a normal age-related change in the eye?
A. Increased pupil size
B. Decreased tear production
C. Increased accommodation
D. Increased peripheral vision
Rationale: Tear production and accommodation decline.
10.Which is a normal age-related change in the ear?
A. Increased high-frequency hearing
B. Presbycusis
C. Increased cerumen production
D. Increased tympanic compliance
Rationale: Presbycusis is age-related high-frequency hearing loss.
11.Which is a normal age-related change in the skin?
A. Increased dermal thickness
B. Decreased elasticity
C. Increased sebum
D. Increased sweating
Rationale: Collagen and elastin decline.
12.Which is a normal age-related change in the musculoskeletal system?
A. Increased muscle mass
B. Sarcopenia
C. Increased bone density
