NR601 Week 4 Midterm Exam Due 2nd August 2026 Complete
Actual Exam Questions 1- 100 NR 601 Primary Care of the
Maturing and Aged Family Practicum.pdf
,Core Domains
Geriatric Assessment and Aging Theories
Health Promotion and Disease Prevention
Cardiovascular Disorders in Older Adults
Respiratory Disorders in Older Adults
Endocrine and Metabolic Disorders
Pharmacology and Polypharmacy
Cognitive and Psychological Disorders
Musculoskeletal and Functional Decline
Introduction
The NR601 Week 4 Midterm Exam assesses the clinical judgment and
primary care knowledge required for advanced practice nursing in
the care of maturing and aged families. It evaluates competency
across major domains, including geriatric assessment, aging
theories, cardiovascular and respiratory disorders, endocrine
management, pharmacology, and cognitive health. The exam
employs multiple-choice and scenario-based questions to test real-
world application and decision-making. Candidates must
demonstrate the ability to analyze clinical data, prioritize
interventions, and apply evidence-based primary care strategies for
older adult populations.
,Section One: Questions 1–100
Question 1
A 76-year-old female patient presents for a routine wellness visit.
She has a history of controlled hypertension but no other chronic
illnesses. She asks about current guidelines regarding screening for
colorectal cancer. According to the U.S. Preventive Services Task
Force (USPSTF) guidelines, what is the most appropriate
recommendation for this patient?
A. Screening should be continued automatically every 10 years until
she reaches age 85 regardless of health status.
B. Screening is strictly contraindicated in all adults over the age of
70 due to colonoscopy perforation risks.
C. Screening should be individualized based on the patient's overall
health status, screening history, and a life expectancy of at least 10
years.
D. Annual fecal occult blood testing (FOBT) is mandatory for all
adults over 75 as a primary preventive screen.
C. Screening should be individualized based on the patient's
overall health status, screening history, and a life expectancy of at
least 10 years.
RATIONALE: The USPSTF recommends that the decision to
screen for colorectal cancer in adults aged 76 to 85 should be
individualized, taking into account the patient's prior screening
history, overall health, and whether their life expectancy is at least
10 years to realize the benefit of screening.
Question 2
, An 82-year-old male with a history of Type 2 Diabetes and Stage 3
Chronic Kidney Disease (eGFR 44 mL/min) is being evaluated for a
change in his glycemic management due to a rising HbA1c of 8.2%.
He is currently taking metformin 500 mg twice daily. What is the
most appropriate prescriptive intervention for this older adult?
A. Double the metformin dose to 1,000 mg twice daily and recheck
labs in 4 weeks.
B. Discontinue metformin completely and initiate high-dose daily
basal glargine insulin.
C. Maintain or lower metformin with close monitoring, ensuring it
is not initiated if eGFR drops below 30 mL/min, and target an
individual HbA1c of 7.5% - 8.0% for complex older adults.
D. Initiate an SGLT2 inhibitor without adjusting any other
medication and target an aggressive HbA1c of less than 6.5%.
C. Maintain or lower metformin with close monitoring,
ensuring it is not initiated if eGFR drops below 30 mL/min, and
target an individual HbA1c of 7.5% - 8.0% for complex older adults.
RATIONALE: For older adults with complex health states and
multiple chronic conditions, tight glycemic control increases
hypoglycemia risks. Tight targets (<6.5%) are avoided, and a relaxed
target of 7.5% - 8.0% is appropriate. Metformin can be used if eGFR
is between 30-45 mL/min but requires caution and downward
adjustment; it is strictly contraindicated below 30 mL/min.
Question 3
A 68-year-old male patient with a 40 pack-year smoking history
presents with progressive dyspnea on exertion and a chronic, non-
Actual Exam Questions 1- 100 NR 601 Primary Care of the
Maturing and Aged Family Practicum.pdf
,Core Domains
Geriatric Assessment and Aging Theories
Health Promotion and Disease Prevention
Cardiovascular Disorders in Older Adults
Respiratory Disorders in Older Adults
Endocrine and Metabolic Disorders
Pharmacology and Polypharmacy
Cognitive and Psychological Disorders
Musculoskeletal and Functional Decline
Introduction
The NR601 Week 4 Midterm Exam assesses the clinical judgment and
primary care knowledge required for advanced practice nursing in
the care of maturing and aged families. It evaluates competency
across major domains, including geriatric assessment, aging
theories, cardiovascular and respiratory disorders, endocrine
management, pharmacology, and cognitive health. The exam
employs multiple-choice and scenario-based questions to test real-
world application and decision-making. Candidates must
demonstrate the ability to analyze clinical data, prioritize
interventions, and apply evidence-based primary care strategies for
older adult populations.
,Section One: Questions 1–100
Question 1
A 76-year-old female patient presents for a routine wellness visit.
She has a history of controlled hypertension but no other chronic
illnesses. She asks about current guidelines regarding screening for
colorectal cancer. According to the U.S. Preventive Services Task
Force (USPSTF) guidelines, what is the most appropriate
recommendation for this patient?
A. Screening should be continued automatically every 10 years until
she reaches age 85 regardless of health status.
B. Screening is strictly contraindicated in all adults over the age of
70 due to colonoscopy perforation risks.
C. Screening should be individualized based on the patient's overall
health status, screening history, and a life expectancy of at least 10
years.
D. Annual fecal occult blood testing (FOBT) is mandatory for all
adults over 75 as a primary preventive screen.
C. Screening should be individualized based on the patient's
overall health status, screening history, and a life expectancy of at
least 10 years.
RATIONALE: The USPSTF recommends that the decision to
screen for colorectal cancer in adults aged 76 to 85 should be
individualized, taking into account the patient's prior screening
history, overall health, and whether their life expectancy is at least
10 years to realize the benefit of screening.
Question 2
, An 82-year-old male with a history of Type 2 Diabetes and Stage 3
Chronic Kidney Disease (eGFR 44 mL/min) is being evaluated for a
change in his glycemic management due to a rising HbA1c of 8.2%.
He is currently taking metformin 500 mg twice daily. What is the
most appropriate prescriptive intervention for this older adult?
A. Double the metformin dose to 1,000 mg twice daily and recheck
labs in 4 weeks.
B. Discontinue metformin completely and initiate high-dose daily
basal glargine insulin.
C. Maintain or lower metformin with close monitoring, ensuring it
is not initiated if eGFR drops below 30 mL/min, and target an
individual HbA1c of 7.5% - 8.0% for complex older adults.
D. Initiate an SGLT2 inhibitor without adjusting any other
medication and target an aggressive HbA1c of less than 6.5%.
C. Maintain or lower metformin with close monitoring,
ensuring it is not initiated if eGFR drops below 30 mL/min, and
target an individual HbA1c of 7.5% - 8.0% for complex older adults.
RATIONALE: For older adults with complex health states and
multiple chronic conditions, tight glycemic control increases
hypoglycemia risks. Tight targets (<6.5%) are avoided, and a relaxed
target of 7.5% - 8.0% is appropriate. Metformin can be used if eGFR
is between 30-45 mL/min but requires caution and downward
adjustment; it is strictly contraindicated below 30 mL/min.
Question 3
A 68-year-old male patient with a 40 pack-year smoking history
presents with progressive dyspnea on exertion and a chronic, non-
