NR 601 / NR601
FINAL EXAM — ENHANCED STUDY GUIDE
Primary Care of the Maturing & Aged Family Practicum
Original Questions & Answers • Clinical Reasoning • Geriatric Primary Care
Source note: The supplied Stuvia listing is a 12-page 2021/2022 Q&A; document. Its public preview includes palliative care,
diabetes, recurrent UTI, postmenopausal symptoms, dementia/depression medication selection, Parkinson disease, urinary
incontinence and acute prostatitis. This guide uses those visible themes and expands them with original, clinically oriented study
questions. It does not reproduce or reconstruct locked material.
Important: This is a study aid, not an official Chamberlain exam or answer key. Clinical recommendations can change; follow
current course materials, guidelines, and prescribing references for clinical decisions.
NR 601 • Original Enhanced Final Exam Study Guide Page 1
, CONTENTS
1. Geriatric Assessment & Preventive Care
2. Palliative Care, Advance Care Planning & Goals of Care
3. Diabetes in Older Adults
4. Cardiovascular Disease & Hypertension
5. GU, Sexual Health & Urinary Incontinence
6. Neurologic Disorders & Falls
7. Dementia, Delirium & Depression
8. Musculoskeletal, Osteoporosis & Pain
9. Polypharmacy & Medication Safety
10. Women's and Men's Health in Later Life
11. Mixed Final Practice — 50 Questions
12. Answer Key, Rationales & Exam Traps
NR 601 • Original Enhanced Final Exam Study Guide Page 2
, 1. GERIATRIC ASSESSMENT & PREVENTIVE CARE
1. Question: What is a comprehensive geriatric assessment?
Answer: A multidimensional evaluation of medical, functional, cognitive, psychological, social, environmental and
medication-related factors that influence an older adult's health and independence.
2. Question: Why is functional status important in an older adult?
Answer: Function often reflects the practical impact of disease more directly than a diagnosis list. Assess basic activities of
daily living (ADLs) and instrumental activities of daily living (IADLs).
3. Question: What are examples of ADLs?
Answer: Bathing, dressing, toileting, transferring, continence and feeding.
4. Question: What are examples of IADLs?
Answer: Medication management, finances, shopping, transportation, meal preparation, housekeeping and
telephone/communication tasks.
5. Question: Why should medication reconciliation be performed carefully in older adults?
Answer: Age-related pharmacokinetic changes, polypharmacy and potentially inappropriate medications can increase
adverse drug events, falls, delirium and hospitalization.
6. Question: What is frailty?
Answer: A state of decreased physiologic reserve that increases vulnerability to stressors. It is associated with higher risks of
falls, disability, hospitalization and mortality.
7. Question: Why should fall history be routinely assessed?
Answer: A prior fall is one of the strongest predictors of future falls. Assessment should include gait/balance, medications,
vision, footwear, orthostasis and home hazards.
8. Question: What is orthostatic hypotension?
Answer: A clinically significant fall in blood pressure after standing, typically assessed after the patient has been supine and
then upright. Symptoms and context matter.
9. Question: Why can older adults have atypical presentations of disease?
Answer: Aging and multimorbidity may blunt classic signs. For example, infection may present with functional decline or
delirium rather than high fever.
10. Question: What is the purpose of preventive care in older adults?
Answer: To reduce preventable morbidity while aligning screening and interventions with age, life expectancy, risks,
preferences and overall goals of care.
NR 601 • Original Enhanced Final Exam Study Guide Page 3
FINAL EXAM — ENHANCED STUDY GUIDE
Primary Care of the Maturing & Aged Family Practicum
Original Questions & Answers • Clinical Reasoning • Geriatric Primary Care
Source note: The supplied Stuvia listing is a 12-page 2021/2022 Q&A; document. Its public preview includes palliative care,
diabetes, recurrent UTI, postmenopausal symptoms, dementia/depression medication selection, Parkinson disease, urinary
incontinence and acute prostatitis. This guide uses those visible themes and expands them with original, clinically oriented study
questions. It does not reproduce or reconstruct locked material.
Important: This is a study aid, not an official Chamberlain exam or answer key. Clinical recommendations can change; follow
current course materials, guidelines, and prescribing references for clinical decisions.
NR 601 • Original Enhanced Final Exam Study Guide Page 1
, CONTENTS
1. Geriatric Assessment & Preventive Care
2. Palliative Care, Advance Care Planning & Goals of Care
3. Diabetes in Older Adults
4. Cardiovascular Disease & Hypertension
5. GU, Sexual Health & Urinary Incontinence
6. Neurologic Disorders & Falls
7. Dementia, Delirium & Depression
8. Musculoskeletal, Osteoporosis & Pain
9. Polypharmacy & Medication Safety
10. Women's and Men's Health in Later Life
11. Mixed Final Practice — 50 Questions
12. Answer Key, Rationales & Exam Traps
NR 601 • Original Enhanced Final Exam Study Guide Page 2
, 1. GERIATRIC ASSESSMENT & PREVENTIVE CARE
1. Question: What is a comprehensive geriatric assessment?
Answer: A multidimensional evaluation of medical, functional, cognitive, psychological, social, environmental and
medication-related factors that influence an older adult's health and independence.
2. Question: Why is functional status important in an older adult?
Answer: Function often reflects the practical impact of disease more directly than a diagnosis list. Assess basic activities of
daily living (ADLs) and instrumental activities of daily living (IADLs).
3. Question: What are examples of ADLs?
Answer: Bathing, dressing, toileting, transferring, continence and feeding.
4. Question: What are examples of IADLs?
Answer: Medication management, finances, shopping, transportation, meal preparation, housekeeping and
telephone/communication tasks.
5. Question: Why should medication reconciliation be performed carefully in older adults?
Answer: Age-related pharmacokinetic changes, polypharmacy and potentially inappropriate medications can increase
adverse drug events, falls, delirium and hospitalization.
6. Question: What is frailty?
Answer: A state of decreased physiologic reserve that increases vulnerability to stressors. It is associated with higher risks of
falls, disability, hospitalization and mortality.
7. Question: Why should fall history be routinely assessed?
Answer: A prior fall is one of the strongest predictors of future falls. Assessment should include gait/balance, medications,
vision, footwear, orthostasis and home hazards.
8. Question: What is orthostatic hypotension?
Answer: A clinically significant fall in blood pressure after standing, typically assessed after the patient has been supine and
then upright. Symptoms and context matter.
9. Question: Why can older adults have atypical presentations of disease?
Answer: Aging and multimorbidity may blunt classic signs. For example, infection may present with functional decline or
delirium rather than high fever.
10. Question: What is the purpose of preventive care in older adults?
Answer: To reduce preventable morbidity while aligning screening and interventions with age, life expectancy, risks,
preferences and overall goals of care.
NR 601 • Original Enhanced Final Exam Study Guide Page 3
