NR605 FINAL EXAM (2025/2026)
Actual Exam with Complete Questions and Answers | Chamberlain University |
Primary Care of the Maturing & Aged Family
Overview
This 2025/2026 validated resource contains the complete NR605 Final Exam with
actual questions and verified answers, directly aligned with current Chamberlain
University curriculum standards for Primary Care of the Maturing & Aged Family. Essential
for nurse practitioner students preparing for comprehensive program assessment and
demonstrating mastery in geriatric and adult-gerontology primary care management.
Key Features
✓ 100-Question Comprehensive Exam matching Chamberlain final assessment format
✓ Complex Geriatric Case Management with multiple comorbidities
✓ Advanced Diagnostic Reasoning in aging populations
✓ Updated 2025/2026 geriatric care standards and guidelines
✓ Comprehensive Treatment Planning with interdisciplinary coordination
Content Domains
• Complex Geriatric Assessment (22 Questions)
• Multimorbidity Management (20 Questions)
• Geriatric Syndromes & Special Considerations (18 Questions)
• Advanced Pharmacotherapy (16 Questions)
• Palliative & End-of-Life Care (12 Questions)
• Healthcare Systems & Care Coordination (12 Questions)
Answer Format
Verified correct answers in bold green with:
• Complex case analysis rationales
• Multimorbidity management justifications
• Age-specific treatment considerations
• Interdisciplinary care coordination strategies
Critical Updates 2025/2026
NEW - Comprehensive geriatric emergency management
UPDATED - Dementia and cognitive impairment protocols
REVISED - Functional assessment and mobility evaluation
MODIFIED - Advanced care planning documentation
COMPLEX GERIATRIC ASSESSMENT (Questions 1–22)
1. A frail 84-year-old with heart failure, diabetes, and falls. Priority
assessment tool?
a) Clinical Frailty Scale (CFS ≥ 6 predicts adverse outcomes)
b) PHQ-9
, c) CAGE
d) AUDIT
Rationale: Guides intensity of interventions and prognosis.
2. InterRAI assessment is best used for?
a) Comprehensive care planning in home care and nursing facilities
b) Emergency triage only
c) Single disease tracking
d) No documentation
Rationale: Standardized geriatric assessment system.
3. Elderly woman with memory complaints. First step?
a) Mini-Cog + informant interview (AD8)
b) Immediate MRI
c) Start donepezil
d) Reassure
Rationale: Screens for cognitive impairment and functional impact.
4. Montreal Cognitive Assessment (MoCA) adjusted for low education?
a) Add 1 point if ≤ 12 years (2025 normative update)
b) Subtract 2 points
c) No adjustment
d) Multiply score
Rationale: Corrects for educational bias.
5. Clock Drawing Test (CDT) scoring system with highest sensitivity?
a) 6-item Watson system (≥ 2 errors = impairment)
b) 1-item pass/fail
c) No scoring
d) Only count numbers
Rationale: Detailed scoring improves detection.
6. Geriatric Depression Scale short form positive screen threshold?
a) ≥ 5 points (sensitivity 85 %)
b) 3 points
c) 10 points
d) 15 points
Rationale: Balances sensitivity and specificity.
7. Confusion Assessment Method (CAM) diagnosis requires?
a) Acute onset + fluctuation + inattention + disorganized thinking or
altered LOC
b) Only memory loss
c) Only agitation
d) No criteria
Rationale: Diagnostic algorithm for delirium.
8. Family reports 2-week cognitive decline in 82-year-old. Most likely?
a) Delirium (acute, fluctuating)
b) Alzheimer’s (insidious)
c) Normal aging
d) Depression only
Rationale: Time course distinguishes delirium.
Actual Exam with Complete Questions and Answers | Chamberlain University |
Primary Care of the Maturing & Aged Family
Overview
This 2025/2026 validated resource contains the complete NR605 Final Exam with
actual questions and verified answers, directly aligned with current Chamberlain
University curriculum standards for Primary Care of the Maturing & Aged Family. Essential
for nurse practitioner students preparing for comprehensive program assessment and
demonstrating mastery in geriatric and adult-gerontology primary care management.
Key Features
✓ 100-Question Comprehensive Exam matching Chamberlain final assessment format
✓ Complex Geriatric Case Management with multiple comorbidities
✓ Advanced Diagnostic Reasoning in aging populations
✓ Updated 2025/2026 geriatric care standards and guidelines
✓ Comprehensive Treatment Planning with interdisciplinary coordination
Content Domains
• Complex Geriatric Assessment (22 Questions)
• Multimorbidity Management (20 Questions)
• Geriatric Syndromes & Special Considerations (18 Questions)
• Advanced Pharmacotherapy (16 Questions)
• Palliative & End-of-Life Care (12 Questions)
• Healthcare Systems & Care Coordination (12 Questions)
Answer Format
Verified correct answers in bold green with:
• Complex case analysis rationales
• Multimorbidity management justifications
• Age-specific treatment considerations
• Interdisciplinary care coordination strategies
Critical Updates 2025/2026
NEW - Comprehensive geriatric emergency management
UPDATED - Dementia and cognitive impairment protocols
REVISED - Functional assessment and mobility evaluation
MODIFIED - Advanced care planning documentation
COMPLEX GERIATRIC ASSESSMENT (Questions 1–22)
1. A frail 84-year-old with heart failure, diabetes, and falls. Priority
assessment tool?
a) Clinical Frailty Scale (CFS ≥ 6 predicts adverse outcomes)
b) PHQ-9
, c) CAGE
d) AUDIT
Rationale: Guides intensity of interventions and prognosis.
2. InterRAI assessment is best used for?
a) Comprehensive care planning in home care and nursing facilities
b) Emergency triage only
c) Single disease tracking
d) No documentation
Rationale: Standardized geriatric assessment system.
3. Elderly woman with memory complaints. First step?
a) Mini-Cog + informant interview (AD8)
b) Immediate MRI
c) Start donepezil
d) Reassure
Rationale: Screens for cognitive impairment and functional impact.
4. Montreal Cognitive Assessment (MoCA) adjusted for low education?
a) Add 1 point if ≤ 12 years (2025 normative update)
b) Subtract 2 points
c) No adjustment
d) Multiply score
Rationale: Corrects for educational bias.
5. Clock Drawing Test (CDT) scoring system with highest sensitivity?
a) 6-item Watson system (≥ 2 errors = impairment)
b) 1-item pass/fail
c) No scoring
d) Only count numbers
Rationale: Detailed scoring improves detection.
6. Geriatric Depression Scale short form positive screen threshold?
a) ≥ 5 points (sensitivity 85 %)
b) 3 points
c) 10 points
d) 15 points
Rationale: Balances sensitivity and specificity.
7. Confusion Assessment Method (CAM) diagnosis requires?
a) Acute onset + fluctuation + inattention + disorganized thinking or
altered LOC
b) Only memory loss
c) Only agitation
d) No criteria
Rationale: Diagnostic algorithm for delirium.
8. Family reports 2-week cognitive decline in 82-year-old. Most likely?
a) Delirium (acute, fluctuating)
b) Alzheimer’s (insidious)
c) Normal aging
d) Depression only
Rationale: Time course distinguishes delirium.
