NR 601 WEEK 4 MIDTERM 2026 PRACTICE TEST
SHEET FULL SOLUTIONS CORRECT ANSWERS
PREPARATION SET
◉ Which one of the following is true about aging changes?
Answer: stage 3 and stage 4 sleep decreases
◉ An old woman who is cared for by attentive, cautious, concerned
family is particularly likely to suffer from which one of the following
complications after an episode of gastroenteritis?
Answer: immobility related to over concern
◉ Which one of the following is true about psychological aging?
Answer: ageism can lead to isolation and depression
◉ Of the following conditions which one is most common and most
often preventable
Answer: iatrogenic disease
◉ The US advisory committee on immunization practices and the
centers for disease control currently recommend which one of the
following?
,Answer: All older adults be immunized against influenza annually
and that they receive at least one pneumococcal vaccination, all high
risk older adults should receive an additional pneumococcal
vaccination 5 years or more after their first immunization, and older
adults should receive a one-time revaccination for pneumonia if they
were initially vaccinated more than 5 years previously and were less
than 65 years of age at the time of the initial vaccination
◉ Healthcare providers should recommend that older adults engage
in:
Answer: 150 minutes of moderate intensity physical activity weekly
◉ Guidelines for the primary prevention of stroke recommend that
aspirin be used in which one of the following?
Answer: individuals whose risk is high enough for the benefits to
outweighs the risk
◉ Older adults are less likely to get counseled for smoking cessation
but they have what quit rates?
Answer: the same quit rates as younger individuals
◉ What is true about cultural humility?
Answer: It places emphasis on power imbalances and promotes
interpersonal sensitivity through partnerships with and learning
from patients
,◉ How are older black americans impacted by cultural disparities
Answer: reluctance to participate in medical research,
underrepresentation of geriatric black physicians in the work force,
and cumulative effects of differences in access to healthcare
providers
◉ Most appropriate description of personhood as it relates to
people with dementia
Answer: the ability to relate to others as people rather than
preserving cognitive independence, is an important aspect of
"personhood"
◉ cultural beliefs in older adults
Answer: end of life care is sensitive to culture beliefs and should be
explored carefully with the patient and family as appropriate
◉ Patient GG is an 82-year-old woman with complaints of dysuria
and polyuria. A urinalysis is positive for a urinary tract infection. She
is 55 kg, her serum creatinine is 1.5 mg/dL, and she has no known
drug allergies. Which of the following is the most appropriate
antibiotic regimen?
Answer: Sulfamethoxazole/trimethoprim 400/80 mg BID for 3 days
, ◉ An older woman with a history of mild Alzheimer disease was
recently started on oxybutynin 10 mg orally twice daily for urinary
incontinence. Her family reports that she has been increasingly
disoriented over the past month and she notes some constipation on
the review of systems during her office visit. What management is
best regarding her urinary incontinence?
Answer: Change oxybutynin to mirabegron 25 mg orally daily.
◉ Patient SL is a 68-year-old man you are seeing for follow-up of
uncontrolled hypertension. He is currently prescribed amlodipine
10 mg daily, azilsartan 40 mg daily, metoprolol tartrate 50 mg BID
(twice daily), and hydrochlorothiazide (HCTZ) 25 mg daily, and his
blood pressure is consistently above target. Secondary causes of
hypertension have been ruled out. You ask him about missing doses
and he tells you that it is difficult to take so many tablets and the
brand-name medication is very expensive. Select the best way to
improve this patient's adherence. You decide to discontinue brand
name azilsartan and:
Answer: Initiate losartan/HCTZ 50/25 mg once daily; HCTZ is
stopped.
◉ An 80-year-old Black woman has a blood pressure (BP) of
168/102 mmHg and is started on amlodipine 5 mg daily. The JNC 8
panel recommends treating this patient to a goal blood pressure of
less than
Answer: 150 mmHg systolic and 90 mmHg diastolic
SHEET FULL SOLUTIONS CORRECT ANSWERS
PREPARATION SET
◉ Which one of the following is true about aging changes?
Answer: stage 3 and stage 4 sleep decreases
◉ An old woman who is cared for by attentive, cautious, concerned
family is particularly likely to suffer from which one of the following
complications after an episode of gastroenteritis?
Answer: immobility related to over concern
◉ Which one of the following is true about psychological aging?
Answer: ageism can lead to isolation and depression
◉ Of the following conditions which one is most common and most
often preventable
Answer: iatrogenic disease
◉ The US advisory committee on immunization practices and the
centers for disease control currently recommend which one of the
following?
,Answer: All older adults be immunized against influenza annually
and that they receive at least one pneumococcal vaccination, all high
risk older adults should receive an additional pneumococcal
vaccination 5 years or more after their first immunization, and older
adults should receive a one-time revaccination for pneumonia if they
were initially vaccinated more than 5 years previously and were less
than 65 years of age at the time of the initial vaccination
◉ Healthcare providers should recommend that older adults engage
in:
Answer: 150 minutes of moderate intensity physical activity weekly
◉ Guidelines for the primary prevention of stroke recommend that
aspirin be used in which one of the following?
Answer: individuals whose risk is high enough for the benefits to
outweighs the risk
◉ Older adults are less likely to get counseled for smoking cessation
but they have what quit rates?
Answer: the same quit rates as younger individuals
◉ What is true about cultural humility?
Answer: It places emphasis on power imbalances and promotes
interpersonal sensitivity through partnerships with and learning
from patients
,◉ How are older black americans impacted by cultural disparities
Answer: reluctance to participate in medical research,
underrepresentation of geriatric black physicians in the work force,
and cumulative effects of differences in access to healthcare
providers
◉ Most appropriate description of personhood as it relates to
people with dementia
Answer: the ability to relate to others as people rather than
preserving cognitive independence, is an important aspect of
"personhood"
◉ cultural beliefs in older adults
Answer: end of life care is sensitive to culture beliefs and should be
explored carefully with the patient and family as appropriate
◉ Patient GG is an 82-year-old woman with complaints of dysuria
and polyuria. A urinalysis is positive for a urinary tract infection. She
is 55 kg, her serum creatinine is 1.5 mg/dL, and she has no known
drug allergies. Which of the following is the most appropriate
antibiotic regimen?
Answer: Sulfamethoxazole/trimethoprim 400/80 mg BID for 3 days
, ◉ An older woman with a history of mild Alzheimer disease was
recently started on oxybutynin 10 mg orally twice daily for urinary
incontinence. Her family reports that she has been increasingly
disoriented over the past month and she notes some constipation on
the review of systems during her office visit. What management is
best regarding her urinary incontinence?
Answer: Change oxybutynin to mirabegron 25 mg orally daily.
◉ Patient SL is a 68-year-old man you are seeing for follow-up of
uncontrolled hypertension. He is currently prescribed amlodipine
10 mg daily, azilsartan 40 mg daily, metoprolol tartrate 50 mg BID
(twice daily), and hydrochlorothiazide (HCTZ) 25 mg daily, and his
blood pressure is consistently above target. Secondary causes of
hypertension have been ruled out. You ask him about missing doses
and he tells you that it is difficult to take so many tablets and the
brand-name medication is very expensive. Select the best way to
improve this patient's adherence. You decide to discontinue brand
name azilsartan and:
Answer: Initiate losartan/HCTZ 50/25 mg once daily; HCTZ is
stopped.
◉ An 80-year-old Black woman has a blood pressure (BP) of
168/102 mmHg and is started on amlodipine 5 mg daily. The JNC 8
panel recommends treating this patient to a goal blood pressure of
less than
Answer: 150 mmHg systolic and 90 mmHg diastolic
