NSG 5544 Final Exam | Questions and Answers | 2026 Update | 100% Correct - South College.
NSG 5544 – Primary Care for Adults / Older Adults in Families I (Didactic)
South College
Health promotion & disease prevention
Comprehensive adult & geriatric assessment
Management of common primary care conditions
Pharmacologic & non-pharmacologic management
Family-centered, culturally competent care
Clinical decision-making at the NP level
NSG 5544 FINAL EXAM – ALIGNED QUESTIONS & ANSWERS
Domain 1: Health Promotion & Disease Prevention
1. Which screening is recommended for an average-risk adult beginning at age 45?
Answer: Colorectal cancer screening.
2. A 68-year-old patient asks about influenza vaccination. What is the best recommendation?
Answer: Annual influenza vaccination is recommended for all adults ≥65 years.
3. Which counseling intervention best supports smoking cessation in primary care?
Answer: Motivational interviewing combined with pharmacotherapy.
4. Which immunization is specifically recommended for adults age 65 and older?
Answer: Pneumococcal vaccination.
5. The primary goal of health promotion is to:
Answer: Enable individuals to increase control over their health.
Domain 2: Comprehensive Adult & Older Adult Assessment
,6. Which assessment finding is most concerning in an older adult?
Answer: Acute confusion.
7. The most appropriate initial cognitive screening tool in primary care is:
Answer: Mini-Cog.
8. Orthostatic hypotension is diagnosed when:
Answer: Systolic BP drops ≥20 mmHg or diastolic BP drops ≥10 mmHg upon standing.
9. Polypharmacy in older adults increases the risk of:
Answer: Falls, adverse drug reactions, and hospitalizations.
10. Which geriatric syndrome is most associated with functional decline?
Answer: Falls.
Domain 3: Cardiovascular Disorders
11. The target blood pressure goal for most adults with hypertension is:
Answer: <130/80 mmHg.
12. First-line treatment for uncomplicated hypertension includes:
Answer: Lifestyle modification and thiazide diuretics.
13. Which symptom is most concerning for acute coronary syndrome in older adults?
Answer: Shortness of breath without chest pain.
14. A patient with hyperlipidemia should first be counseled on:
Answer: Diet, physical activity, and weight management.
15. Statins reduce cardiovascular risk primarily by:
, Answer: Lowering LDL cholesterol.
Domain 4: Endocrine Disorders
16. Diagnostic criteria for diabetes mellitus include:
Answer: HbA1c ≥6.5%.
17. First-line pharmacologic therapy for type 2 diabetes is:
Answer: Metformin (unless contraindicated).
18. Which finding suggests hypoglycemia in an older adult?
Answer: Confusion and diaphoresis.
19. A key concern when managing diabetes in older adults is:
Answer: Preventing hypoglycemia.
20. Annual screening for diabetic patients should include:
Answer: Eye exams, foot exams, and renal function tests.
Domain 5: Respiratory Disorders
21. The most common cause of COPD is:
Answer: Tobacco smoking.
22. First-line therapy for mild intermittent asthma is:
Answer: Short-acting beta-agonist (SABA).
23. Which symptom is most indicative of pneumonia in older adults?
Answer: Acute confusion.
24. Smoking cessation is the most effective intervention to:
NSG 5544 – Primary Care for Adults / Older Adults in Families I (Didactic)
South College
Health promotion & disease prevention
Comprehensive adult & geriatric assessment
Management of common primary care conditions
Pharmacologic & non-pharmacologic management
Family-centered, culturally competent care
Clinical decision-making at the NP level
NSG 5544 FINAL EXAM – ALIGNED QUESTIONS & ANSWERS
Domain 1: Health Promotion & Disease Prevention
1. Which screening is recommended for an average-risk adult beginning at age 45?
Answer: Colorectal cancer screening.
2. A 68-year-old patient asks about influenza vaccination. What is the best recommendation?
Answer: Annual influenza vaccination is recommended for all adults ≥65 years.
3. Which counseling intervention best supports smoking cessation in primary care?
Answer: Motivational interviewing combined with pharmacotherapy.
4. Which immunization is specifically recommended for adults age 65 and older?
Answer: Pneumococcal vaccination.
5. The primary goal of health promotion is to:
Answer: Enable individuals to increase control over their health.
Domain 2: Comprehensive Adult & Older Adult Assessment
,6. Which assessment finding is most concerning in an older adult?
Answer: Acute confusion.
7. The most appropriate initial cognitive screening tool in primary care is:
Answer: Mini-Cog.
8. Orthostatic hypotension is diagnosed when:
Answer: Systolic BP drops ≥20 mmHg or diastolic BP drops ≥10 mmHg upon standing.
9. Polypharmacy in older adults increases the risk of:
Answer: Falls, adverse drug reactions, and hospitalizations.
10. Which geriatric syndrome is most associated with functional decline?
Answer: Falls.
Domain 3: Cardiovascular Disorders
11. The target blood pressure goal for most adults with hypertension is:
Answer: <130/80 mmHg.
12. First-line treatment for uncomplicated hypertension includes:
Answer: Lifestyle modification and thiazide diuretics.
13. Which symptom is most concerning for acute coronary syndrome in older adults?
Answer: Shortness of breath without chest pain.
14. A patient with hyperlipidemia should first be counseled on:
Answer: Diet, physical activity, and weight management.
15. Statins reduce cardiovascular risk primarily by:
, Answer: Lowering LDL cholesterol.
Domain 4: Endocrine Disorders
16. Diagnostic criteria for diabetes mellitus include:
Answer: HbA1c ≥6.5%.
17. First-line pharmacologic therapy for type 2 diabetes is:
Answer: Metformin (unless contraindicated).
18. Which finding suggests hypoglycemia in an older adult?
Answer: Confusion and diaphoresis.
19. A key concern when managing diabetes in older adults is:
Answer: Preventing hypoglycemia.
20. Annual screening for diabetic patients should include:
Answer: Eye exams, foot exams, and renal function tests.
Domain 5: Respiratory Disorders
21. The most common cause of COPD is:
Answer: Tobacco smoking.
22. First-line therapy for mild intermittent asthma is:
Answer: Short-acting beta-agonist (SABA).
23. Which symptom is most indicative of pneumonia in older adults?
Answer: Acute confusion.
24. Smoking cessation is the most effective intervention to:
