NR601 Exam 3: Primary Care of the Maturing & Aged Family Practicum
Questions and Answers and Explanations | Latest - Chamberlain
1. Which of the following is considered an Instrumental Activity of Daily Living
(IADL)?
A. Managing finances
B. Bathing
C. Dressing
D. Toileting
Answer: A
Explanation: IADLs are complex skills needed to live independently, such as managing
finances, shopping, and using a telephone. Bathing, dressing, and toileting are basic ADLs.
2. A 78-year-old patient presents with acute confusion that fluctuates
throughout the day. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Vascular Dementia
C. Delirium
D. Major Depression
Answer: C
,Explanation: Delirium is characterized by an acute onset, fluctuating course, and
disturbances in attention and consciousness.
3. According to the Beers Criteria, which class of medication should be avoided
in older adults due to high risk of falls and fractures?
A. Benzodiazepines
B. ACE Inhibitors
C. Statins
D. Metformin
Answer: A
Explanation: Benzodiazepines increase the risk of cognitive impairment, delirium, falls,
and fractures in the elderly.
4. What is the recommended A1c goal for a ‘frail’ older adult with multiple
chronic illnesses and limited life expectancy?
A. < 6.5%
B. 7.5% to 8.5%
C. < 7.0%
D. < 6.0%
Answer: B
Explanation: For older adults with complex health issues and limited life expectancy, a less
stringent A1c goal of 7.5-8.5% is appropriate to avoid hypoglycemia.
,5. Which physical assessment tool is specifically used to evaluate a patient’s risk
for falls?
A. PHQ-9
B. Mini-Mental State Exam (MMSE)
C. Braden Scale
D. Timed Up and Go (TUG) test
Answer: D
Explanation: The TUG test measures the time it takes for a patient to stand up, walk 3
meters, turn, walk back, and sit down, identifying fall risk.
6. A T-score of -2.6 on a DXA scan indicates which condition?
A. Osteoporosis
B. Osteopenia
C. Normal bone density
D. Osteoarthritis
Answer: A
Explanation: Osteoporosis is defined as a T-score of -2.5 or lower. Osteopenia is between -
1.0 and -2.5.
, 7. In the ‘Get Up and Go’ test, a time greater than how many seconds indicates a
high risk for falls?
A. 5 seconds
B. 8 seconds
C. 20 seconds
D. 12 seconds
Answer: D
Explanation: A TUG score of 12 seconds or more is generally used as the cutoff for
increased fall risk in community-dwelling older adults.
8. Which type of urinary incontinence is characterized by the sudden, intense
urge to urinate followed by involuntary loss of urine?
A. Stress incontinence
B. Overflow incontinence
C. Urge incontinence
D. Functional incontinence
Answer: C
Explanation: Urge incontinence, often associated with an overactive bladder, involves a
strong, sudden need to void.
Questions and Answers and Explanations | Latest - Chamberlain
1. Which of the following is considered an Instrumental Activity of Daily Living
(IADL)?
A. Managing finances
B. Bathing
C. Dressing
D. Toileting
Answer: A
Explanation: IADLs are complex skills needed to live independently, such as managing
finances, shopping, and using a telephone. Bathing, dressing, and toileting are basic ADLs.
2. A 78-year-old patient presents with acute confusion that fluctuates
throughout the day. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Vascular Dementia
C. Delirium
D. Major Depression
Answer: C
,Explanation: Delirium is characterized by an acute onset, fluctuating course, and
disturbances in attention and consciousness.
3. According to the Beers Criteria, which class of medication should be avoided
in older adults due to high risk of falls and fractures?
A. Benzodiazepines
B. ACE Inhibitors
C. Statins
D. Metformin
Answer: A
Explanation: Benzodiazepines increase the risk of cognitive impairment, delirium, falls,
and fractures in the elderly.
4. What is the recommended A1c goal for a ‘frail’ older adult with multiple
chronic illnesses and limited life expectancy?
A. < 6.5%
B. 7.5% to 8.5%
C. < 7.0%
D. < 6.0%
Answer: B
Explanation: For older adults with complex health issues and limited life expectancy, a less
stringent A1c goal of 7.5-8.5% is appropriate to avoid hypoglycemia.
,5. Which physical assessment tool is specifically used to evaluate a patient’s risk
for falls?
A. PHQ-9
B. Mini-Mental State Exam (MMSE)
C. Braden Scale
D. Timed Up and Go (TUG) test
Answer: D
Explanation: The TUG test measures the time it takes for a patient to stand up, walk 3
meters, turn, walk back, and sit down, identifying fall risk.
6. A T-score of -2.6 on a DXA scan indicates which condition?
A. Osteoporosis
B. Osteopenia
C. Normal bone density
D. Osteoarthritis
Answer: A
Explanation: Osteoporosis is defined as a T-score of -2.5 or lower. Osteopenia is between -
1.0 and -2.5.
, 7. In the ‘Get Up and Go’ test, a time greater than how many seconds indicates a
high risk for falls?
A. 5 seconds
B. 8 seconds
C. 20 seconds
D. 12 seconds
Answer: D
Explanation: A TUG score of 12 seconds or more is generally used as the cutoff for
increased fall risk in community-dwelling older adults.
8. Which type of urinary incontinence is characterized by the sudden, intense
urge to urinate followed by involuntary loss of urine?
A. Stress incontinence
B. Overflow incontinence
C. Urge incontinence
D. Functional incontinence
Answer: C
Explanation: Urge incontinence, often associated with an overactive bladder, involves a
strong, sudden need to void.
