NR601 Midterm Exam Study Guide
Primary Care Maturing Aged Family
Chamberlain Actual Exam 2026/2027 |
Complete Exam-Style Questions | 100%
Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
Section I: Physiological Changes of Aging & Geriatric Assessment
(Questions 1-15)
Question 1
What are the three primary physiological changes of aging?
A) Decreased appetite, increased sleep needs, and reduced muscle mass
B) Reduced physiological reserve, reduced homeostatic mechanisms,
and impaired immunological function
C) Increased blood pressure, decreased bone density, and memory loss
D) Weight gain, decreased vision, and hearing loss
Correct ,,,answer,,,: B) Reduced physiological reserve, reduced
homeostatic mechanisms, and impaired immunological function
Rationale: The three hallmark changes of aging include: (1) Reduced
physiological reserve of most body systems (particularly cardiac,
,respiratory, and renal), (2) Reduced homeostatic mechanisms affecting
temperature regulation and fluid/electrolyte balance, and (3) Impaired
immunological function that increases infection risk and autoimmune
disease prevalence. These changes form the foundation for
understanding geriatric care .
Question 2
What is the preferred amount of exercise recommended for older adults
according to current guidelines?
A) 15 minutes/day, 3 days/week
B) 30 minutes/day, 5 days/week of moderate exercise
C) 60 minutes/day, 7 days/week of vigorous exercise
D) No specific recommendation for older adults
Correct ,,,answer,,,: B) 30 minutes/day, 5 days/week of moderate
exercise
Rationale: Current guidelines recommend that older adults engage in 30
minutes of moderate-intensity aerobic activity at least 5 days per week.
If weight management is a goal, 60 minutes per day is advised. To
maintain flexibility, older adults should perform activities that maintain
or increase flexibility on at least 2 days each week for at least 10
minutes each day .
,Question 3
What is the primary purpose of a Comprehensive Geriatric Assessment
(CGA)?
A) To diagnose acute illnesses only
B) To evaluate physical health, functional ability, psychosocial health,
and environmental safety
C) To determine eligibility for nursing home placement
D) To assess medication side effects exclusively
Correct ,,,answer,,,: B) To evaluate physical health, functional
ability, psychosocial health, and environmental safety
Rationale: The comprehensive approach to geriatric assessment is
recommended because the physical health of the older adult is
inextricably related to functional ability, psychosocial health, and a safe
and enabling environment. CGA helps not only to diagnose treatable
conditions and improve patient outcomes but also to identify potentially
preventable conditions .
Question 4
The 2019 Beers Criteria are appropriate for use in evaluating the use of
certain medications in patients:
A) >50 years old
B) >65 years old
C) >75 years old
D) Any adult with polypharmacy
Correct ,,,answer,,,: B) >65 years old
, Rationale: The AGS Beers Criteria specifically target potentially
inappropriate medications (PIMs) in adults aged 65 and older due to
altered pharmacokinetics (decreased renal/hepatic clearance) and
pharmacodynamics (increased sensitivity to CNS drugs) that elevate
adverse drug event risks in this population .
Question 5
According to the Fulmer SPICES assessment tool, which question would
the nurse practitioner ask?
A) "What is your date of birth?"
B) "Who helps you when you can't do something by yourself?"
C) "How much do you weigh?"
D) "Have you had surgery before?"
Correct ,,,answer,,,: B) "Who helps you when you can't do
something by yourself?"
Rationale: The Fulmer SPICES tool is a brief assessment for common
geriatric syndromes including Sleep disorders, Problems with eating,
Incontinence, Confusion, Evidence of falls, and Skin breakdown. The
question about needing help with activities addresses functional status
and potential care needs .
Question 6
Categories of aging include all of the following age ranges EXCEPT:
Primary Care Maturing Aged Family
Chamberlain Actual Exam 2026/2027 |
Complete Exam-Style Questions | 100%
Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
Section I: Physiological Changes of Aging & Geriatric Assessment
(Questions 1-15)
Question 1
What are the three primary physiological changes of aging?
A) Decreased appetite, increased sleep needs, and reduced muscle mass
B) Reduced physiological reserve, reduced homeostatic mechanisms,
and impaired immunological function
C) Increased blood pressure, decreased bone density, and memory loss
D) Weight gain, decreased vision, and hearing loss
Correct ,,,answer,,,: B) Reduced physiological reserve, reduced
homeostatic mechanisms, and impaired immunological function
Rationale: The three hallmark changes of aging include: (1) Reduced
physiological reserve of most body systems (particularly cardiac,
,respiratory, and renal), (2) Reduced homeostatic mechanisms affecting
temperature regulation and fluid/electrolyte balance, and (3) Impaired
immunological function that increases infection risk and autoimmune
disease prevalence. These changes form the foundation for
understanding geriatric care .
Question 2
What is the preferred amount of exercise recommended for older adults
according to current guidelines?
A) 15 minutes/day, 3 days/week
B) 30 minutes/day, 5 days/week of moderate exercise
C) 60 minutes/day, 7 days/week of vigorous exercise
D) No specific recommendation for older adults
Correct ,,,answer,,,: B) 30 minutes/day, 5 days/week of moderate
exercise
Rationale: Current guidelines recommend that older adults engage in 30
minutes of moderate-intensity aerobic activity at least 5 days per week.
If weight management is a goal, 60 minutes per day is advised. To
maintain flexibility, older adults should perform activities that maintain
or increase flexibility on at least 2 days each week for at least 10
minutes each day .
,Question 3
What is the primary purpose of a Comprehensive Geriatric Assessment
(CGA)?
A) To diagnose acute illnesses only
B) To evaluate physical health, functional ability, psychosocial health,
and environmental safety
C) To determine eligibility for nursing home placement
D) To assess medication side effects exclusively
Correct ,,,answer,,,: B) To evaluate physical health, functional
ability, psychosocial health, and environmental safety
Rationale: The comprehensive approach to geriatric assessment is
recommended because the physical health of the older adult is
inextricably related to functional ability, psychosocial health, and a safe
and enabling environment. CGA helps not only to diagnose treatable
conditions and improve patient outcomes but also to identify potentially
preventable conditions .
Question 4
The 2019 Beers Criteria are appropriate for use in evaluating the use of
certain medications in patients:
A) >50 years old
B) >65 years old
C) >75 years old
D) Any adult with polypharmacy
Correct ,,,answer,,,: B) >65 years old
, Rationale: The AGS Beers Criteria specifically target potentially
inappropriate medications (PIMs) in adults aged 65 and older due to
altered pharmacokinetics (decreased renal/hepatic clearance) and
pharmacodynamics (increased sensitivity to CNS drugs) that elevate
adverse drug event risks in this population .
Question 5
According to the Fulmer SPICES assessment tool, which question would
the nurse practitioner ask?
A) "What is your date of birth?"
B) "Who helps you when you can't do something by yourself?"
C) "How much do you weigh?"
D) "Have you had surgery before?"
Correct ,,,answer,,,: B) "Who helps you when you can't do
something by yourself?"
Rationale: The Fulmer SPICES tool is a brief assessment for common
geriatric syndromes including Sleep disorders, Problems with eating,
Incontinence, Confusion, Evidence of falls, and Skin breakdown. The
question about needing help with activities addresses functional status
and potential care needs .
Question 6
Categories of aging include all of the following age ranges EXCEPT:
