NR 601/NR601(Latest Questions and Answers
2026/2027 Newest Version) FINAL EXAM WITH VERIFIED
QUESTIONS AND ANSWERS 100% A+
1. An 86-year-old female comes to your office for a wellness visit. She
introduces her unmarried partner of 35 years and wants that partner
to make medical decisions if she loses capacity. What is the most
appropriate recommendation?
A. Obtain a verbal agreement from family members
B. Add the partner's name to her insurance policy
C. File an advance directive
D. Create a joint bank account
Answer: C. File an advance directive
2. An 81-year-old transgender woman with depression and
hyperlipidemia smokes one pack per day. Which preventive
intervention is most important?
A. Increase estrogen dose
B. Counseling on smoking cessation
C. Annual chest CT regardless of risk factors
D. Stop atorvastatin
Answer: B. Counseling on smoking cessation
1|Page
,3. An 84-year-old man with multiple sexual partners and intermittent
condom use engages in receptive oral, receptive anal, and penetrative
sex. What STI testing should be offered?
A. Blood testing only
B. Urine testing only
C. Blood testing and urine testing only
D. Urine testing, blood testing, anal swab, and oropharyngeal swab
Answer: D. Urine testing, blood testing, anal swab, and oropharyngeal
swab
4. Which of the following is true about tolterodine?
A. It has no anticholinergic effects
B. It is contraindicated in all older adults
C. The twice-daily formulation has a greater risk of adverse effects
D. It is superior to all other overactive bladder medications
Answer: C. The twice-daily formulation has a greater risk of adverse
effects
5. An 82-year-old man develops worsening nocturia and lower
extremity edema after starting amlodipine. What is the most
appropriate next step?
A. Increase amlodipine dose
B. Add oxybutynin
C. Stop lisinopril
D. Stop amlodipine and increase lisinopril
2|Page
,Answer: D. Stop amlodipine and increase lisinopril
6. A woman with dementia develops urinary incontinence primarily
while attending a day program. Initial treatment will require
intervention by whom?
A. Urologist
B. Day program staff
C. Neurologist
D. Physical therapist
Answer: B. Day program staff
7. An 82-year-old woman experiences urine leakage while golfing
despite lifestyle changes and prior pelvic floor exercises. What is the
most appropriate recommendation?
A. Indwelling catheter
B. Bladder training
C. Immediate surgery
D. Fluid restriction
Answer: B. Bladder training
8. What is the most common cause of erectile dysfunction in older
men?
A. Hypogonadism
B. Depression
3|Page
, C. Atherosclerosis
D. Prostatitis
Answer: C. Atherosclerosis
9. What is the most reasonable first-line treatment for erectile
dysfunction in older men?
A. Testosterone replacement
B. Penile prosthesis
C. Vacuum device
D. Sildenafil
Answer: D. Sildenafil
10. A 72-year-old woman reports vaginal dryness that interferes with
intercourse. What should be the first step in management?
A. Start systemic estrogen
B. Stop chlorthalidone
C. Begin pelvic floor therapy
D. Refer for surgery
Answer: B. Stop chlorthalidone
11. A 70-year-old woman reports pain only with deep penetration
during intercourse. What is the most likely cause?
A. Vulvovaginal candidiasis
B. Atrophic vaginitis
C. High-tone pelvic floor dysfunction
D. Urinary tract infection
4|Page
2026/2027 Newest Version) FINAL EXAM WITH VERIFIED
QUESTIONS AND ANSWERS 100% A+
1. An 86-year-old female comes to your office for a wellness visit. She
introduces her unmarried partner of 35 years and wants that partner
to make medical decisions if she loses capacity. What is the most
appropriate recommendation?
A. Obtain a verbal agreement from family members
B. Add the partner's name to her insurance policy
C. File an advance directive
D. Create a joint bank account
Answer: C. File an advance directive
2. An 81-year-old transgender woman with depression and
hyperlipidemia smokes one pack per day. Which preventive
intervention is most important?
A. Increase estrogen dose
B. Counseling on smoking cessation
C. Annual chest CT regardless of risk factors
D. Stop atorvastatin
Answer: B. Counseling on smoking cessation
1|Page
,3. An 84-year-old man with multiple sexual partners and intermittent
condom use engages in receptive oral, receptive anal, and penetrative
sex. What STI testing should be offered?
A. Blood testing only
B. Urine testing only
C. Blood testing and urine testing only
D. Urine testing, blood testing, anal swab, and oropharyngeal swab
Answer: D. Urine testing, blood testing, anal swab, and oropharyngeal
swab
4. Which of the following is true about tolterodine?
A. It has no anticholinergic effects
B. It is contraindicated in all older adults
C. The twice-daily formulation has a greater risk of adverse effects
D. It is superior to all other overactive bladder medications
Answer: C. The twice-daily formulation has a greater risk of adverse
effects
5. An 82-year-old man develops worsening nocturia and lower
extremity edema after starting amlodipine. What is the most
appropriate next step?
A. Increase amlodipine dose
B. Add oxybutynin
C. Stop lisinopril
D. Stop amlodipine and increase lisinopril
2|Page
,Answer: D. Stop amlodipine and increase lisinopril
6. A woman with dementia develops urinary incontinence primarily
while attending a day program. Initial treatment will require
intervention by whom?
A. Urologist
B. Day program staff
C. Neurologist
D. Physical therapist
Answer: B. Day program staff
7. An 82-year-old woman experiences urine leakage while golfing
despite lifestyle changes and prior pelvic floor exercises. What is the
most appropriate recommendation?
A. Indwelling catheter
B. Bladder training
C. Immediate surgery
D. Fluid restriction
Answer: B. Bladder training
8. What is the most common cause of erectile dysfunction in older
men?
A. Hypogonadism
B. Depression
3|Page
, C. Atherosclerosis
D. Prostatitis
Answer: C. Atherosclerosis
9. What is the most reasonable first-line treatment for erectile
dysfunction in older men?
A. Testosterone replacement
B. Penile prosthesis
C. Vacuum device
D. Sildenafil
Answer: D. Sildenafil
10. A 72-year-old woman reports vaginal dryness that interferes with
intercourse. What should be the first step in management?
A. Start systemic estrogen
B. Stop chlorthalidone
C. Begin pelvic floor therapy
D. Refer for surgery
Answer: B. Stop chlorthalidone
11. A 70-year-old woman reports pain only with deep penetration
during intercourse. What is the most likely cause?
A. Vulvovaginal candidiasis
B. Atrophic vaginitis
C. High-tone pelvic floor dysfunction
D. Urinary tract infection
4|Page
