CHAMBERL AIN UNIVERSIT Y
Graduate Nursing Program
NR 601 Primary Care of the Maturing & Aged Family Practicum
Academic Year: 2026/2027
Final Exam: Complete Question Bank
Question 1
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of
96mg/dl. The nurse practitioner management plan includes:
A. repeat fasting plasma glucose in three years
B. prescribe Metformin 500mg po BID
C. repeat fasting plasma glucose in one year
D. refer to ophthalmology for eye exam
CORRECT ANSWER: A. repeat fasting plasma glucose in three years
RATIONALE: A fasting glucose of 96 mg/dL is normal (<100 mg/dL). According to ADA
guidelines, screening should be repeated every 3 years for patients with normal glucose
levels.
,Question 2
According to the palliative care presentation, most elderly patients die:
A. alone
B. at home
C. in institutions
D. in pain
CORRECT ANSWER: C. in institutions
RATIONALE:Most elderly patients die in institutions such as hospitals or nursing homes,
despite many preferring to die at home.
Question 3
The highest level of evidence to support interventions at the end of life is with:
A. hycosamine for respiratory secretions
B. stimulant laxatives for treating constipation
C. opioids for pain control
D. opioids for dyspnea
CORRECT ANSWER: D. opioids for dyspnea
RATIONALE: Opioids for dyspnea have the highest level of evidence among end-of-life
interventions, with multiple randomized controlled trials supporting their use in relieving
breathlessness in terminally ill patients.
,Question 4
K B age 54 presents to your office. her husband has just died suddenly and she states
she cannot function. She is crying all the time, cant seem to focus and she has so much
she needs to do to plan the funeral service and get through the next few days. YOu
decide to prescribe a benzodiazepine. Please choose the correct treatment decision
statements below.
A. benzodiazepines are safe to prescribe long term
B. benzodiazepines should not be stopped abruptly if taken for > 1 month
C. benzodiazepines are first line treatment for anxiety in the elderly
D. benzodiazepines should be prescribed at the highest dose tolerated for the best
effect
CORRECT ANSWER:
B. benzodiazepines should not be stopped abruptly if taken for > 1 month
RATIONALE:Abrupt discontinuation of benzodiazepines after prolonged use (>1 month)
can cause withdrawal symptoms and rebound anxiety. They should be tapered slowly to
avoid complications.
, Question 5
When assessing an elderly client who reports a tremor, which assessment findings
would be most reliable in identifying Parkinsons disease?
A. cogwheel rigidity, bradykinesia, and macrorgraphia
B. any presence of fever
C. symptoms of slowed movement, unstable angina and tremor
D. resting tremor, slow unsteady gait and cogwheel rigidity
CORRECT ANSWER: D. resting tremor, slow unsteady gait and cogwheel rigidity
RATIONALE: Parkinson's disease is characterized by resting tremor, bradykinesia, rigidity
(cogwheel rigidity), and postural instability. These are the cardinal signs of the disease.
Question 6
An 80 year old female widow asks her nurse practitioner about her end of life options.
Her diagnosis include congestive heart failure, hypertension and type 2 diabetes
mellitus. She has noticed that in the last month she has lower extremity edema and she
if finding it difficult to walk to the grocery store and church. She does not use oxygen.
She is able to maintain her home but requires more frequent rests after vacuuming. She
does not wish to be admitted to the hospital again in the future but if admitted wants
to maintain full code status. How should the NP address this patients concerns today?
A. start her on a medication for depression
B. provide her with information for senior day care services
C. offer the patient a palliative care referral
CORRECT ANSWER: C. offer the patient a palliative care referral
RATIONALE:Palliative care is appropriate for patients with serious illness at any stage,
focusing on symptom management and quality of life. This patient's declining function and
symptoms warrant a palliative care referral.
Graduate Nursing Program
NR 601 Primary Care of the Maturing & Aged Family Practicum
Academic Year: 2026/2027
Final Exam: Complete Question Bank
Question 1
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of
96mg/dl. The nurse practitioner management plan includes:
A. repeat fasting plasma glucose in three years
B. prescribe Metformin 500mg po BID
C. repeat fasting plasma glucose in one year
D. refer to ophthalmology for eye exam
CORRECT ANSWER: A. repeat fasting plasma glucose in three years
RATIONALE: A fasting glucose of 96 mg/dL is normal (<100 mg/dL). According to ADA
guidelines, screening should be repeated every 3 years for patients with normal glucose
levels.
,Question 2
According to the palliative care presentation, most elderly patients die:
A. alone
B. at home
C. in institutions
D. in pain
CORRECT ANSWER: C. in institutions
RATIONALE:Most elderly patients die in institutions such as hospitals or nursing homes,
despite many preferring to die at home.
Question 3
The highest level of evidence to support interventions at the end of life is with:
A. hycosamine for respiratory secretions
B. stimulant laxatives for treating constipation
C. opioids for pain control
D. opioids for dyspnea
CORRECT ANSWER: D. opioids for dyspnea
RATIONALE: Opioids for dyspnea have the highest level of evidence among end-of-life
interventions, with multiple randomized controlled trials supporting their use in relieving
breathlessness in terminally ill patients.
,Question 4
K B age 54 presents to your office. her husband has just died suddenly and she states
she cannot function. She is crying all the time, cant seem to focus and she has so much
she needs to do to plan the funeral service and get through the next few days. YOu
decide to prescribe a benzodiazepine. Please choose the correct treatment decision
statements below.
A. benzodiazepines are safe to prescribe long term
B. benzodiazepines should not be stopped abruptly if taken for > 1 month
C. benzodiazepines are first line treatment for anxiety in the elderly
D. benzodiazepines should be prescribed at the highest dose tolerated for the best
effect
CORRECT ANSWER:
B. benzodiazepines should not be stopped abruptly if taken for > 1 month
RATIONALE:Abrupt discontinuation of benzodiazepines after prolonged use (>1 month)
can cause withdrawal symptoms and rebound anxiety. They should be tapered slowly to
avoid complications.
, Question 5
When assessing an elderly client who reports a tremor, which assessment findings
would be most reliable in identifying Parkinsons disease?
A. cogwheel rigidity, bradykinesia, and macrorgraphia
B. any presence of fever
C. symptoms of slowed movement, unstable angina and tremor
D. resting tremor, slow unsteady gait and cogwheel rigidity
CORRECT ANSWER: D. resting tremor, slow unsteady gait and cogwheel rigidity
RATIONALE: Parkinson's disease is characterized by resting tremor, bradykinesia, rigidity
(cogwheel rigidity), and postural instability. These are the cardinal signs of the disease.
Question 6
An 80 year old female widow asks her nurse practitioner about her end of life options.
Her diagnosis include congestive heart failure, hypertension and type 2 diabetes
mellitus. She has noticed that in the last month she has lower extremity edema and she
if finding it difficult to walk to the grocery store and church. She does not use oxygen.
She is able to maintain her home but requires more frequent rests after vacuuming. She
does not wish to be admitted to the hospital again in the future but if admitted wants
to maintain full code status. How should the NP address this patients concerns today?
A. start her on a medication for depression
B. provide her with information for senior day care services
C. offer the patient a palliative care referral
CORRECT ANSWER: C. offer the patient a palliative care referral
RATIONALE:Palliative care is appropriate for patients with serious illness at any stage,
focusing on symptom management and quality of life. This patient's declining function and
symptoms warrant a palliative care referral.
