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
Which of the following is NOT a risk factor for a medical condition?
A. dominant personality
B. obesity
C. cardiovascular disease
D. diabetes
CORRECT ANSWER: A. dominant personality
RATIONALE: Dominant personality is not a recognized risk factor for common chronic
diseases. Obesity, cardiovascular disease, and diabetes are well-established risk factors for
various medical conditions.
,Question 2
According to the GU presentation, the #1 risk factor for urinary incontinence is:
A. uncontrolled DM
B. obesity
C. aging
D. smoking and caffeine intake
CORRECT ANSWER: C. aging
RATIONALE:Aging is the number one risk factor for urinary incontinence due to age-
related changes in bladder function, pelvic floor muscles, and urethral sphincter.
Question 3
55yo woman presents with somatic complaints. You suspect anxiety. You know that
somatic symptoms of anxiety include:
A. All answers are appropriate
B. Palpitations, CP, tachycardia
C. Fatigue, insomnia, diaphoresis
D. Diarrhea, nausea, vomiting
CORRECT ANSWER: A. All answers are appropriate
RATIONALE: Anxiety can present with a wide range of somatic symptoms including
cardiac (palpitations, chest pain), autonomic (fatigue, insomnia, diaphoresis), and
gastrointestinal (diarrhea, nausea, vomiting).
,Question 4
You know the following statements regarding the pain of acute coronary syndrome are
true except:
A. May last longer than 20min
B. May radiate to arms, back, neck, jaw
C. Present atypically more often in men than women
D. May be retrosternal or poorly localized
CORRECT ANSWER: C. Present atypically more often in men than women
RATIONALE: Atypical presentation of acute coronary syndrome is more common in
women, not men. Women are more likely to present with non-classic symptoms such as
fatigue, nausea, or back pain.
Question 5
The prevalence of depression in nursing home residents is __________ greater than adults
living in the community.
A. 5 times
B. 3-4 times
C. 2-3 times
D. 1-2 times
CORRECT ANSWER: B. 3-4 times
RATIONALE: Depression is 3-4 times more prevalent in nursing home residents
compared to community-dwelling older adults, often due to factors such as chronic illness,
social isolation, and loss of autonomy.
, Question 6
You have completed the first follow up visit for a new COPD pt who is in stable
condition. The pt asks how often he needs to follow up for COPD. You state that stable
COPD pts should return for follow up eval:
A. Yearly
B. Monthly
C. Every 3-6mo
D. Every 2mo
CORRECT ANSWER: C. Every 3-6mo
RATIONALE: Stable COPD patients should be followed every 3-6 months for monitoring
of symptoms, exacerbations, and medication management.
Question 7
Which organism that can be prevented by vaccine is most often responsible for
infectious "outbreak" in nursing homes?
A. Influenza A
B. Haemophilus influenza
C. Mycobacterium tuberculosis
D. Streptococcus
CORRECT ANSWER: A. Influenza A
RATIONALE:Influenza A is the most common vaccine-preventable cause of infectious
outbreaks in nursing homes due to its high transmissibility and severity in elderly
populations.
Graduate Nursing Program
NR 601 Primary Care of the Maturing & Aged Family Practicum
Academic Year: 2026/2027
Final Exam: Complete Question Bank
Question 1
Which of the following is NOT a risk factor for a medical condition?
A. dominant personality
B. obesity
C. cardiovascular disease
D. diabetes
CORRECT ANSWER: A. dominant personality
RATIONALE: Dominant personality is not a recognized risk factor for common chronic
diseases. Obesity, cardiovascular disease, and diabetes are well-established risk factors for
various medical conditions.
,Question 2
According to the GU presentation, the #1 risk factor for urinary incontinence is:
A. uncontrolled DM
B. obesity
C. aging
D. smoking and caffeine intake
CORRECT ANSWER: C. aging
RATIONALE:Aging is the number one risk factor for urinary incontinence due to age-
related changes in bladder function, pelvic floor muscles, and urethral sphincter.
Question 3
55yo woman presents with somatic complaints. You suspect anxiety. You know that
somatic symptoms of anxiety include:
A. All answers are appropriate
B. Palpitations, CP, tachycardia
C. Fatigue, insomnia, diaphoresis
D. Diarrhea, nausea, vomiting
CORRECT ANSWER: A. All answers are appropriate
RATIONALE: Anxiety can present with a wide range of somatic symptoms including
cardiac (palpitations, chest pain), autonomic (fatigue, insomnia, diaphoresis), and
gastrointestinal (diarrhea, nausea, vomiting).
,Question 4
You know the following statements regarding the pain of acute coronary syndrome are
true except:
A. May last longer than 20min
B. May radiate to arms, back, neck, jaw
C. Present atypically more often in men than women
D. May be retrosternal or poorly localized
CORRECT ANSWER: C. Present atypically more often in men than women
RATIONALE: Atypical presentation of acute coronary syndrome is more common in
women, not men. Women are more likely to present with non-classic symptoms such as
fatigue, nausea, or back pain.
Question 5
The prevalence of depression in nursing home residents is __________ greater than adults
living in the community.
A. 5 times
B. 3-4 times
C. 2-3 times
D. 1-2 times
CORRECT ANSWER: B. 3-4 times
RATIONALE: Depression is 3-4 times more prevalent in nursing home residents
compared to community-dwelling older adults, often due to factors such as chronic illness,
social isolation, and loss of autonomy.
, Question 6
You have completed the first follow up visit for a new COPD pt who is in stable
condition. The pt asks how often he needs to follow up for COPD. You state that stable
COPD pts should return for follow up eval:
A. Yearly
B. Monthly
C. Every 3-6mo
D. Every 2mo
CORRECT ANSWER: C. Every 3-6mo
RATIONALE: Stable COPD patients should be followed every 3-6 months for monitoring
of symptoms, exacerbations, and medication management.
Question 7
Which organism that can be prevented by vaccine is most often responsible for
infectious "outbreak" in nursing homes?
A. Influenza A
B. Haemophilus influenza
C. Mycobacterium tuberculosis
D. Streptococcus
CORRECT ANSWER: A. Influenza A
RATIONALE:Influenza A is the most common vaccine-preventable cause of infectious
outbreaks in nursing homes due to its high transmissibility and severity in elderly
populations.
