CHAMBERL AIN UNIVERSIT Y
Graduate Nursing Program
NR 601 Primary Care of the Maturing & Aged Family Practicum
Academic Year: 2026/2027
Midterm Exam: Complete Question Bank
Question 1
What are the 3 primary physiological changes of aging?
A. Reduced physiological reserve, reduced homeostatic mechanisms, impaired
immunological function
B. Increased physiological reserve, enhanced homeostatic mechanisms, enhanced
immunological function
C. Reduced physiological reserve only
D. Impaired immunological function only
CORRECT ANSWER:
A. Reduced physiological reserve, reduced homeostatic mechanisms, impaired
immunological function
RATIONALE: The three primary physiological changes of aging are: (1) reduced
physiological reserve of most body systems, especially cardiac, respiratory, and renal; (2)
reduced homeostatic mechanisms that fail to adjust regulatory systems; and (3) impaired
immunological function leading to increased infection risk and autoimmune diseases.
,Question 2
What is the preferred amount of exercise for elderly?
A. 30min/day 5 days/wk of moderate exercise
B. 60min/day 7 days/wk of vigorous exercise
C. 15min/day 3 days/wk of moderate exercise
D. 45min/day 4 days/wk of moderate exercise
CORRECT ANSWER: A. 30min/day 5 days/wk of moderate exercise
The preferred amount of exercise for elderly is 30 minutes per day, 5 days
RATIONALE:
per week of moderate exercise. For weight loss, 60 minutes per day is recommended.
Question 3
What is the normal FEV1/FVC ratio?
A. <0.7 (70%)
B. >0.7 (70%)
C. 0.5 (50%)
D. 0.8 (80%)
CORRECT ANSWER: B. >0.7 (70%)
RATIONALE: A normal FEV1/FVC ratio is greater than 0.7 (70%). A ratio less than 0.7
indicates obstructive airway disease according to GOLD criteria.
,Question 4
What is the most common valvular heart disease in elderly?
A. Aortic stenosis
B. Aortic regurgitation
C. Mitral stenosis
D. Mitral regurgitation
CORRECT ANSWER: A. Aortic stenosis
RATIONALE: Aortic stenosis is the most common valvular heart disease in elderly,
typically due to age-related calcific degeneration of the aortic valve.
Question 5
What is the purpose of Beers Criteria?
A. To improve quality and safety when prescribing medications in elderly
B. To define changes in drug metabolism in elderly
C. To define Type A reactions
D. To replace individualized care
CORRECT ANSWER:
A. To improve quality and safety when prescribing medications in elderly
RATIONALE:The Beers Criteria is designed to improve the quality and safety of
prescribing medications in older adults by identifying potentially inappropriate medications
and medications to avoid in specific clinical scenarios.
, Question 6
A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is
causing a cough and sometimes he has difficulty breathing. Which med was most likely
prescribed?
A. Lisinopril
B. Metoprolol
C. Amlodipine
D. Furosemide
CORRECT ANSWER: A. Lisinopril
RATIONALE: ACE inhibitors like lisinopril commonly cause a dry cough and can cause
angioedema leading to dyspnea. This is a characteristic side effect of ACE inhibitors.
Question 7
According to the 2017 ACC HTN guidelines, normal BP is:
A. <120/80
B. <130/80
C. <140/90
D. <150/90
CORRECT ANSWER: A. <120/80
RATIONALE:According to the 2017 ACC/AHA guidelines, normal blood pressure is
defined as <120/80 mmHg.
Graduate Nursing Program
NR 601 Primary Care of the Maturing & Aged Family Practicum
Academic Year: 2026/2027
Midterm Exam: Complete Question Bank
Question 1
What are the 3 primary physiological changes of aging?
A. Reduced physiological reserve, reduced homeostatic mechanisms, impaired
immunological function
B. Increased physiological reserve, enhanced homeostatic mechanisms, enhanced
immunological function
C. Reduced physiological reserve only
D. Impaired immunological function only
CORRECT ANSWER:
A. Reduced physiological reserve, reduced homeostatic mechanisms, impaired
immunological function
RATIONALE: The three primary physiological changes of aging are: (1) reduced
physiological reserve of most body systems, especially cardiac, respiratory, and renal; (2)
reduced homeostatic mechanisms that fail to adjust regulatory systems; and (3) impaired
immunological function leading to increased infection risk and autoimmune diseases.
,Question 2
What is the preferred amount of exercise for elderly?
A. 30min/day 5 days/wk of moderate exercise
B. 60min/day 7 days/wk of vigorous exercise
C. 15min/day 3 days/wk of moderate exercise
D. 45min/day 4 days/wk of moderate exercise
CORRECT ANSWER: A. 30min/day 5 days/wk of moderate exercise
The preferred amount of exercise for elderly is 30 minutes per day, 5 days
RATIONALE:
per week of moderate exercise. For weight loss, 60 minutes per day is recommended.
Question 3
What is the normal FEV1/FVC ratio?
A. <0.7 (70%)
B. >0.7 (70%)
C. 0.5 (50%)
D. 0.8 (80%)
CORRECT ANSWER: B. >0.7 (70%)
RATIONALE: A normal FEV1/FVC ratio is greater than 0.7 (70%). A ratio less than 0.7
indicates obstructive airway disease according to GOLD criteria.
,Question 4
What is the most common valvular heart disease in elderly?
A. Aortic stenosis
B. Aortic regurgitation
C. Mitral stenosis
D. Mitral regurgitation
CORRECT ANSWER: A. Aortic stenosis
RATIONALE: Aortic stenosis is the most common valvular heart disease in elderly,
typically due to age-related calcific degeneration of the aortic valve.
Question 5
What is the purpose of Beers Criteria?
A. To improve quality and safety when prescribing medications in elderly
B. To define changes in drug metabolism in elderly
C. To define Type A reactions
D. To replace individualized care
CORRECT ANSWER:
A. To improve quality and safety when prescribing medications in elderly
RATIONALE:The Beers Criteria is designed to improve the quality and safety of
prescribing medications in older adults by identifying potentially inappropriate medications
and medications to avoid in specific clinical scenarios.
, Question 6
A 55yo Caucasian male follows up after referral to cardiologist. He thinks his med is
causing a cough and sometimes he has difficulty breathing. Which med was most likely
prescribed?
A. Lisinopril
B. Metoprolol
C. Amlodipine
D. Furosemide
CORRECT ANSWER: A. Lisinopril
RATIONALE: ACE inhibitors like lisinopril commonly cause a dry cough and can cause
angioedema leading to dyspnea. This is a characteristic side effect of ACE inhibitors.
Question 7
According to the 2017 ACC HTN guidelines, normal BP is:
A. <120/80
B. <130/80
C. <140/90
D. <150/90
CORRECT ANSWER: A. <120/80
RATIONALE:According to the 2017 ACC/AHA guidelines, normal blood pressure is
defined as <120/80 mmHg.
