NR601 FINAL EXAM PREP | PRIMARY CARE OF
THE MATURING & AGED FAMILY PRACTICUM |
100 PRACTICE QUESTIONS, ANSWERS &
RATIONALES
Original NR601 Practice Final Exam (Part 1)
Primary Care of the Maturing & Aged Family Practicum
100-Question Practice Examination
Note: This is an original practice exam designed to assess competencies commonly taught in
NR601
Table of Contents
Section Topic Questions
I Health Promotion & Preventive Care 1–10
II Cardiovascular Disorders 11–25
III Endocrine Disorders 26–40
IV Pulmonary Disorders 41–50
V Neurologic Disorders 51–60
VI Musculoskeletal Disorders 61–70
VII Renal & Genitourinary Disorders 71–80
VIII Geriatric Syndromes 81–90
IX Pharmacology & Polypharmacy 91–95
X Comprehensive Case Studies 96–100
Section I – Health Promotion & Preventive Care
,Question 1
A 68-year-old woman presents for her annual wellness visit. She has hypertension and
hyperlipidemia that are well controlled. Which preventive service should be performed at every
office visit?
A. Colonoscopy
B. Mammography
C. Blood pressure measurement
D. Bone density scan
Correct Answer
C. Blood pressure measurement
Rationale
Blood pressure should be assessed during every routine clinical encounter because hypertension
is common in older adults and contributes to stroke, myocardial infarction, heart failure, and
chronic kidney disease. Colonoscopy, mammography, and bone density testing are performed at
recommended intervals rather than every visit.
Question 2
Which vaccine is recommended annually for adults aged 65 years and older?
A. Hepatitis B
B. Influenza
C. MMR
D. HPV
Correct Answer
B. Influenza
Rationale
Annual influenza vaccination reduces hospitalization, complications, and mortality in older
adults. MMR and HPV vaccines are not routinely indicated in this age group unless specific
circumstances exist. Hepatitis B vaccination is based on risk factors or current adult vaccination
recommendations.
,Question 3
A 70-year-old patient asks why exercise remains important despite advanced age. Which benefit
is most strongly supported by evidence?
A. Eliminates osteoarthritis
B. Completely prevents dementia
C. Improves cardiovascular health, muscle strength, and balance
D. Guarantees weight loss
Correct Answer
C. Improves cardiovascular health, muscle strength, and balance
Rationale
Regular physical activity improves cardiovascular fitness, preserves muscle mass, reduces fall
risk, enhances mobility, and improves quality of life. Exercise cannot eliminate arthritis,
guarantee weight loss, or completely prevent dementia.
Question 4
Which screening tool is commonly used to identify depression in primary care?
A. MMSE
B. PHQ-9
C. Mini-Cog
D. SLUMS
Correct Answer
B. PHQ-9
Rationale
The PHQ-9 is a validated screening instrument for depression. The MMSE, Mini-Cog, and
SLUMS evaluate cognitive impairment rather than depressive symptoms.
Question 5
Which lifestyle modification has the greatest impact on reducing cardiovascular disease risk?
, A. Limiting dairy products
B. Smoking cessation
C. Drinking more coffee
D. Vitamin supplementation
Correct Answer
B. Smoking cessation
Rationale
Smoking cessation provides one of the greatest reductions in cardiovascular risk. It also
decreases the likelihood of stroke, peripheral arterial disease, chronic lung disease, and multiple
cancers.
Question 6
A healthy 67-year-old asks about calcium intake. Adequate calcium is primarily recommended
to:
A. Prevent cataracts
B. Reduce osteoporosis risk
C. Prevent diabetes
D. Improve liver function
Correct Answer
B. Reduce osteoporosis risk
Rationale
Adequate calcium and vitamin D intake support bone mineralization and help reduce the risk of
osteoporosis and fractures in older adults.
Question 7
Which screening test is recommended for adults with significant smoking history to detect lung
cancer?
A. Chest X-ray
B. Pulmonary function testing
THE MATURING & AGED FAMILY PRACTICUM |
100 PRACTICE QUESTIONS, ANSWERS &
RATIONALES
Original NR601 Practice Final Exam (Part 1)
Primary Care of the Maturing & Aged Family Practicum
100-Question Practice Examination
Note: This is an original practice exam designed to assess competencies commonly taught in
NR601
Table of Contents
Section Topic Questions
I Health Promotion & Preventive Care 1–10
II Cardiovascular Disorders 11–25
III Endocrine Disorders 26–40
IV Pulmonary Disorders 41–50
V Neurologic Disorders 51–60
VI Musculoskeletal Disorders 61–70
VII Renal & Genitourinary Disorders 71–80
VIII Geriatric Syndromes 81–90
IX Pharmacology & Polypharmacy 91–95
X Comprehensive Case Studies 96–100
Section I – Health Promotion & Preventive Care
,Question 1
A 68-year-old woman presents for her annual wellness visit. She has hypertension and
hyperlipidemia that are well controlled. Which preventive service should be performed at every
office visit?
A. Colonoscopy
B. Mammography
C. Blood pressure measurement
D. Bone density scan
Correct Answer
C. Blood pressure measurement
Rationale
Blood pressure should be assessed during every routine clinical encounter because hypertension
is common in older adults and contributes to stroke, myocardial infarction, heart failure, and
chronic kidney disease. Colonoscopy, mammography, and bone density testing are performed at
recommended intervals rather than every visit.
Question 2
Which vaccine is recommended annually for adults aged 65 years and older?
A. Hepatitis B
B. Influenza
C. MMR
D. HPV
Correct Answer
B. Influenza
Rationale
Annual influenza vaccination reduces hospitalization, complications, and mortality in older
adults. MMR and HPV vaccines are not routinely indicated in this age group unless specific
circumstances exist. Hepatitis B vaccination is based on risk factors or current adult vaccination
recommendations.
,Question 3
A 70-year-old patient asks why exercise remains important despite advanced age. Which benefit
is most strongly supported by evidence?
A. Eliminates osteoarthritis
B. Completely prevents dementia
C. Improves cardiovascular health, muscle strength, and balance
D. Guarantees weight loss
Correct Answer
C. Improves cardiovascular health, muscle strength, and balance
Rationale
Regular physical activity improves cardiovascular fitness, preserves muscle mass, reduces fall
risk, enhances mobility, and improves quality of life. Exercise cannot eliminate arthritis,
guarantee weight loss, or completely prevent dementia.
Question 4
Which screening tool is commonly used to identify depression in primary care?
A. MMSE
B. PHQ-9
C. Mini-Cog
D. SLUMS
Correct Answer
B. PHQ-9
Rationale
The PHQ-9 is a validated screening instrument for depression. The MMSE, Mini-Cog, and
SLUMS evaluate cognitive impairment rather than depressive symptoms.
Question 5
Which lifestyle modification has the greatest impact on reducing cardiovascular disease risk?
, A. Limiting dairy products
B. Smoking cessation
C. Drinking more coffee
D. Vitamin supplementation
Correct Answer
B. Smoking cessation
Rationale
Smoking cessation provides one of the greatest reductions in cardiovascular risk. It also
decreases the likelihood of stroke, peripheral arterial disease, chronic lung disease, and multiple
cancers.
Question 6
A healthy 67-year-old asks about calcium intake. Adequate calcium is primarily recommended
to:
A. Prevent cataracts
B. Reduce osteoporosis risk
C. Prevent diabetes
D. Improve liver function
Correct Answer
B. Reduce osteoporosis risk
Rationale
Adequate calcium and vitamin D intake support bone mineralization and help reduce the risk of
osteoporosis and fractures in older adults.
Question 7
Which screening test is recommended for adults with significant smoking history to detect lung
cancer?
A. Chest X-ray
B. Pulmonary function testing
