NR 601 Final Exam – Primary Care of the Maturing and Ag… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Final Exam – Primary Care of the Maturing
and Aged Family Practicum 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NR 601 Final Exam – Primary Care of the Maturing and Ag… 2026 Update • Verified Answers
Questions & Verified Answers
1. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Transferring
C. Toileting
D. Managing finances
Answer: D
Rationale: IADLs are more complex tasks necessary for living independently in the community, such as
managing finances, shopping, and using a telephone, whereas ADLs are basic self-care tasks like bathing and
toileting. Applying this knowledge in clinical settings supports safe, evidence-based practice and improves
patient outcomes.
2. According to the Beers Criteria, which medication class should generally be avoided in older
adults due to high risk of anticholinergic effects?
A. Biguanides
B. Beta-blockers
C. ACE inhibitors
D. First-generation antihistamines
Answer: D
Rationale: First-generation antihistamines like diphenhydramine have strong anticholinergic properties that
increase the risk of confusion, dry mouth, and constipation in the elderly. Applying this knowledge in clinical
settings supports safe, evidence-based practice and improves patient outcomes.
3. A 75-year-old patient presents with acute onset of confusion and fluctuating levels of
consciousness. What is the most likely diagnosis?
A. Delirium
B. Major Depressive Disorder
C. Alzheimer’s Disease
D. Vascular Dementia
Answer: A
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention, often
triggered by an underlying medical condition or medication change. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Final Exam – Primary Care of the Maturing and Ag… 2026 Update • Verified Answers
4. What is the recommended target blood pressure for adults aged 65 and older according to
JNC 8 guidelines?
A. < 120/80 mmHg
B. < 130/80 mmHg
C. < 150/90 mmHg
D. < 140/90 mmHg
Answer: C
Rationale: JNC 8 guidelines suggest a target of < 150/90 mmHg for individuals aged 60 and older to reduce
the risk of orthostatic hypotension and falls. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
5. Which tool is most commonly used for a quick screening of cognitive impairment in a
primary care setting?
A. PHQ-9
B. GDS
C. Mini-Cog
D. CAGE
Answer: C
Rationale: The Mini-Cog is a fast, reliable screening tool consisting of a three-item recall and a clock-drawing
test used to detect cognitive impairment. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
6. Which symptom is a hallmark of Frailty syndrome in older adults?
A. Unintentional weight loss
B. Hyperactivity
C. Increased muscle mass
D. Preserved grip strength
Answer: A
Rationale: Frailty syndrome components include unintentional weight loss, exhaustion, low physical activity,
slowness, and weak grip strength. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (A) requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Final Exam – Primary Care of the Maturing
and Aged Family Practicum 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NR 601 Final Exam – Primary Care of the Maturing and Ag… 2026 Update • Verified Answers
Questions & Verified Answers
1. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Transferring
C. Toileting
D. Managing finances
Answer: D
Rationale: IADLs are more complex tasks necessary for living independently in the community, such as
managing finances, shopping, and using a telephone, whereas ADLs are basic self-care tasks like bathing and
toileting. Applying this knowledge in clinical settings supports safe, evidence-based practice and improves
patient outcomes.
2. According to the Beers Criteria, which medication class should generally be avoided in older
adults due to high risk of anticholinergic effects?
A. Biguanides
B. Beta-blockers
C. ACE inhibitors
D. First-generation antihistamines
Answer: D
Rationale: First-generation antihistamines like diphenhydramine have strong anticholinergic properties that
increase the risk of confusion, dry mouth, and constipation in the elderly. Applying this knowledge in clinical
settings supports safe, evidence-based practice and improves patient outcomes.
3. A 75-year-old patient presents with acute onset of confusion and fluctuating levels of
consciousness. What is the most likely diagnosis?
A. Delirium
B. Major Depressive Disorder
C. Alzheimer’s Disease
D. Vascular Dementia
Answer: A
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention, often
triggered by an underlying medical condition or medication change. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Final Exam – Primary Care of the Maturing and Ag… 2026 Update • Verified Answers
4. What is the recommended target blood pressure for adults aged 65 and older according to
JNC 8 guidelines?
A. < 120/80 mmHg
B. < 130/80 mmHg
C. < 150/90 mmHg
D. < 140/90 mmHg
Answer: C
Rationale: JNC 8 guidelines suggest a target of < 150/90 mmHg for individuals aged 60 and older to reduce
the risk of orthostatic hypotension and falls. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
5. Which tool is most commonly used for a quick screening of cognitive impairment in a
primary care setting?
A. PHQ-9
B. GDS
C. Mini-Cog
D. CAGE
Answer: C
Rationale: The Mini-Cog is a fast, reliable screening tool consisting of a three-item recall and a clock-drawing
test used to detect cognitive impairment. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
6. Which symptom is a hallmark of Frailty syndrome in older adults?
A. Unintentional weight loss
B. Hyperactivity
C. Increased muscle mass
D. Preserved grip strength
Answer: A
Rationale: Frailty syndrome components include unintentional weight loss, exhaustion, low physical activity,
slowness, and weak grip strength. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes. This is an important clinical concept because selecting the correct
answer (A) requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
