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. According to the ACC/AHA 2017 guidelines, what is the target blood pressure for an adult
aged 65 or older who is non-institutionalized and ambulatory?
A. < 140/90 mmHg
B. < 150/90 mmHg
C. < 120/70 mmHg
D. < 130/80 mmHg
Answer: D
Rationale: The 2017 ACC/AHA guidelines recommend a target systolic blood pressure of < 130 mmHg for
non-institutionalized, community-dwelling older adults (age ≥ 65). This is an important clinical concept because
selecting the correct answer (D) requires understanding both the pathophysiology and the practical nursing
implications. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide
accurate patient education.
2. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Toileting
C. Dressing
D. Managing finances
Answer: D
Rationale: IADLs are complex tasks necessary for living independently, such as managing finances, shopping,
and medication management. Bathing, dressing, and toileting are basic ADLs. 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, agitation, and fluctuating
consciousness. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Vascular Dementia
C. Major Depressive Disorder
D. Delirium
Answer: D
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention and
consciousness, often triggered by an underlying medical condition. 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. Which medication is listed on the Beers Criteria as potentially inappropriate for older adults
due to its strong anticholinergic properties?
A. Metformin
B. Lisinopril
C. Amitriptyline
D. Atorvastatin
Answer: C
Rationale: Amitriptyline is a tricyclic antidepressant with highly anticholinergic effects, which increases the risk
of sedation, falls, and cognitive impairment in the elderly. This is an important clinical concept because
selecting the correct answer (C) requires understanding both the pathophysiology and the practical nursing
implications.
5. What is the recommended HbA1c goal for an older adult with multiple chronic illnesses and
moderate cognitive impairment?
A. < 6.5%
B. < 7.0%
C. < 9.0%
D. < 8.0%
Answer: D
Rationale: For older adults with complex health needs, a less stringent HbA1c goal of <. 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 physical assessment tool is most appropriate for evaluating a patient’s risk for falls in
the primary care setting?
A. The Timed Up and Go (TUG) test
B. The Mini-Mental State Exam (MMSE)
C. The PHQ-9
D. The Braden Scale
Answer: A
Rationale: The TUG test measures the time it takes for a patient to rise from a chair, walk 3 meters, turn, and
sit back down; a time > 12 seconds indicates a high fall risk. 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 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. According to the ACC/AHA 2017 guidelines, what is the target blood pressure for an adult
aged 65 or older who is non-institutionalized and ambulatory?
A. < 140/90 mmHg
B. < 150/90 mmHg
C. < 120/70 mmHg
D. < 130/80 mmHg
Answer: D
Rationale: The 2017 ACC/AHA guidelines recommend a target systolic blood pressure of < 130 mmHg for
non-institutionalized, community-dwelling older adults (age ≥ 65). This is an important clinical concept because
selecting the correct answer (D) requires understanding both the pathophysiology and the practical nursing
implications. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide
accurate patient education.
2. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Toileting
C. Dressing
D. Managing finances
Answer: D
Rationale: IADLs are complex tasks necessary for living independently, such as managing finances, shopping,
and medication management. Bathing, dressing, and toileting are basic ADLs. 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, agitation, and fluctuating
consciousness. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Vascular Dementia
C. Major Depressive Disorder
D. Delirium
Answer: D
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention and
consciousness, often triggered by an underlying medical condition. 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. Which medication is listed on the Beers Criteria as potentially inappropriate for older adults
due to its strong anticholinergic properties?
A. Metformin
B. Lisinopril
C. Amitriptyline
D. Atorvastatin
Answer: C
Rationale: Amitriptyline is a tricyclic antidepressant with highly anticholinergic effects, which increases the risk
of sedation, falls, and cognitive impairment in the elderly. This is an important clinical concept because
selecting the correct answer (C) requires understanding both the pathophysiology and the practical nursing
implications.
5. What is the recommended HbA1c goal for an older adult with multiple chronic illnesses and
moderate cognitive impairment?
A. < 6.5%
B. < 7.0%
C. < 9.0%
D. < 8.0%
Answer: D
Rationale: For older adults with complex health needs, a less stringent HbA1c goal of <. 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 physical assessment tool is most appropriate for evaluating a patient’s risk for falls in
the primary care setting?
A. The Timed Up and Go (TUG) test
B. The Mini-Mental State Exam (MMSE)
C. The PHQ-9
D. The Braden Scale
Answer: A
Rationale: The TUG test measures the time it takes for a patient to rise from a chair, walk 3 meters, turn, and
sit back down; a time > 12 seconds indicates a high fall risk. 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 3
