NR 601 Final Exam: Primary Care of the Maturing and Age… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Final Exam: Primary Care of the Maturing
and Aged Family 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 Age… 2026 Update • Verified Answers
Questions & Verified Answers
1. Which of the following is a component of the Fried Phenotype of Frailty?
A. Unintentional weight loss of 10 lbs or more in a year
B. High physical activity level
C. Increased grip strength
D. Rapid walking speed
Answer: A
Rationale: The Fried Phenotype includes five criteria: unintentional weight loss, self- reported exhaustion, low
physical activity, slow walking speed, and weak grip strength. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
2. According to the Beers Criteria, which class of medication should generally be avoided in the
elderly due to the risk of falls?
A. ACE inhibitors
B. Statins
C. Benzodiazepines
D. Proton pump inhibitors
Answer: C
Rationale: Benzodiazepines increase the risk of cognitive impairment, delirium, falls, fractures, and motor
vehicle accidents in older adults. This is an important clinical concept because selecting the correct answer (C)
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.
3. A 75-year-old patient with multiple comorbidities and a life expectancy of less than 5 years
should have a target A1c of:
A. < 6.5%
B. 7.5% to 8.0%
C. < 7.0%
D. 8.0% to 9.0%
Answer: B
Rationale: For older adults with complex/intermediate health (multiple chronic illnesses, ADL impairments), a
target A1c of < 8.0% is often recommended to avoid hypoglycemia. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Final Exam: Primary Care of the Maturing and Age… 2026 Update • Verified Answers
4. What is the primary difference between Delirium and Dementia?
A. Delirium is permanent, while Dementia is reversible
B. Delirium has an acute onset, while Dementia is progressive
C. Delirium only affects memory, while Dementia affects consciousness
D. Dementia is always caused by an infection
Answer: B
Rationale: Delirium is characterized by an acute change in mental status and fluctuating course, whereas
Dementia is a chronic, progressive decline in cognition. 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. The ‘Timed Up and Go’ (TUG) test is used to assess:
A. Cognitive function
B. Nutritional status
C. Depression severity
D. Mobility and fall risk
Answer: D
Rationale: The TUG test measures the time it takes for a patient to rise from a chair, walk 3 meters, turn, walk
back, and sit down to assess mobility and risk of falling. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
6. Which tool is specifically designed to screen for depression in the geriatric population?
A. MMSE
B. MoCA
C. CAGE questionnaire
D. GDS (Geriatric Depression Scale)
Answer: D
Rationale: The GDS is a validated screening tool for depression in older adults, emphasizing psychological
rather than somatic symptoms. 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 (D) 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 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 Age… 2026 Update • Verified Answers
Questions & Verified Answers
1. Which of the following is a component of the Fried Phenotype of Frailty?
A. Unintentional weight loss of 10 lbs or more in a year
B. High physical activity level
C. Increased grip strength
D. Rapid walking speed
Answer: A
Rationale: The Fried Phenotype includes five criteria: unintentional weight loss, self- reported exhaustion, low
physical activity, slow walking speed, and weak grip strength. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
2. According to the Beers Criteria, which class of medication should generally be avoided in the
elderly due to the risk of falls?
A. ACE inhibitors
B. Statins
C. Benzodiazepines
D. Proton pump inhibitors
Answer: C
Rationale: Benzodiazepines increase the risk of cognitive impairment, delirium, falls, fractures, and motor
vehicle accidents in older adults. This is an important clinical concept because selecting the correct answer (C)
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.
3. A 75-year-old patient with multiple comorbidities and a life expectancy of less than 5 years
should have a target A1c of:
A. < 6.5%
B. 7.5% to 8.0%
C. < 7.0%
D. 8.0% to 9.0%
Answer: B
Rationale: For older adults with complex/intermediate health (multiple chronic illnesses, ADL impairments), a
target A1c of < 8.0% is often recommended to avoid hypoglycemia. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Final Exam: Primary Care of the Maturing and Age… 2026 Update • Verified Answers
4. What is the primary difference between Delirium and Dementia?
A. Delirium is permanent, while Dementia is reversible
B. Delirium has an acute onset, while Dementia is progressive
C. Delirium only affects memory, while Dementia affects consciousness
D. Dementia is always caused by an infection
Answer: B
Rationale: Delirium is characterized by an acute change in mental status and fluctuating course, whereas
Dementia is a chronic, progressive decline in cognition. 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. The ‘Timed Up and Go’ (TUG) test is used to assess:
A. Cognitive function
B. Nutritional status
C. Depression severity
D. Mobility and fall risk
Answer: D
Rationale: The TUG test measures the time it takes for a patient to rise from a chair, walk 3 meters, turn, walk
back, and sit down to assess mobility and risk of falling. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
6. Which tool is specifically designed to screen for depression in the geriatric population?
A. MMSE
B. MoCA
C. CAGE questionnaire
D. GDS (Geriatric Depression Scale)
Answer: D
Rationale: The GDS is a validated screening tool for depression in older adults, emphasizing psychological
rather than somatic symptoms. 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 (D) requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
