NR 601 Midterm Exam – Primary Care of the Maturing and … 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Midterm 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 Midterm Exam – Primary Care of the Maturing and … 2026 Update • Verified Answers
Questions & Verified Answers
1. According to the Beers Criteria, which of the following medication classes should generally
be avoided in older adults due to the risk of falls and fractures?
A. ACE Inhibitors
B. Benzodiazepines
C. Statins
D. Proton Pump Inhibitors
Answer: B
Rationale: Benzodiazepines increase the risk of cognitive impairment, delirium, falls, fractures, and motor
vehicle accidents in older adults. 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.
2. Which assessment tool is specifically designed to screen for depression in the geriatric
population?
A. PHQ-9
B. Mini-Mental State Examination (MMSE)
C. Geriatric Depression Scale (GDS)
D. The Katz Index
Answer: C
Rationale: The Geriatric Depression Scale (GDS) is a validated screening tool specifically for older adults,
excluding somatic symptoms that may overlap with normal aging. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
3. An 80-year-old patient presents with acute confusion, inattention, and fluctuating levels of
consciousness. These symptoms are most indicative of:
A. Delirium
B. Vascular Dementia
C. Alzheimer’s Disease
D. Major Depressive Disorder
Answer: A
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention and
consciousness. 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.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Midterm Exam – Primary Care of the Maturing and … 2026 Update • Verified Answers
4. In the ‘Timed Up and Go’ (TUG) test, a result of more than how many seconds indicates a
high risk for falls?
A. 5 seconds
B. 10 seconds
C. 20 seconds
D. 12 seconds
Answer: D
Rationale: A TUG score of 12 seconds or more is generally considered a predictor for higher fall risk in
community-dwelling older adults. 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.
5. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Managing finances
C. Dressing
D. Transferring from bed to chair
Answer: B
Rationale: IADLs involve more complex tasks necessary for living independently, such as managing finances,
shopping, and using a telephone, whereas ADLs are basic self-care tasks. Exam questions often test the ability
to distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
6. Which physiological change of aging contributes to increased sensitivity to water-soluble
drugs?
A. Increased total body water
B. Increased lean muscle mass
C. Decreased total body water
D. Decreased body fat
Answer: C
Rationale: Older adults have decreased total body water, which can lead to higher serum concentrations of
water-soluble drugs (like digoxin). 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 (C) requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Midterm 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 Midterm Exam – Primary Care of the Maturing and … 2026 Update • Verified Answers
Questions & Verified Answers
1. According to the Beers Criteria, which of the following medication classes should generally
be avoided in older adults due to the risk of falls and fractures?
A. ACE Inhibitors
B. Benzodiazepines
C. Statins
D. Proton Pump Inhibitors
Answer: B
Rationale: Benzodiazepines increase the risk of cognitive impairment, delirium, falls, fractures, and motor
vehicle accidents in older adults. 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.
2. Which assessment tool is specifically designed to screen for depression in the geriatric
population?
A. PHQ-9
B. Mini-Mental State Examination (MMSE)
C. Geriatric Depression Scale (GDS)
D. The Katz Index
Answer: C
Rationale: The Geriatric Depression Scale (GDS) is a validated screening tool specifically for older adults,
excluding somatic symptoms that may overlap with normal aging. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
3. An 80-year-old patient presents with acute confusion, inattention, and fluctuating levels of
consciousness. These symptoms are most indicative of:
A. Delirium
B. Vascular Dementia
C. Alzheimer’s Disease
D. Major Depressive Disorder
Answer: A
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention and
consciousness. 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.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Midterm Exam – Primary Care of the Maturing and … 2026 Update • Verified Answers
4. In the ‘Timed Up and Go’ (TUG) test, a result of more than how many seconds indicates a
high risk for falls?
A. 5 seconds
B. 10 seconds
C. 20 seconds
D. 12 seconds
Answer: D
Rationale: A TUG score of 12 seconds or more is generally considered a predictor for higher fall risk in
community-dwelling older adults. 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.
5. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Managing finances
C. Dressing
D. Transferring from bed to chair
Answer: B
Rationale: IADLs involve more complex tasks necessary for living independently, such as managing finances,
shopping, and using a telephone, whereas ADLs are basic self-care tasks. Exam questions often test the ability
to distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
6. Which physiological change of aging contributes to increased sensitivity to water-soluble
drugs?
A. Increased total body water
B. Increased lean muscle mass
C. Decreased total body water
D. Decreased body fat
Answer: C
Rationale: Older adults have decreased total body water, which can lead to higher serum concentrations of
water-soluble drugs (like digoxin). 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 (C) requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
