NR 601 Final Exam Prep - Primary Care Maturing & Aged F… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Final Exam Prep - Primary Care Maturing &
Aged Family 2026 UPDATED
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 Prep - Primary Care Maturing & Aged F… 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Fried’s Frailty Phenotype, which of the following is NOT one of the five criteria
used to diagnose frailty?
A. Unintentional weight loss
B. Self-reported exhaustion
C. Slow walking speed
D. Cognitive impairment
Answer: D
Rationale: Fried’s Frailty Phenotype includes unintentional weight loss, exhaustion, low physical activity, slow
walking speed, and weak grip strength. While cognitive impairment is associated with frailty, it is not one of the
five specific criteria in this phenotype. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes.
2. Which of the following classes of medications is listed on the Beers Criteria as potentially
inappropriate for older adults due to a high risk of anticholinergic effects?
A. ACE inhibitors
B. First-generation antihistamines
C. Biguanides
D. HMG-CoA reductase inhibitors
Answer: B
Rationale: First-generation antihistamines (like diphenhydramine) have strong anticholinergic properties that
increase the risk of confusion, blurred vision, dry mouth, and falls in older adults. This is an important clinical
concept because selecting the correct answer (B) requires understanding both the pathophysiology and the
practical nursing implications.
3. An 82-year-old patient presents with a hemoglobin A1c of 8.1%. They have multiple chronic
comorbidities and moderate functional impairment. What is the most appropriate A1c goal for
this patient?
A. Less than 8.0-8.5%
B. Less than 7.0%
C. Less than 6.5%
D. Less than 9.0%
Answer: A
Rationale: For older adults with complex health issues, multiple comorbidities, or functional impairment, the
ADA recommends a less stringent A1c goal of <8.0% or <8.5% 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 Prep - Primary Care Maturing & Aged F… 2026 Update • Verified Answers
4. Which geriatric assessment tool is specifically designed to screen for delirium?
A. Mini-Mental State Exam (MMSE)
B. Geriatric Depression Scale (GDS)
C. Confusion Assessment Method (CAM)
D. Katz Index of ADLs
Answer: C
Rationale: The Confusion Assessment Method (CAM) is the gold standard for screening for delirium, focusing
on acute onset, inattention, and disorganized thinking. 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.
5. A 75-year-old male complains of difficulty starting urination and a weak stream. Which
medication class is the first-line treatment for symptomatic Benign Prostatic Hyperplasia
(BPH)?
A. Loop diuretics
B. Alpha-1 adrenergic antagonists
C. Beta-blockers
D. Anticholinergics
Answer: B
Rationale: Alpha-1 adrenergic antagonists (e.g., tamsulosin) are first-line because they relax the smooth
muscle of the prostate and bladder neck, improving urine flow. This is an important clinical concept because
selecting the correct answer (B) 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.
6. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Feeding oneself
B. Bathing
C. Toileting
D. Managing finances
Answer: D
Rationale: IADLs are more complex tasks necessary for living independently in the community, such as
managing money, shopping, and using the phone. Bathing, toileting, and feeding are basic ADLs. Applying this
knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Final Exam Prep - Primary Care Maturing &
Aged Family 2026 UPDATED
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 Prep - Primary Care Maturing & Aged F… 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Fried’s Frailty Phenotype, which of the following is NOT one of the five criteria
used to diagnose frailty?
A. Unintentional weight loss
B. Self-reported exhaustion
C. Slow walking speed
D. Cognitive impairment
Answer: D
Rationale: Fried’s Frailty Phenotype includes unintentional weight loss, exhaustion, low physical activity, slow
walking speed, and weak grip strength. While cognitive impairment is associated with frailty, it is not one of the
five specific criteria in this phenotype. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes.
2. Which of the following classes of medications is listed on the Beers Criteria as potentially
inappropriate for older adults due to a high risk of anticholinergic effects?
A. ACE inhibitors
B. First-generation antihistamines
C. Biguanides
D. HMG-CoA reductase inhibitors
Answer: B
Rationale: First-generation antihistamines (like diphenhydramine) have strong anticholinergic properties that
increase the risk of confusion, blurred vision, dry mouth, and falls in older adults. This is an important clinical
concept because selecting the correct answer (B) requires understanding both the pathophysiology and the
practical nursing implications.
3. An 82-year-old patient presents with a hemoglobin A1c of 8.1%. They have multiple chronic
comorbidities and moderate functional impairment. What is the most appropriate A1c goal for
this patient?
A. Less than 8.0-8.5%
B. Less than 7.0%
C. Less than 6.5%
D. Less than 9.0%
Answer: A
Rationale: For older adults with complex health issues, multiple comorbidities, or functional impairment, the
ADA recommends a less stringent A1c goal of <8.0% or <8.5% 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 Prep - Primary Care Maturing & Aged F… 2026 Update • Verified Answers
4. Which geriatric assessment tool is specifically designed to screen for delirium?
A. Mini-Mental State Exam (MMSE)
B. Geriatric Depression Scale (GDS)
C. Confusion Assessment Method (CAM)
D. Katz Index of ADLs
Answer: C
Rationale: The Confusion Assessment Method (CAM) is the gold standard for screening for delirium, focusing
on acute onset, inattention, and disorganized thinking. 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.
5. A 75-year-old male complains of difficulty starting urination and a weak stream. Which
medication class is the first-line treatment for symptomatic Benign Prostatic Hyperplasia
(BPH)?
A. Loop diuretics
B. Alpha-1 adrenergic antagonists
C. Beta-blockers
D. Anticholinergics
Answer: B
Rationale: Alpha-1 adrenergic antagonists (e.g., tamsulosin) are first-line because they relax the smooth
muscle of the prostate and bladder neck, improving urine flow. This is an important clinical concept because
selecting the correct answer (B) 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.
6. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Feeding oneself
B. Bathing
C. Toileting
D. Managing finances
Answer: D
Rationale: IADLs are more complex tasks necessary for living independently in the community, such as
managing money, shopping, and using the phone. Bathing, toileting, and feeding are basic ADLs. Applying this
knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 3
