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. Managing finances
B. Bathing
C. Dressing
D. Transferring from bed to chair
Answer: A
Rationale: IADLs are complex skills needed to live independently, such as shopping, managing finances, and
cooking. Bathing, dressing, and transferring are basic ADLs. This is an important clinical concept because
selecting the correct answer (A) 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. According to the Beers Criteria, which medication class 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, and fractures in older
adults. 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.
3. What is the first-line pharmacological treatment for an older adult diagnosed with
Osteoarthritis?
A. Topical NSAIDs
B. Oral Ibuprofen
C. Systemic Corticosteroids
D. Acetaminophen
Answer: A
Rationale: Topical NSAIDs are often preferred first-line for localized osteoarthritis in the elderly to minimize
systemic side effects associated with oral NSAIDs and the lower efficacy of acetaminophen. 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. In the assessment of dementia, which tool is commonly used to screen for cognitive
impairment in a brief office visit?
A. PHQ-9
B. CHADS-VASc
C. Mini-Cog
D. Epworth Sleepiness Scale
Answer: C
Rationale: The Mini-Cog consists of a three-item recall and a clock-drawing test, making it a quick and
effective screening tool for cognitive impairment. 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.
5. Which physiological change of aging affects the distribution of lipophilic drugs?
A. Increased total body water
B. Decreased body fat
C. Increased body fat
D. Increased lean muscle mass
Answer: C
Rationale: Aging is associated with an increase in body fat and a decrease in total body water, which leads to
an increased volume of distribution for lipophilic drugs. 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. What is the diagnostic T-score threshold for Osteoporosis according to the WHO?
A. -1.0 or higher
B. -2.5 or lower
C. Between -1.0 and -2.5
D. 0.0
Answer: B
Rationale: A T-score of -2.5 or lower is diagnostic for osteoporosis, while -1.0 to -2.5 indicates osteopenia.
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 (B) 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. Managing finances
B. Bathing
C. Dressing
D. Transferring from bed to chair
Answer: A
Rationale: IADLs are complex skills needed to live independently, such as shopping, managing finances, and
cooking. Bathing, dressing, and transferring are basic ADLs. This is an important clinical concept because
selecting the correct answer (A) 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. According to the Beers Criteria, which medication class 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, and fractures in older
adults. 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.
3. What is the first-line pharmacological treatment for an older adult diagnosed with
Osteoarthritis?
A. Topical NSAIDs
B. Oral Ibuprofen
C. Systemic Corticosteroids
D. Acetaminophen
Answer: A
Rationale: Topical NSAIDs are often preferred first-line for localized osteoarthritis in the elderly to minimize
systemic side effects associated with oral NSAIDs and the lower efficacy of acetaminophen. 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. In the assessment of dementia, which tool is commonly used to screen for cognitive
impairment in a brief office visit?
A. PHQ-9
B. CHADS-VASc
C. Mini-Cog
D. Epworth Sleepiness Scale
Answer: C
Rationale: The Mini-Cog consists of a three-item recall and a clock-drawing test, making it a quick and
effective screening tool for cognitive impairment. 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.
5. Which physiological change of aging affects the distribution of lipophilic drugs?
A. Increased total body water
B. Decreased body fat
C. Increased body fat
D. Increased lean muscle mass
Answer: C
Rationale: Aging is associated with an increase in body fat and a decrease in total body water, which leads to
an increased volume of distribution for lipophilic drugs. 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. What is the diagnostic T-score threshold for Osteoporosis according to the WHO?
A. -1.0 or higher
B. -2.5 or lower
C. Between -1.0 and -2.5
D. 0.0
Answer: B
Rationale: A T-score of -2.5 or lower is diagnostic for osteoporosis, while -1.0 to -2.5 indicates osteopenia.
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 (B) requires
understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
