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 Beers Criteria, which of the following medication classes should be avoided
in older adults with a history of falls or fractures?
A. Proton pump inhibitors
B. Calcium channel blockers
C. ACE inhibitors
D. Selective serotonin reuptake inhibitors (SSRIs)
Answer: D
Rationale: SSRIs are listed in the Beers Criteria as medications that increase the risk of falls and fractures in
the elderly due to potential syncope or impaired psychomotor function. Applying this knowledge in clinical
settings supports safe, evidence-based practice and improves patient outcomes.
2. What is the recommended target HbA1c for a frail older adult with multiple comorbidities and
a limited life expectancy?
A. Less than 6.5%
B. Between 7.5% and 8.5%
C. Less than 7.0%
D. Less than 6.0%
Answer: B
Rationale: For frail older adults with complex health needs, the risks of hypoglycemia often outweigh the
benefits of tight glycemic control; therefore, a higher HbA1c target is appropriate. This is an important clinical
concept because selecting the correct answer (B) requires understanding both the pathophysiology and the
practical nursing implications.
3. A 75-year-old patient presents with acute confusion, fluctuating levels of consciousness, and
inattention. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Major Depressive Disorder
D. Vascular Dementia
Answer: B
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention and
consciousness, often triggered by an underlying medical condition. 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 Ag… 2026 Update • Verified Answers
4. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Managing finances
C. Dressing
D. Toileting
Answer: B
Rationale: IADLs are complex skills needed to live independently, such as managing finances, shopping, and
meal preparation, whereas ADLs are basic self-care tasks like bathing and dressing. Exam questions often test
the ability to distinguish this concept from closely related distractors, making a clear rationale essential for
mastery.
5. The ‘Timed Up and Go’ (TUG) test is used to assess which of the following in an older adult?
A. Cognitive function
B. Nutritional status
C. Mobility and fall risk
D. Depression severity
Answer: C
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, serving as a reliable predictor of mobility and fall risk. Recognizing this principle allows the nurse
to prioritize care, anticipate complications, and provide accurate patient education.
6. Which physical exam finding is most suggestive of heart failure in an 80-year-old patient?
A. S4 heart sound
B. Systolic murmur at the apex
C. S3 heart sound
D. Split S2
Answer: C
Rationale: An S3 gallop is a highly specific sign of ventricular filling overload and heart failure 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.
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 Beers Criteria, which of the following medication classes should be avoided
in older adults with a history of falls or fractures?
A. Proton pump inhibitors
B. Calcium channel blockers
C. ACE inhibitors
D. Selective serotonin reuptake inhibitors (SSRIs)
Answer: D
Rationale: SSRIs are listed in the Beers Criteria as medications that increase the risk of falls and fractures in
the elderly due to potential syncope or impaired psychomotor function. Applying this knowledge in clinical
settings supports safe, evidence-based practice and improves patient outcomes.
2. What is the recommended target HbA1c for a frail older adult with multiple comorbidities and
a limited life expectancy?
A. Less than 6.5%
B. Between 7.5% and 8.5%
C. Less than 7.0%
D. Less than 6.0%
Answer: B
Rationale: For frail older adults with complex health needs, the risks of hypoglycemia often outweigh the
benefits of tight glycemic control; therefore, a higher HbA1c target is appropriate. This is an important clinical
concept because selecting the correct answer (B) requires understanding both the pathophysiology and the
practical nursing implications.
3. A 75-year-old patient presents with acute confusion, fluctuating levels of consciousness, and
inattention. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Major Depressive Disorder
D. Vascular Dementia
Answer: B
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in attention and
consciousness, often triggered by an underlying medical condition. 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 Ag… 2026 Update • Verified Answers
4. Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A. Bathing
B. Managing finances
C. Dressing
D. Toileting
Answer: B
Rationale: IADLs are complex skills needed to live independently, such as managing finances, shopping, and
meal preparation, whereas ADLs are basic self-care tasks like bathing and dressing. Exam questions often test
the ability to distinguish this concept from closely related distractors, making a clear rationale essential for
mastery.
5. The ‘Timed Up and Go’ (TUG) test is used to assess which of the following in an older adult?
A. Cognitive function
B. Nutritional status
C. Mobility and fall risk
D. Depression severity
Answer: C
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, serving as a reliable predictor of mobility and fall risk. Recognizing this principle allows the nurse
to prioritize care, anticipate complications, and provide accurate patient education.
6. Which physical exam finding is most suggestive of heart failure in an 80-year-old patient?
A. S4 heart sound
B. Systolic murmur at the apex
C. S3 heart sound
D. Split S2
Answer: C
Rationale: An S3 gallop is a highly specific sign of ventricular filling overload and heart failure 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.
Exam (Elaborations) • Actual Questions & Rationales Page 3
