NR 601 Primary Care of the Maturing and Aged Family Pra… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Primary Care of the Maturing and Aged
Family Practicum Final Exam 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 Primary Care of the Maturing and Aged Family Pra… 2026 Update • Verified Answers
Questions & Verified Answers
1. Which assessment tool is specifically designed to screen for cognitive impairment by asking
the patient to remember three words and draw a clock?
A. PHQ-9
B. GDS
C. Mini-Cog
D. Katz Index
Answer: C
Rationale: The Mini-Cog is a brief screening tool consisting of a three-item recall test and a clock-drawing test
used to detect cognitive impairment 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. In the geriatric population, which of the following is considered an Instrumental Activity of
Daily Living (IADL)?
A. Bathing
B. Dressing
C. Toileting
D. Managing finances
Answer: D
Rationale: IADLs are complex skills needed to live independently, such as managing finances, shopping, and
using the telephone, whereas ADLs are basic self-care tasks like bathing and dressing. Applying this
knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. According to the Beers Criteria, which medication class should be avoided in older adults
due to the high risk of orthostatic hypotension and sedation?
A. Statins
B. ACE inhibitors
C. Tricyclic antidepressants
D. Proton pump inhibitors
Answer: C
Rationale: Tricyclic antidepressants (TCAs) are listed in the Beers Criteria as potentially inappropriate for older
adults due to their highly anticholinergic properties and risk for orthostatic hypotension. Applying this knowledge
in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Primary Care of the Maturing and Aged Family Pra… 2026 Update • Verified Answers
4. What is the primary physiological change in aging that affects the volume of distribution for
fat-soluble drugs?
A. Increased total body fat
B. Decreased total body water
C. Decreased serum albumin
D. Increased hepatic blood flow
Answer: A
Rationale: Aging is associated with an increase in total body fat, which increases the volume of distribution and
prolongs the half-life of lipophilic (fat-soluble) drugs like diazepam. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
5. A 78-year-old patient presents with acute onset of confusion, fluctuating consciousness, and
inattention. Which diagnosis is most likely?
A. Alzheimer’s Disease
B. Delirium
C. Vascular Dementia
D. Major Depressive Disorder
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.
6. Which of the following is the recommended first-line treatment for an older adult with newly
diagnosed Stage 1 Hypertension and no other comorbidities?
A. Beta-blockers
B. Alpha-blockers
C. Loop diuretics
D. Thiazide-type diuretics
Answer: D
Rationale: For older adults, JNC 8 and other guidelines often recommend thiazide-type diuretics, ACEIs,
ARBs, or CCBs as first-line therapy for hypertension. This is an important clinical concept because selecting
the correct answer (D) 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.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NR 601 Primary Care of the Maturing and Aged
Family Practicum Final Exam 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 Primary Care of the Maturing and Aged Family Pra… 2026 Update • Verified Answers
Questions & Verified Answers
1. Which assessment tool is specifically designed to screen for cognitive impairment by asking
the patient to remember three words and draw a clock?
A. PHQ-9
B. GDS
C. Mini-Cog
D. Katz Index
Answer: C
Rationale: The Mini-Cog is a brief screening tool consisting of a three-item recall test and a clock-drawing test
used to detect cognitive impairment 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. In the geriatric population, which of the following is considered an Instrumental Activity of
Daily Living (IADL)?
A. Bathing
B. Dressing
C. Toileting
D. Managing finances
Answer: D
Rationale: IADLs are complex skills needed to live independently, such as managing finances, shopping, and
using the telephone, whereas ADLs are basic self-care tasks like bathing and dressing. Applying this
knowledge in clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. According to the Beers Criteria, which medication class should be avoided in older adults
due to the high risk of orthostatic hypotension and sedation?
A. Statins
B. ACE inhibitors
C. Tricyclic antidepressants
D. Proton pump inhibitors
Answer: C
Rationale: Tricyclic antidepressants (TCAs) are listed in the Beers Criteria as potentially inappropriate for older
adults due to their highly anticholinergic properties and risk for orthostatic hypotension. Applying this knowledge
in clinical settings supports safe, evidence-based practice and improves patient outcomes.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NR 601 Primary Care of the Maturing and Aged Family Pra… 2026 Update • Verified Answers
4. What is the primary physiological change in aging that affects the volume of distribution for
fat-soluble drugs?
A. Increased total body fat
B. Decreased total body water
C. Decreased serum albumin
D. Increased hepatic blood flow
Answer: A
Rationale: Aging is associated with an increase in total body fat, which increases the volume of distribution and
prolongs the half-life of lipophilic (fat-soluble) drugs like diazepam. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
5. A 78-year-old patient presents with acute onset of confusion, fluctuating consciousness, and
inattention. Which diagnosis is most likely?
A. Alzheimer’s Disease
B. Delirium
C. Vascular Dementia
D. Major Depressive Disorder
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.
6. Which of the following is the recommended first-line treatment for an older adult with newly
diagnosed Stage 1 Hypertension and no other comorbidities?
A. Beta-blockers
B. Alpha-blockers
C. Loop diuretics
D. Thiazide-type diuretics
Answer: D
Rationale: For older adults, JNC 8 and other guidelines often recommend thiazide-type diuretics, ACEIs,
ARBs, or CCBs as first-line therapy for hypertension. This is an important clinical concept because selecting
the correct answer (D) 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.
Exam (Elaborations) • Actual Questions & Rationales Page 3
