NR 601 FINAL EXAM BUNDLE –
Primary Care of the Maturing & Aged
Family
Chamberlain University | 4 Complete Exam Sets |
200+ Questions with Rationales | 2026/2027 Update
SET 1: GERIATRIC ASSESSMENT & HEALTH
MAINTENANCE (Questions 1-50)
1. A 75-year-old female patient presents for her
initial visit to establish care. When should a
comprehensive geriatric assessment be performed?
a) Only when the patient is acutely ill
1
, b) During hospitalization only
c) When the patient is stable and at the time of the
initial visit
d) Annually after age 85
Answer: c) When the patient is stable and at the
time of the initial visit
Rationale: Geriatric assessment should be
performed when the patient is stable, typically at the
initial visit when establishing care, to establish a
comprehensive baseline for future comparisons .
2. According to the Beers Criteria, which medication
should be avoided in older adults due to the high risk
of falls and fractures?
a) Zolpidem
b) Lisinopril
c) Metformin
d) Atorvastatin
Answer: a) Zolpidem
2
, Rationale: Zolpidem is a sedative-hypnotic listed
in the Beers Criteria to be avoided in older adults
because it increases the risk of delirium, falls, and
fractures .
3. Which of the following is considered an
Instrumental Activity of Daily Living (IADL)?
a) Bathing
b) Managing finances
c) Toileting
d) Eating
Answer: b) Managing finances
Rationale: IADLs are more complex tasks
necessary for living independently in the
community, such as managing money, shopping, and
meal preparation, whereas ADLs are basic self-care
tasks .
3
, 4. In a 75-year-old patient with multiple chronic
comorbidities and a limited life expectancy, what is
the recommended HbA1c goal?
a) < 6.5%
b) < 7.0%
c) 8.0% - 9.0%
d) 7.5% - 8.0%
Answer: c) 8.0% - 9.0%
Rationale: For older adults with very complex
health issues or limited life expectancy, the ADA
recommends a less stringent goal of < 8.0% or <
9.0% to avoid hypoglycemia. A1C targets should be
individualized based on comorbidities and life
expectancy .
5. What is the primary difference between dementia
and delirium?
a) Dementia is acute, while delirium is chronic
b) Delirium involves a stable level of
consciousness
4
Primary Care of the Maturing & Aged
Family
Chamberlain University | 4 Complete Exam Sets |
200+ Questions with Rationales | 2026/2027 Update
SET 1: GERIATRIC ASSESSMENT & HEALTH
MAINTENANCE (Questions 1-50)
1. A 75-year-old female patient presents for her
initial visit to establish care. When should a
comprehensive geriatric assessment be performed?
a) Only when the patient is acutely ill
1
, b) During hospitalization only
c) When the patient is stable and at the time of the
initial visit
d) Annually after age 85
Answer: c) When the patient is stable and at the
time of the initial visit
Rationale: Geriatric assessment should be
performed when the patient is stable, typically at the
initial visit when establishing care, to establish a
comprehensive baseline for future comparisons .
2. According to the Beers Criteria, which medication
should be avoided in older adults due to the high risk
of falls and fractures?
a) Zolpidem
b) Lisinopril
c) Metformin
d) Atorvastatin
Answer: a) Zolpidem
2
, Rationale: Zolpidem is a sedative-hypnotic listed
in the Beers Criteria to be avoided in older adults
because it increases the risk of delirium, falls, and
fractures .
3. Which of the following is considered an
Instrumental Activity of Daily Living (IADL)?
a) Bathing
b) Managing finances
c) Toileting
d) Eating
Answer: b) Managing finances
Rationale: IADLs are more complex tasks
necessary for living independently in the
community, such as managing money, shopping, and
meal preparation, whereas ADLs are basic self-care
tasks .
3
, 4. In a 75-year-old patient with multiple chronic
comorbidities and a limited life expectancy, what is
the recommended HbA1c goal?
a) < 6.5%
b) < 7.0%
c) 8.0% - 9.0%
d) 7.5% - 8.0%
Answer: c) 8.0% - 9.0%
Rationale: For older adults with very complex
health issues or limited life expectancy, the ADA
recommends a less stringent goal of < 8.0% or <
9.0% to avoid hypoglycemia. A1C targets should be
individualized based on comorbidities and life
expectancy .
5. What is the primary difference between dementia
and delirium?
a) Dementia is acute, while delirium is chronic
b) Delirium involves a stable level of
consciousness
4
