Chamberlain NR 601 Final Exam: Primary Care Aging… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
Chamberlain NR 601 Final Exam: Primary Care Aging
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Institution: Chamberlain
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,Chamberlain NR 601 Final Exam: Primary Care Aging… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 78-year-old female presents with a blood pressure of 148/92 mmHg. According to the
AHA/ACC 2017 guidelines, what is the target blood pressure for this community-dwelling
older adult?
A. < 150/90 mmHg
B. < 140/90 mmHg
C. < 130/80 mmHg
D. < 120/70 mmHg
Answer: C
Rationale: For community-dwelling adults aged 65 and older, the AHA/ACC guidelines recommend a
target blood pressure of less than 130/80 mmHg to reduce cardiovascular events. Remembering this
point will help you decide the best nursing action when similar questions appear on the exam. Link the
answer to the client’s current condition and risk level. This is important because the nurse must choose
the action that keeps the client safest while still meeting their basic needs. Always think about safety
first when answering these questions.
2. According to the Beers Criteria, which medication should be avoided in older adults due
to the high risk of orthostatic hypotension and anticholinergic effects?
A. Amlodipine
B. Metformin
C. Lisinopril
D. Amitriptyline
Answer: D
Rationale: Amitriptyline is a tricyclic antidepressant with strong anticholinergic properties and a high
risk for orthostatic hypotension, which increases fall risk in the elderly. Exam questions often test
whether you can pick the most practical and safe choice for the client in real situations. Focus on what
the nurse can actually do right now. Remembering this point will help you decide the best nursing
action when similar questions appear on the exam. Link the answer to the client’s current condition and
risk level.
Exam (Elaborations) • Detailed Rationales Page 2
, Chamberlain NR 601 Final Exam: Primary Care Aging… 2026/2027 • Verified • Assured Grade A+
3. A 82-year-old male with Type 2 Diabetes has a history of multiple falls and mild cognitive
impairment. What is the most appropriate HbA1c goal for this patient?
A. < 6.5%
B. 7.5% to 8.0%
C. < 7.0%
D. 8.5% to 9.0%
Answer: B
Rationale: In older adults with complex health issues, multiple comorbidities, or functional impairment,
a less stringent HbA1c goal of 7.5% to 8.0% is recommended to avoid hypoglycemia. Remembering
this point will help you decide the best nursing action when similar questions appear on the exam. Link
the answer to the client’s current condition and risk level. Remembering this point will help you decide
the best nursing action when similar questions appear on the exam. Link the answer to the client’s
current condition and risk level.
4. Which of the following is considered the ‘gold standard’ for diagnosing delirium in the
clinical setting?
A. CAM (Confusion Assessment Method)
B. MoCA (Montreal Cognitive Assessment)
C. MMSE (Mini-Mental State Examination)
D. GDS (Geriatric Depression Scale)
Answer: A
Rationale: The CAM is the most widely used and validated tool for diagnosing delirium, focusing on
acute onset, inattention, disorganized thinking, and altered level of consciousness. Exam questions
often test whether you can pick the most practical and safe choice for the client in real situations.
Focus on what the nurse can actually do right now. In practice, this guides the nurse to set priorities
and protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
Chamberlain NR 601 Final Exam: Primary Care Aging
2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
Institution: Chamberlain
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Rationales
Grade: A+ Assured
ASSURED GRADE A+
Exam (Elaborations) • Detailed Rationales Page 1
,Chamberlain NR 601 Final Exam: Primary Care Aging… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 78-year-old female presents with a blood pressure of 148/92 mmHg. According to the
AHA/ACC 2017 guidelines, what is the target blood pressure for this community-dwelling
older adult?
A. < 150/90 mmHg
B. < 140/90 mmHg
C. < 130/80 mmHg
D. < 120/70 mmHg
Answer: C
Rationale: For community-dwelling adults aged 65 and older, the AHA/ACC guidelines recommend a
target blood pressure of less than 130/80 mmHg to reduce cardiovascular events. Remembering this
point will help you decide the best nursing action when similar questions appear on the exam. Link the
answer to the client’s current condition and risk level. This is important because the nurse must choose
the action that keeps the client safest while still meeting their basic needs. Always think about safety
first when answering these questions.
2. According to the Beers Criteria, which medication should be avoided in older adults due
to the high risk of orthostatic hypotension and anticholinergic effects?
A. Amlodipine
B. Metformin
C. Lisinopril
D. Amitriptyline
Answer: D
Rationale: Amitriptyline is a tricyclic antidepressant with strong anticholinergic properties and a high
risk for orthostatic hypotension, which increases fall risk in the elderly. Exam questions often test
whether you can pick the most practical and safe choice for the client in real situations. Focus on what
the nurse can actually do right now. Remembering this point will help you decide the best nursing
action when similar questions appear on the exam. Link the answer to the client’s current condition and
risk level.
Exam (Elaborations) • Detailed Rationales Page 2
, Chamberlain NR 601 Final Exam: Primary Care Aging… 2026/2027 • Verified • Assured Grade A+
3. A 82-year-old male with Type 2 Diabetes has a history of multiple falls and mild cognitive
impairment. What is the most appropriate HbA1c goal for this patient?
A. < 6.5%
B. 7.5% to 8.0%
C. < 7.0%
D. 8.5% to 9.0%
Answer: B
Rationale: In older adults with complex health issues, multiple comorbidities, or functional impairment,
a less stringent HbA1c goal of 7.5% to 8.0% is recommended to avoid hypoglycemia. Remembering
this point will help you decide the best nursing action when similar questions appear on the exam. Link
the answer to the client’s current condition and risk level. Remembering this point will help you decide
the best nursing action when similar questions appear on the exam. Link the answer to the client’s
current condition and risk level.
4. Which of the following is considered the ‘gold standard’ for diagnosing delirium in the
clinical setting?
A. CAM (Confusion Assessment Method)
B. MoCA (Montreal Cognitive Assessment)
C. MMSE (Mini-Mental State Examination)
D. GDS (Geriatric Depression Scale)
Answer: A
Rationale: The CAM is the most widely used and validated tool for diagnosing delirium, focusing on
acute onset, inattention, disorganized thinking, and altered level of consciousness. Exam questions
often test whether you can pick the most practical and safe choice for the client in real situations.
Focus on what the nurse can actually do right now. In practice, this guides the nurse to set priorities
and protect the client from harm. Safety, nutrition, and clear communication are frequent priorities.
Exam (Elaborations) • Detailed Rationales Page 3
