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Exam (elaborations)

Chamberlain NR 601 Primary Care Final Exam (2026) UPDATED Version

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Chamberlain NR 601 Primary Care Final Exam (2026) UPDATED Version

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Chamberlain NR 601 Primary Care Final Exam (2026)… 2026/2027 • Verified • Assured Grade A+




✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE




Chamberlain NR 601 Primary Care Final Exam (2026)
UPDATED Version

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 Primary Care Final Exam (2026)… 2026/2027 • Verified • Assured Grade A+




Questions & Verified Answers


1. A 78-year-old patient presents with unintentional weight loss, self-reported exhaustion,
and a slow walking speed. According to Fried’s Criteria, these findings are indicative of
which syndrome?

A. Sarcopenia
B. Failure to thrive
C. Frailty Syndrome
D. Malnutrition syndrome

Answer: C
Rationale: Fried’s Frailty Phenotype identifies frailty based on five criteria: unintentional weight loss,
self-reported exhaustion, low physical activity, slow walking speed, and weak grip strength. Meeting
three or more defines frailty. Clear understanding of this concept improves both test performance and
everyday clinical judgment. Practice applying it to short case scenarios to lock the idea in place. In
practice, this guides the nurse to set priorities and protect the client from harm. Safety, nutrition, and
clear communication are frequent priorities.




2. Under Medicare guidelines, which specific benefit covers the ‘Welcome to Medicare’ Initial
Preventive Physical Examination (IPPE)?

A. Part B
B. Part A
C. Part D
D. Medigap Supplement

Answer: A
Rationale: Medicare Part B covers outpatient services, including the Initial Preventive Physical
Examination (IPPE) and the subsequent Annual Wellness Visits (AWV). 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. 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.




Exam (Elaborations) • Detailed Rationales Page 2

, Chamberlain NR 601 Primary Care Final Exam (2026)… 2026/2027 • Verified • Assured Grade A+




3. A 72-year-old female with a history of falls is prescribed diphenhydramine for allergies.
According to the Beers Criteria, why is this medication inappropriate?

A. Highly anticholinergic and increases fall risk
B. Risk of paradoxical hypertension
C. Increased risk of nephrotoxicity
D. Potential for severe respiratory depression

Answer: A
Rationale: The Beers Criteria lists first-generation antihistamines like diphenhydramine as potentially
inappropriate for older adults due to high anticholinergic effects, which cause sedation and increase
the risk of falls and cognitive impairment. Understanding this helps the nurse notice early warning
signs and act before the problem gets worse. Early action often prevents bigger complications for the
client. 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.




4. When assessing an older adult for depression, which tool is specifically validated for use
in this population, focusing on somatic symptoms less than psychological ones?

A. PHQ-9
B. Geriatric Depression Scale (GDS)
C. Hamilton Rating Scale
D. Beck Depression Inventory

Answer: B
Rationale: The Geriatric Depression Scale (GDS) is specifically designed for older adults and omits
many somatic symptoms (like aches or sleep issues) that may be related to aging or chronic disease
rather than depression. This knowledge supports safe care and helps the nurse teach the client and
family clearly and simply. Clear teaching improves cooperation and reduces anxiety. 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.




Exam (Elaborations) • Detailed Rationales Page 3

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