NR 601 Final Exam Primary Care Assessment 2026 Ch… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 601 Final Exam Primary Care Assessment 2026
Chamberlain College
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
,NR 601 Final Exam Primary Care Assessment 2026 Ch… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 78-year-old patient presents with new-onset confusion, agitation, and a disturbed sleep-
wake cycle. Which tool is most appropriate to differentiate delirium from dementia?
A. Mini-Mental State Examination (MMSE)
B. Confusion Assessment Method (CAM)
C. Geriatric Depression Scale (GDS)
D. Patient Health Questionnaire-9 (PHQ-9)
Answer: B
Rationale: The CAM is the gold standard for identifying delirium, characterized by acute onset and
fluctuating course, inattention, and disorganized thinking or altered level of consciousness.
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. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities.
2. According to the Beers Criteria, which of the following medications should be avoided in
older adults due to high risk of orthostatic hypotension and bradycardia?
A. Amlodipine
B. Terazosin
C. Metformin
D. Lisinopril
Answer: B
Rationale: Alpha-1 blockers like Terazosin are associated with a high risk of orthostatic hypotension
and should generally be avoided for hypertension treatment in the elderly. This knowledge supports
safe care and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety. 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 (Elaborations) • Detailed Rationales Page 2
, NR 601 Final Exam Primary Care Assessment 2026 Ch… 2026/2027 • Verified • Assured Grade A+
3. What is the recommended target HbA1c for a frail older adult with multiple chronic
illnesses and limited life expectancy?
A. Less than 6.5%
B. Less than 7.0%
C. 7.5% to 8.0%
D. 8.0% to 8.5%
Answer: D
Rationale: For frail elders with complex medical histories, a higher HbA1c goal (8.0-8.5%) is
recommended to avoid the risks of hypoglycemia, which are more dangerous than mild hyperglycemia.
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.
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.
4. An 82-year-old female has a T-score of -2.8 on her DXA scan. Which of the following is the
most appropriate initial pharmacological intervention?
A. Calcium carbonate 1200mg daily only
B. Estrogen replacement therapy
C. Alendronate (Fosamax)
D. Calcitonin nasal spray
Answer: C
Rationale: A T-score of -2.8 indicates osteoporosis. Bisphosphonates like Alendronate are first-line
therapy to increase bone density and reduce fracture risk. 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. 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
NR 601 Final Exam Primary Care Assessment 2026
Chamberlain College
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
,NR 601 Final Exam Primary Care Assessment 2026 Ch… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 78-year-old patient presents with new-onset confusion, agitation, and a disturbed sleep-
wake cycle. Which tool is most appropriate to differentiate delirium from dementia?
A. Mini-Mental State Examination (MMSE)
B. Confusion Assessment Method (CAM)
C. Geriatric Depression Scale (GDS)
D. Patient Health Questionnaire-9 (PHQ-9)
Answer: B
Rationale: The CAM is the gold standard for identifying delirium, characterized by acute onset and
fluctuating course, inattention, and disorganized thinking or altered level of consciousness.
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. In practice, this guides the nurse to set
priorities and protect the client from harm. Safety, nutrition, and clear communication are frequent
priorities.
2. According to the Beers Criteria, which of the following medications should be avoided in
older adults due to high risk of orthostatic hypotension and bradycardia?
A. Amlodipine
B. Terazosin
C. Metformin
D. Lisinopril
Answer: B
Rationale: Alpha-1 blockers like Terazosin are associated with a high risk of orthostatic hypotension
and should generally be avoided for hypertension treatment in the elderly. This knowledge supports
safe care and helps the nurse teach the client and family clearly and simply. Clear teaching improves
cooperation and reduces anxiety. 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 (Elaborations) • Detailed Rationales Page 2
, NR 601 Final Exam Primary Care Assessment 2026 Ch… 2026/2027 • Verified • Assured Grade A+
3. What is the recommended target HbA1c for a frail older adult with multiple chronic
illnesses and limited life expectancy?
A. Less than 6.5%
B. Less than 7.0%
C. 7.5% to 8.0%
D. 8.0% to 8.5%
Answer: D
Rationale: For frail elders with complex medical histories, a higher HbA1c goal (8.0-8.5%) is
recommended to avoid the risks of hypoglycemia, which are more dangerous than mild hyperglycemia.
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.
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.
4. An 82-year-old female has a T-score of -2.8 on her DXA scan. Which of the following is the
most appropriate initial pharmacological intervention?
A. Calcium carbonate 1200mg daily only
B. Estrogen replacement therapy
C. Alendronate (Fosamax)
D. Calcitonin nasal spray
Answer: C
Rationale: A T-score of -2.8 indicates osteoporosis. Bisphosphonates like Alendronate are first-line
therapy to increase bone density and reduce fracture risk. 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. 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
