NR 601 Final Exam: Maturing & Aged Family Compreh… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 601 Final Exam: Maturing & Aged Family Comprehensive
Review 2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
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: Maturing & Aged Family Compreh… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 78-year-old patient with multiple comorbidities and functional impairment has a
hemoglobin A1C of 8.2%. According to the American Diabetes Association (ADA) guidelines
for older adults, what is the most appropriate action?
A. guidelines for older adults, what is the most appropriate action?
B. Add a sulfonylurea to rapidly decrease glucose levels
C. Increase metformin dosage to target an A1C of <7.5%
D. Maintain current therapy as the target for complex/poor health is <8.5%
Answer: D
Rationale: For older adults with complex or very complex health status (multiple chronic illnesses,
ADL impairments, or end-stage chronic illness), the ADA recommends a less stringent A1C goal of
<8.5% to avoid hypoglycemia. 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.
2. Which Medicare part covers outpatient provider visits, durable medical equipment, and
preventive services?
A. Medicare Part B
B. Medicare Part A
C. Medicare Part C
D. Medicare Part D
Answer: A
Rationale: Medicare Part B covers medically necessary services like doctors’ services and outpatient
care, and preventive services. Part A covers hospital insurance; Part C is Medicare Advantage; Part D
covers prescription drugs. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 601 Final Exam: Maturing & Aged Family Compreh… 2026/2027 • Verified • Assured Grade A+
3. According to the Beers Criteria, which class of medication should be avoided in older
adults due to the high risk of orthostatic hypotension and CNS effects?
A. HMG-CoA reductase inhibitors (e.g., atorvastatin)
B. Biguanides (e.g., metformin)
C. Alpha-1 blockers (e.g., doxazosin)
D. ACE inhibitors (e.g., lisinopril)
Answer: C
Rationale: Alpha-1 blockers are included in the Beers Criteria for avoidance as antihypertensives in
older adults due to the high risk of orthostatic hypotension and associated falls. 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. 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. An 82-year-old male presents with acute onset of confusion, fluctuating consciousness,
and inattention following a hip surgery. What is the most likely diagnosis?
A. Delirium
B. Vascular Dementia
C. Major Depressive Disorder
D. Alzheimer’s Disease
Answer: A
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in
attention and consciousness, often triggered by medical illness or surgery in the elderly. 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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 601 Final Exam: Maturing & Aged Family Comprehensive
Review 2026/2027 UPDATED
ACTUAL EXAM QUESTIONS & VERIFIED ANSWERS
with Clear, Detailed Rationales
Document Type: Exam (Elaborations) / Study Guide
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: Maturing & Aged Family Compreh… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 78-year-old patient with multiple comorbidities and functional impairment has a
hemoglobin A1C of 8.2%. According to the American Diabetes Association (ADA) guidelines
for older adults, what is the most appropriate action?
A. guidelines for older adults, what is the most appropriate action?
B. Add a sulfonylurea to rapidly decrease glucose levels
C. Increase metformin dosage to target an A1C of <7.5%
D. Maintain current therapy as the target for complex/poor health is <8.5%
Answer: D
Rationale: For older adults with complex or very complex health status (multiple chronic illnesses,
ADL impairments, or end-stage chronic illness), the ADA recommends a less stringent A1C goal of
<8.5% to avoid hypoglycemia. 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.
2. Which Medicare part covers outpatient provider visits, durable medical equipment, and
preventive services?
A. Medicare Part B
B. Medicare Part A
C. Medicare Part C
D. Medicare Part D
Answer: A
Rationale: Medicare Part B covers medically necessary services like doctors’ services and outpatient
care, and preventive services. Part A covers hospital insurance; Part C is Medicare Advantage; Part D
covers prescription drugs. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 601 Final Exam: Maturing & Aged Family Compreh… 2026/2027 • Verified • Assured Grade A+
3. According to the Beers Criteria, which class of medication should be avoided in older
adults due to the high risk of orthostatic hypotension and CNS effects?
A. HMG-CoA reductase inhibitors (e.g., atorvastatin)
B. Biguanides (e.g., metformin)
C. Alpha-1 blockers (e.g., doxazosin)
D. ACE inhibitors (e.g., lisinopril)
Answer: C
Rationale: Alpha-1 blockers are included in the Beers Criteria for avoidance as antihypertensives in
older adults due to the high risk of orthostatic hypotension and associated falls. 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. 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. An 82-year-old male presents with acute onset of confusion, fluctuating consciousness,
and inattention following a hip surgery. What is the most likely diagnosis?
A. Delirium
B. Vascular Dementia
C. Major Depressive Disorder
D. Alzheimer’s Disease
Answer: A
Rationale: Delirium is characterized by an acute onset, fluctuating course, and disturbances in
attention and consciousness, often triggered by medical illness or surgery in the elderly. 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.
Exam (Elaborations) • Detailed Rationales Page 3
