NR 601 Primary Care Aging Final Exam 2026/2027 UP… 2026/2027 • Verified • Assured Grade A+
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 601 Primary Care Aging Final Exam 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 Primary Care Aging Final Exam 2026/2027 UP… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 78-year-old patient presents with a history of hypertension and heart failure with
reduced ejection fraction. According to the Beers Criteria, which of the following
medications should be avoided in this patient due to the risk of promoting fluid retention?
A. Amlodipine
B. Lisinopril
C. Ibuprofen
D. Metoprolol
Answer: C
Rationale: NSAIDs like Ibuprofen are included in the Beers Criteria for older adults with heart failure
because they can promote sodium and water retention and exacerbate heart failure symptoms.
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. 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.
2. Medicare Part B covers which of the following services for a 67-year-old beneficiary?
A. Inpatient hospital stays
B. Prescription drug coverage only
C. Outpatient physician visits and durable medical equipment
D. Skilled nursing facility care for long-term residency
Answer: C
Rationale: Medicare Part B covers medically necessary services like doctors’ services and outpatient
care, as well as preventive services and durable medical equipment. In practice, this guides the nurse
to set priorities and protect the client from harm. Safety, nutrition, and clear communication are
frequent priorities. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 601 Primary Care Aging Final Exam 2026/2027 UP… 2026/2027 • Verified • Assured Grade A+
3. In the geriatric population, which pharmacokinetic change is most commonly associated
with aging?
A. Reduced glomerular filtration rate (GFR)
B. Increased hepatic blood flow
C. Increased total body water
D. Decreased total body fat
Answer: A
Rationale: Aging is typically associated with a decrease in renal function, specifically a reduction in
the glomerular filtration rate, which affects drug clearance. 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.
4. A 72-year-old female is diagnosed with osteoporosis after a DEXA scan. Which T-score is
diagnostic of osteoporosis?
A. -1.0 to -2.5
B. -2.5 or lower
C. Greater than -1.0
D. 0 to -1.0
Answer: B
Rationale: A T-score of -2.5 or lower is the WHO diagnostic threshold for osteoporosis, whereas -1.0
to -2.5 indicates osteopenia. Knowing the reason behind the correct answer makes it easier to rule out
the wrong options quickly. Look for the choice that protects the client and matches the priority need.
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.
Exam (Elaborations) • Detailed Rationales Page 3
✓ VERIFIED • 2026/2027 UPDATE • 100% ACCURATE
NR 601 Primary Care Aging Final Exam 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 Primary Care Aging Final Exam 2026/2027 UP… 2026/2027 • Verified • Assured Grade A+
Questions & Verified Answers
1. A 78-year-old patient presents with a history of hypertension and heart failure with
reduced ejection fraction. According to the Beers Criteria, which of the following
medications should be avoided in this patient due to the risk of promoting fluid retention?
A. Amlodipine
B. Lisinopril
C. Ibuprofen
D. Metoprolol
Answer: C
Rationale: NSAIDs like Ibuprofen are included in the Beers Criteria for older adults with heart failure
because they can promote sodium and water retention and exacerbate heart failure symptoms.
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. 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.
2. Medicare Part B covers which of the following services for a 67-year-old beneficiary?
A. Inpatient hospital stays
B. Prescription drug coverage only
C. Outpatient physician visits and durable medical equipment
D. Skilled nursing facility care for long-term residency
Answer: C
Rationale: Medicare Part B covers medically necessary services like doctors’ services and outpatient
care, as well as preventive services and durable medical equipment. In practice, this guides the nurse
to set priorities and protect the client from harm. Safety, nutrition, and clear communication are
frequent priorities. 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.
Exam (Elaborations) • Detailed Rationales Page 2
, NR 601 Primary Care Aging Final Exam 2026/2027 UP… 2026/2027 • Verified • Assured Grade A+
3. In the geriatric population, which pharmacokinetic change is most commonly associated
with aging?
A. Reduced glomerular filtration rate (GFR)
B. Increased hepatic blood flow
C. Increased total body water
D. Decreased total body fat
Answer: A
Rationale: Aging is typically associated with a decrease in renal function, specifically a reduction in
the glomerular filtration rate, which affects drug clearance. 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.
4. A 72-year-old female is diagnosed with osteoporosis after a DEXA scan. Which T-score is
diagnostic of osteoporosis?
A. -1.0 to -2.5
B. -2.5 or lower
C. Greater than -1.0
D. 0 to -1.0
Answer: B
Rationale: A T-score of -2.5 or lower is the WHO diagnostic threshold for osteoporosis, whereas -1.0
to -2.5 indicates osteopenia. Knowing the reason behind the correct answer makes it easier to rule out
the wrong options quickly. Look for the choice that protects the client and matches the priority need.
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.
Exam (Elaborations) • Detailed Rationales Page 3
