NR601 Week 8 Final Exam/NR 601 Primary Care of the
Maturing and Aged Family Practicum NR 601 Midterm and
Finals Examplify Online Proctored Exam Newest 2025/2026
Complete Actual Screenshot Exam. Chamberlain University.
Question 1
A 78-year-old female presents for a routine health maintenance visit. Which of
the following screening tools is most appropriate for assessing cognitive function
in this patient?
A. Mini-Mental State Examination (MMSE)
B. Montreal Cognitive Assessment (MoCA)
C. Mini-Cog
D. All of the above
Correct Answer: D – All of the above
Rationale: All of the above are valid screening tools for cognitive impairment in
older adults. The MMSE is widely used but has copyright restrictions. The MoCA is
more sensitive for mild cognitive impairment. The Mini-Cog is a brief, valid
screening tool that combines a three-word recall and clock drawing test. The
choice depends on the clinical setting and time available.
Question 2
A 72-year-old male reports that he has fallen twice in the past year. Which of the
following is the most important component of a fall risk assessment?
A. Gait and balance evaluation
B. Medication review
C. Home safety evaluation
D. All of the above
,Correct Answer: D – All of the above
Rationale: A comprehensive fall risk assessment includes gait and balance
evaluation (e.g., Timed Up and Go test), medication review (especially sedatives,
antihypertensives, and hypoglycemics), and home safety evaluation (lighting, grab
bars, clutter). Falls are a leading cause of injury and morbidity in older adults.
Question 3
A 75-year-old female is prescribed a new medication. According to the Beers
Criteria, which of the following medications should be avoided in older adults?
A. Metformin
B. Lisinopril
C. Diphenhydramine
D. Levothyroxine
Correct Answer: C – Diphenhydramine
Rationale: Diphenhydramine is on the Beers Criteria list of potentially
inappropriate medications for older adults due to its
strong anticholinergic effects, which can cause confusion, dizziness, constipation,
and urinary retention. Metformin, lisinopril, and levothyroxine are generally
appropriate for older adults when indicated.
Question 4
A 68-year-old female presents with complaints of memory loss. Which of the
following is the most appropriate initial screening tool?
A. Mini-Cog
B. Montreal Cognitive Assessment (MoCA)
C. Geriatric Depression Scale (GDS)
D. Functional Activities Questionnaire (FAQ)
Correct Answer: A – Mini-Cog
,Rationale: The Mini-Cog is a brief, valid screening tool for cognitive impairment
that takes only 3-5 minutes to administer. It combines a three-item recall and a
clock-drawing test. The MoCA is more sensitive but takes longer. The GDS screens
for depression, and the FAQ assesses functional impairment.
Question 5
A 70-year-old male has a Timed Up and Go (TUG) test result of 14 seconds. Which
of the following is the correct interpretation?
A. Normal for age
B. Increased fall risk
C. Requires immediate intervention
D. Cannot be interpreted without other data
Correct Answer: B – Increased fall risk
Rationale: A Timed Up and Go (TUG) test result of >12 seconds indicates an
increased risk of falls. This patient should undergo a comprehensive fall risk
assessment and intervention. The TUG test measures mobility and functional
status.
Question 6
A 76-year-old female is being evaluated for polypharmacy. Which of the following
is the most appropriate intervention?
A. Discontinue all medications
B. Review medications using the Beers Criteria
C. Add a medication to manage side effects
D. Refer to a specialist
Correct Answer: B – Review medications using the Beers Criteria
Rationale: Polypharmacy is common in older adults and increases the risk of
adverse drug reactions. The Beers Criteria provides a list of potentially
inappropriate medications for older adults and should be used to guide
, medication review and deprescribing. Medications should be reviewed regularly
and discontinued if not indicated.
SECTION 2: CARDIOVASCULAR DISORDERS (Questions 7–20)
Question 7
A 72-year-old male with hypertension has a blood pressure of 148/88 mmHg on
two separate visits. He has no other comorbidities. Which of the following is the
most appropriate initial antihypertensive?
A. Hydrochlorothiazide
B. Lisinopril
C. Amlodipine
D. Any of the above
Correct Answer: D – Any of the above
Rationale: For patients with stage 1 hypertension without compelling indications,
any of the first-line antihypertensives (thiazide diuretic, ACE inhibitor, ARB, or
calcium channel blocker) can be used initially. The choice depends on patient-
specific factors and side effect profile.
Question 8
A 75-year-old female with heart failure with reduced ejection fraction (HFrEF) is
prescribed an ACE inhibitor and a beta-blocker. Which of the following beta-
blockers is approved for HFrEF?
A. Atenolol
B. Metoprolol succinate
C. Propranolol
D. Esmolol
Correct Answer: B – Metoprolol succinate
Maturing and Aged Family Practicum NR 601 Midterm and
Finals Examplify Online Proctored Exam Newest 2025/2026
Complete Actual Screenshot Exam. Chamberlain University.
Question 1
A 78-year-old female presents for a routine health maintenance visit. Which of
the following screening tools is most appropriate for assessing cognitive function
in this patient?
A. Mini-Mental State Examination (MMSE)
B. Montreal Cognitive Assessment (MoCA)
C. Mini-Cog
D. All of the above
Correct Answer: D – All of the above
Rationale: All of the above are valid screening tools for cognitive impairment in
older adults. The MMSE is widely used but has copyright restrictions. The MoCA is
more sensitive for mild cognitive impairment. The Mini-Cog is a brief, valid
screening tool that combines a three-word recall and clock drawing test. The
choice depends on the clinical setting and time available.
Question 2
A 72-year-old male reports that he has fallen twice in the past year. Which of the
following is the most important component of a fall risk assessment?
A. Gait and balance evaluation
B. Medication review
C. Home safety evaluation
D. All of the above
,Correct Answer: D – All of the above
Rationale: A comprehensive fall risk assessment includes gait and balance
evaluation (e.g., Timed Up and Go test), medication review (especially sedatives,
antihypertensives, and hypoglycemics), and home safety evaluation (lighting, grab
bars, clutter). Falls are a leading cause of injury and morbidity in older adults.
Question 3
A 75-year-old female is prescribed a new medication. According to the Beers
Criteria, which of the following medications should be avoided in older adults?
A. Metformin
B. Lisinopril
C. Diphenhydramine
D. Levothyroxine
Correct Answer: C – Diphenhydramine
Rationale: Diphenhydramine is on the Beers Criteria list of potentially
inappropriate medications for older adults due to its
strong anticholinergic effects, which can cause confusion, dizziness, constipation,
and urinary retention. Metformin, lisinopril, and levothyroxine are generally
appropriate for older adults when indicated.
Question 4
A 68-year-old female presents with complaints of memory loss. Which of the
following is the most appropriate initial screening tool?
A. Mini-Cog
B. Montreal Cognitive Assessment (MoCA)
C. Geriatric Depression Scale (GDS)
D. Functional Activities Questionnaire (FAQ)
Correct Answer: A – Mini-Cog
,Rationale: The Mini-Cog is a brief, valid screening tool for cognitive impairment
that takes only 3-5 minutes to administer. It combines a three-item recall and a
clock-drawing test. The MoCA is more sensitive but takes longer. The GDS screens
for depression, and the FAQ assesses functional impairment.
Question 5
A 70-year-old male has a Timed Up and Go (TUG) test result of 14 seconds. Which
of the following is the correct interpretation?
A. Normal for age
B. Increased fall risk
C. Requires immediate intervention
D. Cannot be interpreted without other data
Correct Answer: B – Increased fall risk
Rationale: A Timed Up and Go (TUG) test result of >12 seconds indicates an
increased risk of falls. This patient should undergo a comprehensive fall risk
assessment and intervention. The TUG test measures mobility and functional
status.
Question 6
A 76-year-old female is being evaluated for polypharmacy. Which of the following
is the most appropriate intervention?
A. Discontinue all medications
B. Review medications using the Beers Criteria
C. Add a medication to manage side effects
D. Refer to a specialist
Correct Answer: B – Review medications using the Beers Criteria
Rationale: Polypharmacy is common in older adults and increases the risk of
adverse drug reactions. The Beers Criteria provides a list of potentially
inappropriate medications for older adults and should be used to guide
, medication review and deprescribing. Medications should be reviewed regularly
and discontinued if not indicated.
SECTION 2: CARDIOVASCULAR DISORDERS (Questions 7–20)
Question 7
A 72-year-old male with hypertension has a blood pressure of 148/88 mmHg on
two separate visits. He has no other comorbidities. Which of the following is the
most appropriate initial antihypertensive?
A. Hydrochlorothiazide
B. Lisinopril
C. Amlodipine
D. Any of the above
Correct Answer: D – Any of the above
Rationale: For patients with stage 1 hypertension without compelling indications,
any of the first-line antihypertensives (thiazide diuretic, ACE inhibitor, ARB, or
calcium channel blocker) can be used initially. The choice depends on patient-
specific factors and side effect profile.
Question 8
A 75-year-old female with heart failure with reduced ejection fraction (HFrEF) is
prescribed an ACE inhibitor and a beta-blocker. Which of the following beta-
blockers is approved for HFrEF?
A. Atenolol
B. Metoprolol succinate
C. Propranolol
D. Esmolol
Correct Answer: B – Metoprolol succinate
