NR 601: PRIMARY CARE OF THE
MATURING AND AGED FAMILY
PRACTICUM ADVANCED ASSESSMENT
1. According to the Fried Phenotype of Frailty, which of the following criteria must be present
for a patient to be classified as ‘frail’?
A. At least one of five criteria (weight loss, exhaustion, low activity, slowness, weakness)
B. At least three of five criteria
C. At least two of five criteria
D. All five criteria must be present
Answer: B
Conceptual Explanation: The Fried Phenotype identifies frailty based on five criteria:
unintentional weight loss, self-reported exhaustion, low physical activity, slow walking
speed, and weak grip strength. A score of 3 or more indicates frailty.
2. An 82-year-old female presents with a Mini-Mental State Examination (MMSE) score of 22.
What is the most appropriate interpretation of this score?
A. Normal cognitive function
,B. Mild cognitive impairment
C. Moderate cognitive impairment
D. Severe cognitive impairment
Answer: B
Conceptual Explanation: MMSE scores between 20 and 24 typically suggest mild
cognitive impairment. Scores 13-20 suggest moderate, and less than 12 suggest severe
impairment.
3. When managing hypertension in a 75-year-old patient without diabetes or chronic kidney
disease, the ACC/AHA guidelines recommend a blood pressure goal of:
A. <120/80 mmHg
B. <150/90 mmHg
C. <140/90 mmHg
D. <130/80 mmHg
Answer: D
Conceptual Explanation: Current ACC/AHA guidelines generally recommend a target of
<130/80 mmHg for community-dwelling adults aged 65 and older, though clinical
judgment regarding frailty is required.
, 4. Which of the following medications is listed on the Beers Criteria as potentially
inappropriate for use in older adults due to a high risk of orthostatic hypotension?
A. Metformin
B. Lisinopril
C. Doxazosin
D. Sertraline
Answer: C
Conceptual Explanation: Alpha-1 blockers like Doxazosin are associated with a high risk
of orthostatic hypotension and are not recommended as routine treatment for
hypertension in older adults.
5. A patient is evaluated for ‘failure to thrive.’ Which screening tool is most specific for
assessing nutritional status in the elderly?
A. Mini Nutritional Assessment (MNA)
B. BMI calculation
C. Serum Albumin levels
D. 24-hour food recall
Answer: A
MATURING AND AGED FAMILY
PRACTICUM ADVANCED ASSESSMENT
1. According to the Fried Phenotype of Frailty, which of the following criteria must be present
for a patient to be classified as ‘frail’?
A. At least one of five criteria (weight loss, exhaustion, low activity, slowness, weakness)
B. At least three of five criteria
C. At least two of five criteria
D. All five criteria must be present
Answer: B
Conceptual Explanation: The Fried Phenotype identifies frailty based on five criteria:
unintentional weight loss, self-reported exhaustion, low physical activity, slow walking
speed, and weak grip strength. A score of 3 or more indicates frailty.
2. An 82-year-old female presents with a Mini-Mental State Examination (MMSE) score of 22.
What is the most appropriate interpretation of this score?
A. Normal cognitive function
,B. Mild cognitive impairment
C. Moderate cognitive impairment
D. Severe cognitive impairment
Answer: B
Conceptual Explanation: MMSE scores between 20 and 24 typically suggest mild
cognitive impairment. Scores 13-20 suggest moderate, and less than 12 suggest severe
impairment.
3. When managing hypertension in a 75-year-old patient without diabetes or chronic kidney
disease, the ACC/AHA guidelines recommend a blood pressure goal of:
A. <120/80 mmHg
B. <150/90 mmHg
C. <140/90 mmHg
D. <130/80 mmHg
Answer: D
Conceptual Explanation: Current ACC/AHA guidelines generally recommend a target of
<130/80 mmHg for community-dwelling adults aged 65 and older, though clinical
judgment regarding frailty is required.
, 4. Which of the following medications is listed on the Beers Criteria as potentially
inappropriate for use in older adults due to a high risk of orthostatic hypotension?
A. Metformin
B. Lisinopril
C. Doxazosin
D. Sertraline
Answer: C
Conceptual Explanation: Alpha-1 blockers like Doxazosin are associated with a high risk
of orthostatic hypotension and are not recommended as routine treatment for
hypertension in older adults.
5. A patient is evaluated for ‘failure to thrive.’ Which screening tool is most specific for
assessing nutritional status in the elderly?
A. Mini Nutritional Assessment (MNA)
B. BMI calculation
C. Serum Albumin levels
D. 24-hour food recall
Answer: A
