NR 601 FINAL EXAM 2026 PRIMARY CARE
OF THE MATURING AND AGED FAMILY
PRACTICE QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
COMPREHENSIVE STUDY GUIDE
1. A 48 year old male patient screened for diabetes has a fasting plasma
glucose level of 120mg/dl (6.7mmol/L). The nurse practitioner plan
includes:
a. prescribe metformin 500mg po BID
b. educate the patient on lifestyle changes to lower blood glucose
c. initiate self monitoring of blood glucose
d. review the effects of oral hypoglycemic medications -
CORRECT ANSWER -b. educate the patient on lifestyle
changes to lower blood glucose
2. Terazosin, an alpha blocker, is prescribed to treat the following
conditions:
a. benign prostatic hypertrophy and hypertension
b. benign prostatic hypertrophy and hypotension
c. urinary tract infection and arrythmia
d. chronic prostatitis and atrial fibrillation - CORRECT ANSWER
-a. benign prostatic hypertrophy and hypertension
,3. A 65 year old hispanci woman presents to the office for routine follow
up for her type 2 diabetes mellitus. Her routine UA reveals few
epithelial cells, negative leukocytes, negative nitrates, negative
protein, no ketones. Which of the following tests should also be
ordered annually for diabetic patients.
a. reslult is normal, no further testing is necessary
b. urine for culture and sensitivity
c. recommend a screening intravenous pyelopgram (IVP)
d. microalbumin - CORRECT ANSWER -d. microalbumin
4. Age-related changes in the bladder, urethra and ureters include all of
the following in older women except:
a. decline in ureteral resistance pressure
b. increased estrogen produciton's influence on the bladder and
ureter
c. laxity of the pelvic muscle
d. decline in bladder outlet function. - CORRECT ANSWER -b.
increased estrogen production's influence on the bladder and
ureter
5. Which of the listed conditions is most likely to cause delirium?
a. acute infection
b. multiple brain infarcts
c. malnutrition
d. fluid overload - CORRECT ANSWER -a. acute infection
,6. Mrs R is a 68 year old woman with a BMI of 26. She is on Medicare,
has a 20 year history of primary hypertension and has been well
controlled on furosemide 30 mg BID for years. During this follow up
visit Mrs. R reports that for the last 2 months she is always thirsty,
she drinks at least 8 glasses of water a day. Upon chart review the NP
notes that the last two fasting blood glucose levels have been
102mg/dl and 108mg/dl. What action should the nurse practitioner
perform next?
a. plan to recheck glucose as scheduled at the yearly physical exam
next month
b. order a fasting blood glucose
c. check a POC glucose now, she is not fasting
d. educate that the diuretic is causing thirst - CORRECT
ANSWER -b. order a fasting blood glucose
7. Diabetes is one of the leading causes of which medical condition?
a. chronic lung disease
b. disability
c. kidney failure
d. cardiac death - CORRECT ANSWER -c. kidney failure
8. In the late stages of dementia, a phenomenon called "sun downing"
occurs, in which cognitive disturbances tend to :
a. peak mid-day
b. becomes worse toward the evening
c. improves as the day goes on
, d. fluctuates during the course of the day - CORRECT ANSWER -
b. becomes worse toward the evening
9. The proposed mechanism by which diphenhydramine caused
delerium is:
a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects - CORRECT ANSWER -a. anticholinergic
effects
10. According to the Palliative Care Presentation, palliative care
may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months - CORRECT ANSWER
-b. anyone regardless of their life expectancy or disease
progression
11. The highest level of evidence with the use of adjuvant analgesics is
with
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant
analgesics
OF THE MATURING AND AGED FAMILY
PRACTICE QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES
COMPREHENSIVE STUDY GUIDE
1. A 48 year old male patient screened for diabetes has a fasting plasma
glucose level of 120mg/dl (6.7mmol/L). The nurse practitioner plan
includes:
a. prescribe metformin 500mg po BID
b. educate the patient on lifestyle changes to lower blood glucose
c. initiate self monitoring of blood glucose
d. review the effects of oral hypoglycemic medications -
CORRECT ANSWER -b. educate the patient on lifestyle
changes to lower blood glucose
2. Terazosin, an alpha blocker, is prescribed to treat the following
conditions:
a. benign prostatic hypertrophy and hypertension
b. benign prostatic hypertrophy and hypotension
c. urinary tract infection and arrythmia
d. chronic prostatitis and atrial fibrillation - CORRECT ANSWER
-a. benign prostatic hypertrophy and hypertension
,3. A 65 year old hispanci woman presents to the office for routine follow
up for her type 2 diabetes mellitus. Her routine UA reveals few
epithelial cells, negative leukocytes, negative nitrates, negative
protein, no ketones. Which of the following tests should also be
ordered annually for diabetic patients.
a. reslult is normal, no further testing is necessary
b. urine for culture and sensitivity
c. recommend a screening intravenous pyelopgram (IVP)
d. microalbumin - CORRECT ANSWER -d. microalbumin
4. Age-related changes in the bladder, urethra and ureters include all of
the following in older women except:
a. decline in ureteral resistance pressure
b. increased estrogen produciton's influence on the bladder and
ureter
c. laxity of the pelvic muscle
d. decline in bladder outlet function. - CORRECT ANSWER -b.
increased estrogen production's influence on the bladder and
ureter
5. Which of the listed conditions is most likely to cause delirium?
a. acute infection
b. multiple brain infarcts
c. malnutrition
d. fluid overload - CORRECT ANSWER -a. acute infection
,6. Mrs R is a 68 year old woman with a BMI of 26. She is on Medicare,
has a 20 year history of primary hypertension and has been well
controlled on furosemide 30 mg BID for years. During this follow up
visit Mrs. R reports that for the last 2 months she is always thirsty,
she drinks at least 8 glasses of water a day. Upon chart review the NP
notes that the last two fasting blood glucose levels have been
102mg/dl and 108mg/dl. What action should the nurse practitioner
perform next?
a. plan to recheck glucose as scheduled at the yearly physical exam
next month
b. order a fasting blood glucose
c. check a POC glucose now, she is not fasting
d. educate that the diuretic is causing thirst - CORRECT
ANSWER -b. order a fasting blood glucose
7. Diabetes is one of the leading causes of which medical condition?
a. chronic lung disease
b. disability
c. kidney failure
d. cardiac death - CORRECT ANSWER -c. kidney failure
8. In the late stages of dementia, a phenomenon called "sun downing"
occurs, in which cognitive disturbances tend to :
a. peak mid-day
b. becomes worse toward the evening
c. improves as the day goes on
, d. fluctuates during the course of the day - CORRECT ANSWER -
b. becomes worse toward the evening
9. The proposed mechanism by which diphenhydramine caused
delerium is:
a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects - CORRECT ANSWER -a. anticholinergic
effects
10. According to the Palliative Care Presentation, palliative care
may be provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months - CORRECT ANSWER
-b. anyone regardless of their life expectancy or disease
progression
11. The highest level of evidence with the use of adjuvant analgesics is
with
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant
analgesics
