NR601 / NR 601 PRIMARY CARE OF
THE MATURING & AGED FAMILY
PRACTICUM MIDTERM EXAM
QUESTIONS AND ANSWERS 2026
COMPLETE EXAM PREP WITH
VERIFIED SOLUTIONS
◉ Which strategy is most effective for supporting long-term behavior
change in patients?
Answer: Using motivational strategies with realistic goals.
◉ What outcome indicates that a supervised exercise training program
for a patient with claudication is effective?
Answer: The patient shows a significant increase in walking distance
and reports reduced pain during exercise.
◉ Why is diagnosing influenza in older adults particularly challenging?
Answer: Influenza symptoms can be mild and nonspecific.
◉ According to the 'Rule of Fourths,' how is functional decline in older
adults influenced?
Answer: Functional decline is equally influenced by aging, disuse,
disease, and iatrogenic factors.
, ◉ Which pathogen is most likely responsible for community-acquired
pneumonia in a patient with COPD and smoking history?
Answer: Haemophilus influenzae.
◉ How does mild cognitive impairment (MCI) differ from dementia?
Answer: MCI is characterized by cognitive decline without significant
functional impairment, and it can progress to dementia over time.
◉ What finding is most characteristic of chronic severe mitral
regurgitation (MR)?
Answer: Presence of dyspnea, fatigue, orthopnea, and palpitations.
◉ What is the most appropriate next step for a patient with nonsustained
ventricular tachycardia (NSVT) and normal ventricular function?
Answer: Reassure the patient that no treatment is needed unless
symptoms develop.
◉ Which symptom of aortic stenosis (AS) is most likely to be provoked
by sudden changes in heart rate, volume status, or cardiac output?
Answer: Syncope.
◉ What should be advised for a 65-year-old male with paroxysmal atrial
fibrillation and a CHA₂DS₂-VASc score of 2?
Answer: Anticoagulation is recommended regardless of AF frequency.
THE MATURING & AGED FAMILY
PRACTICUM MIDTERM EXAM
QUESTIONS AND ANSWERS 2026
COMPLETE EXAM PREP WITH
VERIFIED SOLUTIONS
◉ Which strategy is most effective for supporting long-term behavior
change in patients?
Answer: Using motivational strategies with realistic goals.
◉ What outcome indicates that a supervised exercise training program
for a patient with claudication is effective?
Answer: The patient shows a significant increase in walking distance
and reports reduced pain during exercise.
◉ Why is diagnosing influenza in older adults particularly challenging?
Answer: Influenza symptoms can be mild and nonspecific.
◉ According to the 'Rule of Fourths,' how is functional decline in older
adults influenced?
Answer: Functional decline is equally influenced by aging, disuse,
disease, and iatrogenic factors.
, ◉ Which pathogen is most likely responsible for community-acquired
pneumonia in a patient with COPD and smoking history?
Answer: Haemophilus influenzae.
◉ How does mild cognitive impairment (MCI) differ from dementia?
Answer: MCI is characterized by cognitive decline without significant
functional impairment, and it can progress to dementia over time.
◉ What finding is most characteristic of chronic severe mitral
regurgitation (MR)?
Answer: Presence of dyspnea, fatigue, orthopnea, and palpitations.
◉ What is the most appropriate next step for a patient with nonsustained
ventricular tachycardia (NSVT) and normal ventricular function?
Answer: Reassure the patient that no treatment is needed unless
symptoms develop.
◉ Which symptom of aortic stenosis (AS) is most likely to be provoked
by sudden changes in heart rate, volume status, or cardiac output?
Answer: Syncope.
◉ What should be advised for a 65-year-old male with paroxysmal atrial
fibrillation and a CHA₂DS₂-VASc score of 2?
Answer: Anticoagulation is recommended regardless of AF frequency.
