NR 601 Midterm Exam Primary
Care Maturing Aged Family
2026/2027 Questions &
Answers (Verified
Rationales)Guranteed Pass
(GRADED A+)
Question 1. A 68-year-old patient reports gradually increasing
difficulty hearing conversations in a crowded restaurant. Which
age-related change is most consistent with this finding?
A. Conductive hearing loss
B. Presbycusis
C. Otitis media
D. Cerumen impaction
Answer: _B. Presbycusis_
Rationale: Presbycusis is an age-related, usually bilateral
sensorineural hearing loss that commonly affects the ability to
hear high-frequency sounds and understand speech in noisy
environments.
,Question 2. Which assessment finding is most characteristic of
normal aging?
A. New-onset confusion
B. Progressive loss of independence
C. Reduced skin elasticity
D. Persistent urinary incontinence
Answer: _C. Reduced skin elasticity**_
Rationale: Aging is associated with decreased collagen and
elastin, resulting in thinner, less elastic skin. Confusion, loss of
independence, and persistent incontinence should not
automatically be considered normal aging.
Question 3. An older adult reports becoming dizzy when
standing after sitting for several minutes. Which assessment
should the primary care provider perform first?
A. Romberg test
B. Orthostatic blood pressure and pulse measurements
C. Visual acuity testing
D. Mini-Cog screening
Answer: _B. Orthostatic blood pressure and pulse
measurements**_
Rationale: Dizziness occurring after position changes raises
concern for orthostatic hypotension. Comparing vital signs
between supine and standing positions can help identify an
abnormal postural blood-pressure response.
,Question 4. Which physiological change associated with aging
increases the risk of adverse drug effects?
A. Increased renal clearance
B. Increased hepatic metabolism
C. Decreased total body fat
D. Reduced renal function
Answer: _D. Reduced renal function**_
Rationale: Renal function commonly declines with age, which
can reduce medication clearance and increase the risk of drug
accumulation and adverse effects. Medication dosing should
therefore consider kidney function.
Question 5. Which screening tool is commonly used in primary
care to identify possible cognitive impairment in older adults?
A. Glasgow Coma Scale
B. Mini-Cog
C. Braden Scale
D. Apgar Score
Answer: _B. Mini-Cog**_
Rationale: The Mini-Cog combines a brief three-word recall
task with a clock-drawing component and is commonly used as a
rapid screening tool for cognitive impairment.
, Question 6. An older adult has difficulty managing medications,
preparing meals, and paying bills. These activities are best
classified as:
A. Basic activities of daily living
B. Instrumental activities of daily living
C. Reflexive activities
D. Physiological activities
Answer: _B. Instrumental activities of daily living**_
Rationale: Instrumental activities of daily living (IADLs) include
more complex tasks such as medication management, finances,
shopping, transportation, meal preparation, and household
management.
Question 7. Which finding should prompt further evaluation
rather than being attributed to normal aging?
A. Mild decrease in muscle mass
B. Slower reaction time
C. New progressive memory loss affecting daily activities
D. Decreased skin thickness
Answer: _C. New progressive memory loss affecting daily
activities**_
Rationale: Some slowing of physical and cognitive processes
may occur with normal aging, but progressive memory
impairment that interferes with daily functioning requires
evaluation for possible cognitive disorders or other causes.
Care Maturing Aged Family
2026/2027 Questions &
Answers (Verified
Rationales)Guranteed Pass
(GRADED A+)
Question 1. A 68-year-old patient reports gradually increasing
difficulty hearing conversations in a crowded restaurant. Which
age-related change is most consistent with this finding?
A. Conductive hearing loss
B. Presbycusis
C. Otitis media
D. Cerumen impaction
Answer: _B. Presbycusis_
Rationale: Presbycusis is an age-related, usually bilateral
sensorineural hearing loss that commonly affects the ability to
hear high-frequency sounds and understand speech in noisy
environments.
,Question 2. Which assessment finding is most characteristic of
normal aging?
A. New-onset confusion
B. Progressive loss of independence
C. Reduced skin elasticity
D. Persistent urinary incontinence
Answer: _C. Reduced skin elasticity**_
Rationale: Aging is associated with decreased collagen and
elastin, resulting in thinner, less elastic skin. Confusion, loss of
independence, and persistent incontinence should not
automatically be considered normal aging.
Question 3. An older adult reports becoming dizzy when
standing after sitting for several minutes. Which assessment
should the primary care provider perform first?
A. Romberg test
B. Orthostatic blood pressure and pulse measurements
C. Visual acuity testing
D. Mini-Cog screening
Answer: _B. Orthostatic blood pressure and pulse
measurements**_
Rationale: Dizziness occurring after position changes raises
concern for orthostatic hypotension. Comparing vital signs
between supine and standing positions can help identify an
abnormal postural blood-pressure response.
,Question 4. Which physiological change associated with aging
increases the risk of adverse drug effects?
A. Increased renal clearance
B. Increased hepatic metabolism
C. Decreased total body fat
D. Reduced renal function
Answer: _D. Reduced renal function**_
Rationale: Renal function commonly declines with age, which
can reduce medication clearance and increase the risk of drug
accumulation and adverse effects. Medication dosing should
therefore consider kidney function.
Question 5. Which screening tool is commonly used in primary
care to identify possible cognitive impairment in older adults?
A. Glasgow Coma Scale
B. Mini-Cog
C. Braden Scale
D. Apgar Score
Answer: _B. Mini-Cog**_
Rationale: The Mini-Cog combines a brief three-word recall
task with a clock-drawing component and is commonly used as a
rapid screening tool for cognitive impairment.
, Question 6. An older adult has difficulty managing medications,
preparing meals, and paying bills. These activities are best
classified as:
A. Basic activities of daily living
B. Instrumental activities of daily living
C. Reflexive activities
D. Physiological activities
Answer: _B. Instrumental activities of daily living**_
Rationale: Instrumental activities of daily living (IADLs) include
more complex tasks such as medication management, finances,
shopping, transportation, meal preparation, and household
management.
Question 7. Which finding should prompt further evaluation
rather than being attributed to normal aging?
A. Mild decrease in muscle mass
B. Slower reaction time
C. New progressive memory loss affecting daily activities
D. Decreased skin thickness
Answer: _C. New progressive memory loss affecting daily
activities**_
Rationale: Some slowing of physical and cognitive processes
may occur with normal aging, but progressive memory
impairment that interferes with daily functioning requires
evaluation for possible cognitive disorders or other causes.
