NR601 FINAL EXAM: PRIMARY CARE
OF THE MATURING AND AGED
FAMILY PRACTICUM QUESTIONS
WITH CORRECT ANSWERS (LATEST
), (A+ GUARANTEE).
1. According to the JNC 8 guidelines, what is the blood pressure threshold for initiating
pharmacological treatment in patients aged 60 years or older without diabetes or chronic
kidney disease?
A. 130/80 mmHg
B. 140/90 mmHg
C. 150/90 mmHg
D. 160/95 mmHg
Answer: C
Conceptual Explanation: For patients aged 60 and older, JNC 8 recommends initiating
therapy at a systolic BP of 150 mmHg or higher, or a diastolic BP of 90 mmHg or higher, to
a target of less than 150/90.
,2. Which medication is listed on the Beers Criteria as potentially inappropriate for older
adults due to its high risk of severe prolonged hypoglycemia?
A. Metformin
B. Glipizide
C. Glyburide
D. Sitagliptin
Answer: C
Conceptual Explanation: Glyburide is a long-acting sulfonylurea with a high risk of
causing prolonged hypoglycemia in older adults and should be avoided.
3. A 78-year-old patient presents with acute onset of fluctuating consciousness and
inattention. Which assessment tool is most appropriate for screening this condition?
A. Mini-Mental State Exam (MMSE)
B. Geriatric Depression Scale (GDS)
C. Patient Health Questionnaire-9 (PHQ-9)
D. Confusion Assessment Method (CAM)
Answer: D
Conceptual Explanation: The CAM is the gold standard for screening delirium,
characterized by acute onset, fluctuating course, inattention, and disorganized thinking.
, 4. Which of the following is considered a component of the Fried Phenotype for diagnosing
frailty?
A. Cognitive impairment
B. Unintentional weight loss of 10 pounds in the past year
C. Polypharmacy (more than 5 medications)
D. History of at least one fall in 6 months
Answer: B
Conceptual Explanation: The Fried criteria for frailty include unintentional weight loss,
exhaustion, low physical activity, slowed walking speed, and weak grip strength.
5. What is the first-line pharmacological treatment for an older adult with newly diagnosed
Osteoarthritis who has failed non-pharmacological interventions?
A. Tramadol
B. Oral Ibuprofen
C. Oral Prednisone
D. Topical NSAIDs
Answer: D
Conceptual Explanation: Topical NSAIDs are preferred first-line for localized OA (e.g.,
knee/hand) in older adults to minimize systemic side effects associated with oral NSAIDs.
OF THE MATURING AND AGED
FAMILY PRACTICUM QUESTIONS
WITH CORRECT ANSWERS (LATEST
), (A+ GUARANTEE).
1. According to the JNC 8 guidelines, what is the blood pressure threshold for initiating
pharmacological treatment in patients aged 60 years or older without diabetes or chronic
kidney disease?
A. 130/80 mmHg
B. 140/90 mmHg
C. 150/90 mmHg
D. 160/95 mmHg
Answer: C
Conceptual Explanation: For patients aged 60 and older, JNC 8 recommends initiating
therapy at a systolic BP of 150 mmHg or higher, or a diastolic BP of 90 mmHg or higher, to
a target of less than 150/90.
,2. Which medication is listed on the Beers Criteria as potentially inappropriate for older
adults due to its high risk of severe prolonged hypoglycemia?
A. Metformin
B. Glipizide
C. Glyburide
D. Sitagliptin
Answer: C
Conceptual Explanation: Glyburide is a long-acting sulfonylurea with a high risk of
causing prolonged hypoglycemia in older adults and should be avoided.
3. A 78-year-old patient presents with acute onset of fluctuating consciousness and
inattention. Which assessment tool is most appropriate for screening this condition?
A. Mini-Mental State Exam (MMSE)
B. Geriatric Depression Scale (GDS)
C. Patient Health Questionnaire-9 (PHQ-9)
D. Confusion Assessment Method (CAM)
Answer: D
Conceptual Explanation: The CAM is the gold standard for screening delirium,
characterized by acute onset, fluctuating course, inattention, and disorganized thinking.
, 4. Which of the following is considered a component of the Fried Phenotype for diagnosing
frailty?
A. Cognitive impairment
B. Unintentional weight loss of 10 pounds in the past year
C. Polypharmacy (more than 5 medications)
D. History of at least one fall in 6 months
Answer: B
Conceptual Explanation: The Fried criteria for frailty include unintentional weight loss,
exhaustion, low physical activity, slowed walking speed, and weak grip strength.
5. What is the first-line pharmacological treatment for an older adult with newly diagnosed
Osteoarthritis who has failed non-pharmacological interventions?
A. Tramadol
B. Oral Ibuprofen
C. Oral Prednisone
D. Topical NSAIDs
Answer: D
Conceptual Explanation: Topical NSAIDs are preferred first-line for localized OA (e.g.,
knee/hand) in older adults to minimize systemic side effects associated with oral NSAIDs.
