NR601 EXAM PREP: PRIMARY CARE OF
THE MATURING AND AGED FAMILY
PRACTICUM QUESTIONS WITH
CORRECT ANSWERS (LATEST 2026 /
2027), (A+ GUARANTEE).
1. According to the Beers Criteria, which of the following medications should be avoided in
older adults due to the high risk of anticholinergic effects and orthostatic hypotension?
A. Metformin
B. Lisinopril
C. Amitriptyline
D. Amlodipine
Answer: C
Conceptual Explanation: Amitriptyline is a tricyclic antidepressant that is highly
anticholinergic, increasing the risk of sedation, orthostatic hypotension, and falls in the
elderly.
2. When managing a 78-year-old patient with multiple comorbidities and a life expectancy of
less than 5 years, what is the recommended HbA1c target range according to the American
Diabetes Association?
A. < 6.5%
,B. < 7.0%
C. 8.0% - 8.5%
D. 7.5% - 8.0%
Answer: C
Conceptual Explanation: For older adults with complex health issues and limited life
expectancy, the ADA recommends a less stringent HbA1c goal of 8.0-8.5% to avoid
hypoglycemia.
3. A 72-year-old male presents with new-onset confusion and agitation. Which tool is most
appropriate to differentiate delirium from dementia?
A. Mini-Mental State Exam (MMSE)
B. Geriatric Depression Scale (GDS)
C. PHQ-9
D. Confusion Assessment Method (CAM)
Answer: D
Conceptual Explanation: The Confusion Assessment Method (CAM) is the gold standard
for identifying delirium, focusing on acute onset, inattention, disorganized thinking, and
altered level of consciousness.
, 4. Which physiological change of aging contributes most significantly to the increased risk of
drug toxicity in the elderly?
A. Increased total body water
B. Increased glomerular filtration rate
C. Decreased hepatic blood flow and renal clearance
D. Increased lean muscle mass
Answer: C
Conceptual Explanation: Aging involves a decrease in hepatic blood flow and renal
function (decreased GFR), which slows the metabolism and excretion of drugs, leading to
accumulation.
5. An 80-year-old patient has a Timed Up and Go (TUG) test result of 15 seconds. How should
this result be interpreted?
A. Normal mobility
B. High risk for falls
C. Excellent physical conditioning
D. Sedentary but safe
Answer: B
Conceptual Explanation: A TUG score of greater than 12-14 seconds is generally
considered a high risk for falls in the community-dwelling elderly population.
THE MATURING AND AGED FAMILY
PRACTICUM QUESTIONS WITH
CORRECT ANSWERS (LATEST 2026 /
2027), (A+ GUARANTEE).
1. According to the Beers Criteria, which of the following medications should be avoided in
older adults due to the high risk of anticholinergic effects and orthostatic hypotension?
A. Metformin
B. Lisinopril
C. Amitriptyline
D. Amlodipine
Answer: C
Conceptual Explanation: Amitriptyline is a tricyclic antidepressant that is highly
anticholinergic, increasing the risk of sedation, orthostatic hypotension, and falls in the
elderly.
2. When managing a 78-year-old patient with multiple comorbidities and a life expectancy of
less than 5 years, what is the recommended HbA1c target range according to the American
Diabetes Association?
A. < 6.5%
,B. < 7.0%
C. 8.0% - 8.5%
D. 7.5% - 8.0%
Answer: C
Conceptual Explanation: For older adults with complex health issues and limited life
expectancy, the ADA recommends a less stringent HbA1c goal of 8.0-8.5% to avoid
hypoglycemia.
3. A 72-year-old male presents with new-onset confusion and agitation. Which tool is most
appropriate to differentiate delirium from dementia?
A. Mini-Mental State Exam (MMSE)
B. Geriatric Depression Scale (GDS)
C. PHQ-9
D. Confusion Assessment Method (CAM)
Answer: D
Conceptual Explanation: The Confusion Assessment Method (CAM) is the gold standard
for identifying delirium, focusing on acute onset, inattention, disorganized thinking, and
altered level of consciousness.
, 4. Which physiological change of aging contributes most significantly to the increased risk of
drug toxicity in the elderly?
A. Increased total body water
B. Increased glomerular filtration rate
C. Decreased hepatic blood flow and renal clearance
D. Increased lean muscle mass
Answer: C
Conceptual Explanation: Aging involves a decrease in hepatic blood flow and renal
function (decreased GFR), which slows the metabolism and excretion of drugs, leading to
accumulation.
5. An 80-year-old patient has a Timed Up and Go (TUG) test result of 15 seconds. How should
this result be interpreted?
A. Normal mobility
B. High risk for falls
C. Excellent physical conditioning
D. Sedentary but safe
Answer: B
Conceptual Explanation: A TUG score of greater than 12-14 seconds is generally
considered a high risk for falls in the community-dwelling elderly population.
