NR601 Week 4 Midterm Exam Due 2nd
August 2026 Complete Actual Exam
Questions 1- 100 NR 601 Primary Care of the
Maturing and Aged Family Practicum.pdf
CORE DOMAINS
Foundations of Geriatric Primary Care and Aging Theories
Comprehensive Geriatric Assessment and Functional Evaluation
Cardiovascular Disorders (Coronary, Peripheral Vascular, Heart
Failure)
Cardiac Arrhythmias and Valvular Disorders
Respiratory Disorders (COPD, Asthma, Pneumonia, OSA)
,Polypharmacy, Beers Criteria, and Pain Management
Palliative Care, Hospice, and Advance Care Planning
Health Promotion, Screening, and Immunizations
INTRODUCTION
The NR601 Week 4 Midterm Examination evaluates the family
nurse practitioner student's mastery of primary care for the
maturing and aged family. The examination assesses clinical
judgment through multiple-choice and scenario-based items
emphasizing comprehensive geriatric assessment, cardiovascular
and respiratory disorders, polypharmacy management, and end-
of-life care. Content covers the first four weeks of the course,
including aging physiology, functional decline, chronic disease
management, and evidence-based screening guidelines. This
assessment measures the candidate's ability to apply advanced
practice nursing knowledge to realistic clinical vignettes requiring
diagnostic reasoning, pharmacological decision-making, and
patient-centered care planning.
SECTION ONE: QUESTIONS 1–100
1. A 72-year-old patient presents for a routine wellness
visit. The nurse practitioner understands that which of the
following is a normal physiological change associated with
aging?
A. Decreased gastric acid production
B. Increased renal function
C. Increased skin elasticity
D. Decreased arterial compliance
Correct answer: A
, RATIONALE: Decreased gastric acid production is a normal
age-related change that can affect absorption of medications and
nutrients. Renal function (B) decreases with age (GFR declines).
Skin elasticity (C) decreases with age. Arterial compliance (D)
decreases with age, leading to increased vascular stiffness and
systolic hypertension .
2. The nurse practitioner is assessing an older adult's
functional ability. Which assessment tool is most
appropriate for evaluating instrumental activities of daily
living (IADLs)?
A. Katz Index of Independence in ADLs
B. Lawton IADL Scale
C. Mini-Mental State Examination (MMSE)
D. Geriatric Depression Scale (GDS)
Correct answer: B
RATIONALE: The Lawton IADL Scale assesses instrumental
activities of daily living (IADLs), such as managing finances, meal
preparation, shopping, housekeeping, and medication
management. The Katz Index (A) assesses basic ADLs (bathing,
dressing, toileting, transferring, continence, feeding). The MMSE
(C) assesses cognitive function. The GDS (D) screens for
depression .
3. The nurse practitioner is providing education about
Medicare to a patient who is turning 65. Which statement
about Medicare is correct?
A. Medicare Part A covers outpatient services
B. Medicare Part B covers hospital stays
, C. Medicare Part D covers prescription drugs
D. Medicare covers all healthcare costs
Correct answer: C
RATIONALE: Medicare Part D covers prescription drugs.
Medicare Part A (B) covers hospital stays, skilled nursing facility
care, and some home health care. Medicare Part B (A) covers
outpatient services, physician visits, and preventive services.
Medicare does not cover all healthcare costs (D); beneficiaries
may have co-pays, deductibles, and services not covered .
4. The nurse practitioner is conducting a comprehensive
geriatric assessment. Which of the following is a
component of this assessment?
A. Physical health
B. Cognitive function
C. Social functioning
D. All of the above
Correct answer: D
RATIONALE: A comprehensive geriatric assessment evaluates
multiple domains, including physical health, cognitive function,
mental health, functional ability, social support, and
environmental factors. This holistic approach is essential for
identifying the unique needs of older adults and developing an
individualized care plan .
5. The nurse practitioner is caring for an older adult
patient. Which statement best describes the concept of
"frailty"?
August 2026 Complete Actual Exam
Questions 1- 100 NR 601 Primary Care of the
Maturing and Aged Family Practicum.pdf
CORE DOMAINS
Foundations of Geriatric Primary Care and Aging Theories
Comprehensive Geriatric Assessment and Functional Evaluation
Cardiovascular Disorders (Coronary, Peripheral Vascular, Heart
Failure)
Cardiac Arrhythmias and Valvular Disorders
Respiratory Disorders (COPD, Asthma, Pneumonia, OSA)
,Polypharmacy, Beers Criteria, and Pain Management
Palliative Care, Hospice, and Advance Care Planning
Health Promotion, Screening, and Immunizations
INTRODUCTION
The NR601 Week 4 Midterm Examination evaluates the family
nurse practitioner student's mastery of primary care for the
maturing and aged family. The examination assesses clinical
judgment through multiple-choice and scenario-based items
emphasizing comprehensive geriatric assessment, cardiovascular
and respiratory disorders, polypharmacy management, and end-
of-life care. Content covers the first four weeks of the course,
including aging physiology, functional decline, chronic disease
management, and evidence-based screening guidelines. This
assessment measures the candidate's ability to apply advanced
practice nursing knowledge to realistic clinical vignettes requiring
diagnostic reasoning, pharmacological decision-making, and
patient-centered care planning.
SECTION ONE: QUESTIONS 1–100
1. A 72-year-old patient presents for a routine wellness
visit. The nurse practitioner understands that which of the
following is a normal physiological change associated with
aging?
A. Decreased gastric acid production
B. Increased renal function
C. Increased skin elasticity
D. Decreased arterial compliance
Correct answer: A
, RATIONALE: Decreased gastric acid production is a normal
age-related change that can affect absorption of medications and
nutrients. Renal function (B) decreases with age (GFR declines).
Skin elasticity (C) decreases with age. Arterial compliance (D)
decreases with age, leading to increased vascular stiffness and
systolic hypertension .
2. The nurse practitioner is assessing an older adult's
functional ability. Which assessment tool is most
appropriate for evaluating instrumental activities of daily
living (IADLs)?
A. Katz Index of Independence in ADLs
B. Lawton IADL Scale
C. Mini-Mental State Examination (MMSE)
D. Geriatric Depression Scale (GDS)
Correct answer: B
RATIONALE: The Lawton IADL Scale assesses instrumental
activities of daily living (IADLs), such as managing finances, meal
preparation, shopping, housekeeping, and medication
management. The Katz Index (A) assesses basic ADLs (bathing,
dressing, toileting, transferring, continence, feeding). The MMSE
(C) assesses cognitive function. The GDS (D) screens for
depression .
3. The nurse practitioner is providing education about
Medicare to a patient who is turning 65. Which statement
about Medicare is correct?
A. Medicare Part A covers outpatient services
B. Medicare Part B covers hospital stays
, C. Medicare Part D covers prescription drugs
D. Medicare covers all healthcare costs
Correct answer: C
RATIONALE: Medicare Part D covers prescription drugs.
Medicare Part A (B) covers hospital stays, skilled nursing facility
care, and some home health care. Medicare Part B (A) covers
outpatient services, physician visits, and preventive services.
Medicare does not cover all healthcare costs (D); beneficiaries
may have co-pays, deductibles, and services not covered .
4. The nurse practitioner is conducting a comprehensive
geriatric assessment. Which of the following is a
component of this assessment?
A. Physical health
B. Cognitive function
C. Social functioning
D. All of the above
Correct answer: D
RATIONALE: A comprehensive geriatric assessment evaluates
multiple domains, including physical health, cognitive function,
mental health, functional ability, social support, and
environmental factors. This holistic approach is essential for
identifying the unique needs of older adults and developing an
individualized care plan .
5. The nurse practitioner is caring for an older adult
patient. Which statement best describes the concept of
"frailty"?
