NR601 Final Exam Practice Questions (Verified
Update!!!) Exam latest update Practice Questions
(Original) EXAM | Latest Update | Original Questions &
Answers with Detailed Rationales | Graded A+
Instructions: This exam consists of multiple-choice questions. Choose
the best answer for each question. The questions are organized by
major topic areas in geriatric primary care.
Section 1: Geriatric Assessment, Aging & Health Promotion
(Questions)
1. An 82-year-old patient presents for a Medicare Annual
Wellness Visit. Which of the following is the single most
effective intervention to reduce mortality and morbidity in
this patient?
A) Initiation of a daily multivitamin
B) Counseling on smoking cessation
C) Referral for hearing screening
D) Screening for colorectal cancer
Answer: B
Rationale: Smoking cessation provides the greatest single
mortality and morbidity benefit for older adults. Even in later
,life, quitting smoking reduces cardiovascular and cancer risk
significantly within months to years .
2. A 78-year-old female presents for her annual wellness visit.
She reports a gradual decline in her ability to hear high-
pitched sounds over the past several years. Her family has
noticed she turns up the television volume. Which of the
following best describes this age-related change?
A) Presbyopia
B) Presbycusis
C) Sensorineural conductive loss
D) Tinnitus associated with aging
Answer: B
Rationale: Presbycusis is the progressive, bilateral, age-related
sensorineural hearing loss that primarily affects high-frequency
sounds, which is classic in older adults. Presbyopia refers to
age-related loss of near vision, not hearing .
3. The nurse practitioner is performing a comprehensive
geriatric assessment (CGA) on an 82-year-old patient. Which of
the following components is considered the MOST essential
element of the CGA that distinguishes it from a standard adult
physical examination?
A) Complete blood count and metabolic panel
B) Functional status assessment including ADLs and IADLs
,C) Comprehensive skin examination for melanoma screening
D) Detailed family history of chronic diseases
Answer: B
Rationale: The comprehensive geriatric assessment (CGA) is
distinguished from a standard adult physical by its emphasis on
functional status, including evaluation of Activities of Daily
Living (ADLs) using the Katz Index and Instrumental Activities of
Daily Living (IADLs) using the Lawton Scale .
4. The "5 Ms" of geriatrics include all EXCEPT:
A) Mind
B) Mobility
C) Medications
D) Metabolism
Answer: D
Rationale: The 5 Ms of geriatrics are Mind, Mobility,
Medications, Multicomplexity, and Matters Most .
5. Which tool best assesses for fall risk related to gait and
balance?
A) Katz ADL
B) Lawton IADL
C) Timed Up and Go (TUG)
D) Mini-Cog
Answer: C
Rationale: The TUG test (>12 seconds indicates fall risk)
, measures gait and balance. Katz measures basic ADLs, Lawton
measures IADLs, and Mini-Cog measures cognition .
6. A 79-year-old male scores 6/30 on the PHQ-9 and 22/30 on
the MoCA. He reports fatigue and poor appetite for 2 months.
No acute confusion. Most likely diagnosis?
A) Delirium
B) Major depressive disorder
C) Mild cognitive impairment
D) Normal aging
Answer: C
Rationale: MoCA 18-25 suggests MCI. PHQ-9 score of 6
indicates mild symptoms, not MDD. Delirium is acute. MCI is an
objective deficit without functional loss .
7. Katz ADL measures:
A) Ability to manage finances
B) Basic self-care: bathing, dressing, toileting, transfers,
continence, feeding
C) Cognitive function
D) Depression severity
Answer: B
Rationale: The Katz Index measures six basic ADLs: bathing,
dressing, toileting, transfers, continence, and feeding. Lawton
measures IADLs like shopping and finances .
Update!!!) Exam latest update Practice Questions
(Original) EXAM | Latest Update | Original Questions &
Answers with Detailed Rationales | Graded A+
Instructions: This exam consists of multiple-choice questions. Choose
the best answer for each question. The questions are organized by
major topic areas in geriatric primary care.
Section 1: Geriatric Assessment, Aging & Health Promotion
(Questions)
1. An 82-year-old patient presents for a Medicare Annual
Wellness Visit. Which of the following is the single most
effective intervention to reduce mortality and morbidity in
this patient?
A) Initiation of a daily multivitamin
B) Counseling on smoking cessation
C) Referral for hearing screening
D) Screening for colorectal cancer
Answer: B
Rationale: Smoking cessation provides the greatest single
mortality and morbidity benefit for older adults. Even in later
,life, quitting smoking reduces cardiovascular and cancer risk
significantly within months to years .
2. A 78-year-old female presents for her annual wellness visit.
She reports a gradual decline in her ability to hear high-
pitched sounds over the past several years. Her family has
noticed she turns up the television volume. Which of the
following best describes this age-related change?
A) Presbyopia
B) Presbycusis
C) Sensorineural conductive loss
D) Tinnitus associated with aging
Answer: B
Rationale: Presbycusis is the progressive, bilateral, age-related
sensorineural hearing loss that primarily affects high-frequency
sounds, which is classic in older adults. Presbyopia refers to
age-related loss of near vision, not hearing .
3. The nurse practitioner is performing a comprehensive
geriatric assessment (CGA) on an 82-year-old patient. Which of
the following components is considered the MOST essential
element of the CGA that distinguishes it from a standard adult
physical examination?
A) Complete blood count and metabolic panel
B) Functional status assessment including ADLs and IADLs
,C) Comprehensive skin examination for melanoma screening
D) Detailed family history of chronic diseases
Answer: B
Rationale: The comprehensive geriatric assessment (CGA) is
distinguished from a standard adult physical by its emphasis on
functional status, including evaluation of Activities of Daily
Living (ADLs) using the Katz Index and Instrumental Activities of
Daily Living (IADLs) using the Lawton Scale .
4. The "5 Ms" of geriatrics include all EXCEPT:
A) Mind
B) Mobility
C) Medications
D) Metabolism
Answer: D
Rationale: The 5 Ms of geriatrics are Mind, Mobility,
Medications, Multicomplexity, and Matters Most .
5. Which tool best assesses for fall risk related to gait and
balance?
A) Katz ADL
B) Lawton IADL
C) Timed Up and Go (TUG)
D) Mini-Cog
Answer: C
Rationale: The TUG test (>12 seconds indicates fall risk)
, measures gait and balance. Katz measures basic ADLs, Lawton
measures IADLs, and Mini-Cog measures cognition .
6. A 79-year-old male scores 6/30 on the PHQ-9 and 22/30 on
the MoCA. He reports fatigue and poor appetite for 2 months.
No acute confusion. Most likely diagnosis?
A) Delirium
B) Major depressive disorder
C) Mild cognitive impairment
D) Normal aging
Answer: C
Rationale: MoCA 18-25 suggests MCI. PHQ-9 score of 6
indicates mild symptoms, not MDD. Delirium is acute. MCI is an
objective deficit without functional loss .
7. Katz ADL measures:
A) Ability to manage finances
B) Basic self-care: bathing, dressing, toileting, transfers,
continence, feeding
C) Cognitive function
D) Depression severity
Answer: B
Rationale: The Katz Index measures six basic ADLs: bathing,
dressing, toileting, transfers, continence, and feeding. Lawton
measures IADLs like shopping and finances .
