,NR601 Week 4 Midterm Exam – Complete Practice
Questions 1–100 with Verified Answers and Detailed
Rationales
Chamberlain University | NR 601 Primary Care of the Maturing and Aged Family Practicum | Week 4
Midterm (Modules I–IV) | 2026/2027
SECTION 1: GERIATRIC ASSESSMENT, AGING & HEALTH PROMOTION (Questions 1–20)
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 decreases with age (GFR declines). Skin elasticity
decreases. Arterial compliance decreases, 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 assesses basic ADLs. The MMSE assesses cognitive function. The GDS 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 covers hospital stays, skilled
nursing facility care, and some home health care. Medicare Part B covers outpatient services, physician
visits, and preventive services. Medicare does not cover all healthcare costs.
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. Which of the following is most true about aging changes?
A. Stage 3 and 4 sleep decreases
B. Renal perfusion is not reduced, but renal function is reduced
C. Hearing acuity declines beginning in middle age
D. Prostatic enlargement occurs only in a minority of men
Correct Answer: A
Rationale: Stage 3 and 4 (deep) sleep decreases significantly with aging. Renal perfusion does reduce,
hearing decline typically begins later, and prostatic enlargement occurs in the majority of older men.
6. Of the following conditions, which one is most common and most often preventable in older
adults?
A. Falls
B. Frailty
C. Cognitive impairment
D. Iatrogenic disease
Correct Answer: D
Rationale: Iatrogenic disease is the most common and most often preventable geriatric problem. It
results from medical treatment or intervention and can be reduced through careful medication
management and monitoring.
Questions 1–100 with Verified Answers and Detailed
Rationales
Chamberlain University | NR 601 Primary Care of the Maturing and Aged Family Practicum | Week 4
Midterm (Modules I–IV) | 2026/2027
SECTION 1: GERIATRIC ASSESSMENT, AGING & HEALTH PROMOTION (Questions 1–20)
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 decreases with age (GFR declines). Skin elasticity
decreases. Arterial compliance decreases, 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 assesses basic ADLs. The MMSE assesses cognitive function. The GDS 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 covers hospital stays, skilled
nursing facility care, and some home health care. Medicare Part B covers outpatient services, physician
visits, and preventive services. Medicare does not cover all healthcare costs.
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. Which of the following is most true about aging changes?
A. Stage 3 and 4 sleep decreases
B. Renal perfusion is not reduced, but renal function is reduced
C. Hearing acuity declines beginning in middle age
D. Prostatic enlargement occurs only in a minority of men
Correct Answer: A
Rationale: Stage 3 and 4 (deep) sleep decreases significantly with aging. Renal perfusion does reduce,
hearing decline typically begins later, and prostatic enlargement occurs in the majority of older men.
6. Of the following conditions, which one is most common and most often preventable in older
adults?
A. Falls
B. Frailty
C. Cognitive impairment
D. Iatrogenic disease
Correct Answer: D
Rationale: Iatrogenic disease is the most common and most often preventable geriatric problem. It
results from medical treatment or intervention and can be reduced through careful medication
management and monitoring.
