Chamberlain University | NR 601 Primary Care of the Adult and Geriatric Patient
NR 601 Primary Care of the Adult and Geriatric Patient Final
Examination 2026/2027 | Verified Questions
Chamberlain University | Primary Care of the Adult and Geriatric Patient | Professional Nurse
Practitioner Candidates
150 Verified Questions | 6 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain University | NR 601 Primary Care of the Adult and Geriatric Patient
Final Examination Actual Exam | Academic Year 2026/2027
NR 601 Primary Care of the Adult and Geriatric Patient Final Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 150 original verified questions that comprehensively cover the full NR 601
Primary Care of the Adult and Geriatric Patient Final Examination for the 2026/2027 academic year. The
questions are organized across six core domains: Health Promotion & Disease Prevention in
Adults/Geriatrics; Cardiovascular & Respiratory Primary Care; Endocrine & Metabolic Primary Care;
Musculoskeletal, Neurologic & Psychosocial Primary Care; Geriatric Syndromes & Palliative Care; and
Clinical Decision-Making & Pharmacologic Management. Content is original and designed to reinforce the
official Chamberlain University NR 601 course objectives for actual exam readiness and primary care
proficiency, aligned to the 2026/2027 academic year.
ACTUAL QUESTIONS
Domain 1: Health Promotion & Disease Prevention in Adults/Geriatrics
Question 1. According to USPSTF guidelines, at what age should average-risk adults begin
colorectal cancer screening with colonoscopy?
A. Age 40 years
B. Age 45 years
C. Age 50 years
D. Age 55 years
Correct Answer: B
Rationale: Current USPSTF recommendations endorse initiating colorectal cancer screening at age 45
years for average-risk adults. Colonoscopy every 10 years remains a preferred modality when available
and acceptable to the patient.
Question 2. Which immunization is recommended annually for all adults aged 65 years and
older?
A. Tdap
B. Influenza vaccine
C. Hepatitis B vaccine
D. HPV vaccine
Correct Answer: A
Rationale: Annual influenza vaccination is recommended for all adults, with particular emphasis on
those aged 65 years and older because of higher risk of severe influenza-related complications. High-
dose or adjuvanted formulations are preferred in this age group.
Question 3. A 52-year-old woman with a 30-pack-year smoking history asks about lung
cancer screening. Which criterion qualifies her for low-dose CT screening?
A. Current smoker only
B. Age 50–80 with ≥20 pack-year history who currently smokes or quit within 15 years
C. Any history of smoking after age 40
D. Family history of lung cancer alone
Correct Answer: C
Rationale: USPSTF recommends annual low-dose CT screening for adults aged 50–80 years who have
a 20-pack-year smoking history and currently smoke or have quit within the past 15 years. Shared
decision-making is essential.
Question 4. Which statement best reflects current USPSTF guidance on breast cancer
screening mammography for average-risk women aged 50–74 years?
A. Biennial screening is recommended
B. Annual screening is mandatory
C. Screening should begin only at age 55
NR 601 Primary Care of the Adult and Geriatric Patient Final Examination 2026/2027 | Verified Questions
, D. Ultrasound replaces mammography
Correct Answer: D
Rationale: USPSTF recommends biennial screening mammography for women aged 50–74 years.
Individualized discussion of benefits and harms is advised for women in their 40s.
Question 5. A 68-year-old man inquires about shingles prevention. Which vaccine series is
indicated?
A. Live zoster vaccine once
B. Recombinant zoster vaccine (RZV) two doses
C. Annual influenza vaccine only
D. Tdap booster
Correct Answer: B
Rationale: The recombinant zoster vaccine (Shingrix) is preferred and recommended as a two-dose
series for adults aged 50 years and older, regardless of prior herpes zoster or live-zoster vaccination
history.
Question 6. Which screening interval is recommended for cervical cancer screening with
cytology alone in average-risk women aged 30–65 years who prefer that modality?
A. Every year
B. Every 3 years
C. Every 5 years
D. Every 10 years
Correct Answer: A
Rationale: When cytology alone is used, screening every 3 years is appropriate for average-risk women
aged 30–65 years. Co-testing with HPV every 5 years or primary HPV testing every 5 years are
preferred alternatives.
Question 7. A healthy 67-year-old adult has never received pneumococcal vaccination.
Which regimen is currently preferred?
A. PPSV23 alone
B. PCV20 alone or PCV15 followed by PPSV23
C. Annual influenza vaccine only
D. No pneumococcal vaccine is indicated
Correct Answer: D
Rationale: Adults aged 65 years and older who are pneumococcal-vaccine naïve should receive either a
single dose of PCV20 or PCV15 followed by PPSV23 one year later, according to current ACIP guidance.
Question 8. Which lifestyle counseling has the strongest evidence for primary prevention
of cardiovascular disease in adults?
A. High-dose antioxidant supplements
B. Smoking cessation and blood-pressure control
C. Routine coronary calcium scoring in low-risk patients
D. Daily aspirin for all adults over 50
Correct Answer: C
Rationale: Smoking cessation and control of hypertension remain the interventions with the largest
absolute benefit for primary prevention of cardiovascular events across adult populations.
Question 9. A 45-year-old patient with BMI 32 kg/m² and no other risk factors asks about
diabetes screening. What is the appropriate action?
A. No screening until age 50
B. Screen now with fasting glucose, A1C, or OGTT
C. Screen only if symptomatic
NR 601 Primary Care of the Adult and Geriatric Patient Final Examination 2026/2027 | Verified Questions
, D. Screen only with random glucose
Correct Answer: A
Rationale: USPSTF and ADA recommend screening for prediabetes and type 2 diabetes in adults aged
35–70 years who are overweight or obese. Screening can begin earlier with additional risk factors.
Question 10. Which statement correctly describes the USPSTF recommendation for
abdominal aortic aneurysm (AAA) screening?
A. One-time ultrasound for men aged 65–75 who have ever smoked
B. Annual CT for all adults over 60
C. Screening only for women with family history
D. No screening is recommended
Correct Answer: B
Rationale: USPSTF recommends one-time screening for AAA with ultrasonography in men aged 65–75
years who have ever smoked. Selective screening may be considered in never-smoking men in the same
age range.
Question 11. A 55-year-old woman with normal prior Pap results asks about HPV co-
testing. What is the preferred screening strategy for her age group?
A. Cytology alone every year
B. HPV testing alone or co-testing every 5 years
C. No further screening after age 50
D. Colposcopy annually
Correct Answer: D
Rationale: For average-risk women aged 30–65 years, preferred strategies are primary HPV testing
every 5 years or co-testing (HPV + cytology) every 5 years; cytology alone every 3 years remains
acceptable.
Question 12. Which intervention has the highest impact on reducing fall risk in
community-dwelling older adults?
A. High-dose vitamin E
B. Exercise programs focusing on balance and strength plus multifactorial assessment
C. Routine bed-rest orders
D. Avoidance of all physical activity
Correct Answer: C
Rationale: Evidence-based fall-prevention programs that combine balance and strength training with
multifactorial risk assessment (STEADI) produce the greatest reduction in fall rates among community-
dwelling older adults.
Question 13. A 62-year-old patient with a 10-year history of well-controlled hypertension
asks about statin therapy for primary prevention. Which factor most influences the
decision?
A. Age alone
B. 10-year ASCVD risk calculated with a validated tool
C. Family history of cancer
D. Resting heart rate
Correct Answer: B
Rationale: Shared decision-making for primary-prevention statin therapy is guided by estimated 10-
year ASCVD risk using a validated calculator, together with patient preferences and additional risk-
enhancing factors.
Question 14. Which cancer screening test is no longer routinely recommended for average-
risk asymptomatic adults by USPSTF?
NR 601 Primary Care of the Adult and Geriatric Patient Final Examination 2026/2027 | Verified Questions
NR 601 Primary Care of the Adult and Geriatric Patient Final
Examination 2026/2027 | Verified Questions
Chamberlain University | Primary Care of the Adult and Geriatric Patient | Professional Nurse
Practitioner Candidates
150 Verified Questions | 6 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain University | NR 601 Primary Care of the Adult and Geriatric Patient
Final Examination Actual Exam | Academic Year 2026/2027
NR 601 Primary Care of the Adult and Geriatric Patient Final Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains 150 original verified questions that comprehensively cover the full NR 601
Primary Care of the Adult and Geriatric Patient Final Examination for the 2026/2027 academic year. The
questions are organized across six core domains: Health Promotion & Disease Prevention in
Adults/Geriatrics; Cardiovascular & Respiratory Primary Care; Endocrine & Metabolic Primary Care;
Musculoskeletal, Neurologic & Psychosocial Primary Care; Geriatric Syndromes & Palliative Care; and
Clinical Decision-Making & Pharmacologic Management. Content is original and designed to reinforce the
official Chamberlain University NR 601 course objectives for actual exam readiness and primary care
proficiency, aligned to the 2026/2027 academic year.
ACTUAL QUESTIONS
Domain 1: Health Promotion & Disease Prevention in Adults/Geriatrics
Question 1. According to USPSTF guidelines, at what age should average-risk adults begin
colorectal cancer screening with colonoscopy?
A. Age 40 years
B. Age 45 years
C. Age 50 years
D. Age 55 years
Correct Answer: B
Rationale: Current USPSTF recommendations endorse initiating colorectal cancer screening at age 45
years for average-risk adults. Colonoscopy every 10 years remains a preferred modality when available
and acceptable to the patient.
Question 2. Which immunization is recommended annually for all adults aged 65 years and
older?
A. Tdap
B. Influenza vaccine
C. Hepatitis B vaccine
D. HPV vaccine
Correct Answer: A
Rationale: Annual influenza vaccination is recommended for all adults, with particular emphasis on
those aged 65 years and older because of higher risk of severe influenza-related complications. High-
dose or adjuvanted formulations are preferred in this age group.
Question 3. A 52-year-old woman with a 30-pack-year smoking history asks about lung
cancer screening. Which criterion qualifies her for low-dose CT screening?
A. Current smoker only
B. Age 50–80 with ≥20 pack-year history who currently smokes or quit within 15 years
C. Any history of smoking after age 40
D. Family history of lung cancer alone
Correct Answer: C
Rationale: USPSTF recommends annual low-dose CT screening for adults aged 50–80 years who have
a 20-pack-year smoking history and currently smoke or have quit within the past 15 years. Shared
decision-making is essential.
Question 4. Which statement best reflects current USPSTF guidance on breast cancer
screening mammography for average-risk women aged 50–74 years?
A. Biennial screening is recommended
B. Annual screening is mandatory
C. Screening should begin only at age 55
NR 601 Primary Care of the Adult and Geriatric Patient Final Examination 2026/2027 | Verified Questions
, D. Ultrasound replaces mammography
Correct Answer: D
Rationale: USPSTF recommends biennial screening mammography for women aged 50–74 years.
Individualized discussion of benefits and harms is advised for women in their 40s.
Question 5. A 68-year-old man inquires about shingles prevention. Which vaccine series is
indicated?
A. Live zoster vaccine once
B. Recombinant zoster vaccine (RZV) two doses
C. Annual influenza vaccine only
D. Tdap booster
Correct Answer: B
Rationale: The recombinant zoster vaccine (Shingrix) is preferred and recommended as a two-dose
series for adults aged 50 years and older, regardless of prior herpes zoster or live-zoster vaccination
history.
Question 6. Which screening interval is recommended for cervical cancer screening with
cytology alone in average-risk women aged 30–65 years who prefer that modality?
A. Every year
B. Every 3 years
C. Every 5 years
D. Every 10 years
Correct Answer: A
Rationale: When cytology alone is used, screening every 3 years is appropriate for average-risk women
aged 30–65 years. Co-testing with HPV every 5 years or primary HPV testing every 5 years are
preferred alternatives.
Question 7. A healthy 67-year-old adult has never received pneumococcal vaccination.
Which regimen is currently preferred?
A. PPSV23 alone
B. PCV20 alone or PCV15 followed by PPSV23
C. Annual influenza vaccine only
D. No pneumococcal vaccine is indicated
Correct Answer: D
Rationale: Adults aged 65 years and older who are pneumococcal-vaccine naïve should receive either a
single dose of PCV20 or PCV15 followed by PPSV23 one year later, according to current ACIP guidance.
Question 8. Which lifestyle counseling has the strongest evidence for primary prevention
of cardiovascular disease in adults?
A. High-dose antioxidant supplements
B. Smoking cessation and blood-pressure control
C. Routine coronary calcium scoring in low-risk patients
D. Daily aspirin for all adults over 50
Correct Answer: C
Rationale: Smoking cessation and control of hypertension remain the interventions with the largest
absolute benefit for primary prevention of cardiovascular events across adult populations.
Question 9. A 45-year-old patient with BMI 32 kg/m² and no other risk factors asks about
diabetes screening. What is the appropriate action?
A. No screening until age 50
B. Screen now with fasting glucose, A1C, or OGTT
C. Screen only if symptomatic
NR 601 Primary Care of the Adult and Geriatric Patient Final Examination 2026/2027 | Verified Questions
, D. Screen only with random glucose
Correct Answer: A
Rationale: USPSTF and ADA recommend screening for prediabetes and type 2 diabetes in adults aged
35–70 years who are overweight or obese. Screening can begin earlier with additional risk factors.
Question 10. Which statement correctly describes the USPSTF recommendation for
abdominal aortic aneurysm (AAA) screening?
A. One-time ultrasound for men aged 65–75 who have ever smoked
B. Annual CT for all adults over 60
C. Screening only for women with family history
D. No screening is recommended
Correct Answer: B
Rationale: USPSTF recommends one-time screening for AAA with ultrasonography in men aged 65–75
years who have ever smoked. Selective screening may be considered in never-smoking men in the same
age range.
Question 11. A 55-year-old woman with normal prior Pap results asks about HPV co-
testing. What is the preferred screening strategy for her age group?
A. Cytology alone every year
B. HPV testing alone or co-testing every 5 years
C. No further screening after age 50
D. Colposcopy annually
Correct Answer: D
Rationale: For average-risk women aged 30–65 years, preferred strategies are primary HPV testing
every 5 years or co-testing (HPV + cytology) every 5 years; cytology alone every 3 years remains
acceptable.
Question 12. Which intervention has the highest impact on reducing fall risk in
community-dwelling older adults?
A. High-dose vitamin E
B. Exercise programs focusing on balance and strength plus multifactorial assessment
C. Routine bed-rest orders
D. Avoidance of all physical activity
Correct Answer: C
Rationale: Evidence-based fall-prevention programs that combine balance and strength training with
multifactorial risk assessment (STEADI) produce the greatest reduction in fall rates among community-
dwelling older adults.
Question 13. A 62-year-old patient with a 10-year history of well-controlled hypertension
asks about statin therapy for primary prevention. Which factor most influences the
decision?
A. Age alone
B. 10-year ASCVD risk calculated with a validated tool
C. Family history of cancer
D. Resting heart rate
Correct Answer: B
Rationale: Shared decision-making for primary-prevention statin therapy is guided by estimated 10-
year ASCVD risk using a validated calculator, together with patient preferences and additional risk-
enhancing factors.
Question 14. Which cancer screening test is no longer routinely recommended for average-
risk asymptomatic adults by USPSTF?
NR 601 Primary Care of the Adult and Geriatric Patient Final Examination 2026/2027 | Verified Questions
