NR 601 Primary Care Adult & Geriatric Patient Final Exam 2026/2027 | 60
Verified Questions & Answers | Chamberlain University NP Prep | 6 Core
Domains | Instant Download .
INTRODUCTION
This document contains 60 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.
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) Age 45 years
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: B) Influenza vaccine
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: B) Age 50–80 with ≥20 pack-year history who currently smokes or quit
within 15 years
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
D) Mammography is not recommended after age 70
Correct Answer: A) Biennial screening is recommended
Rationale: The USPSTF recommends biennial screening mammography for women aged 50–74
years. The decision to start screening before age 50 should be individualized, and evidence for
screening after age 74 is insufficient to make a firm recommendation.
, Question 5:
A 68-year-old man has no history of prostate cancer and asks about PSA screening. What is the
most appropriate response?
A) PSA screening is routinely recommended for all men over 65
B) PSA screening should be offered after shared decision-making for men aged 55–69
C) PSA screening is never recommended
D) PSA screening should begin at age 40 for all men
Correct Answer: B) PSA screening should be offered after shared decision-making for men
aged 55–69
Rationale: The USPSTF recommends individualized decision-making about PSA-based
screening for men aged 55–69 years. For men aged 70 and older, the recommendation is
against routine PSA screening.
Question 6:
Which of the following is an absolute contraindication to the influenza vaccine?
A) Age over 65
B) Severe allergic reaction to a previous influenza vaccine dose
C) Pregnancy
D) Chronic obstructive pulmonary disease
Correct Answer: B) Severe allergic reaction to a previous influenza vaccine dose
Rationale: A severe allergic reaction (e.g., anaphylaxis) to a previous influenza vaccine dose or
vaccine component is an absolute contraindication. Age over 65, pregnancy, and COPD are
indications, not contraindications.
Question 7:
A 55-year-old woman with diabetes and hypertension should receive which of the following
vaccines?
A) Pneumococcal conjugate vaccine
B) Zoster vaccine
C) Hepatitis A vaccine
D) Both A and B
Correct Answer: D) Both A and B
Rationale: Adults with diabetes and hypertension are at increased risk for pneumococcal
disease and should receive pneumococcal vaccination. The zoster vaccine (Shingrix) is
Verified Questions & Answers | Chamberlain University NP Prep | 6 Core
Domains | Instant Download .
INTRODUCTION
This document contains 60 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.
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) Age 45 years
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: B) Influenza vaccine
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: B) Age 50–80 with ≥20 pack-year history who currently smokes or quit
within 15 years
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
D) Mammography is not recommended after age 70
Correct Answer: A) Biennial screening is recommended
Rationale: The USPSTF recommends biennial screening mammography for women aged 50–74
years. The decision to start screening before age 50 should be individualized, and evidence for
screening after age 74 is insufficient to make a firm recommendation.
, Question 5:
A 68-year-old man has no history of prostate cancer and asks about PSA screening. What is the
most appropriate response?
A) PSA screening is routinely recommended for all men over 65
B) PSA screening should be offered after shared decision-making for men aged 55–69
C) PSA screening is never recommended
D) PSA screening should begin at age 40 for all men
Correct Answer: B) PSA screening should be offered after shared decision-making for men
aged 55–69
Rationale: The USPSTF recommends individualized decision-making about PSA-based
screening for men aged 55–69 years. For men aged 70 and older, the recommendation is
against routine PSA screening.
Question 6:
Which of the following is an absolute contraindication to the influenza vaccine?
A) Age over 65
B) Severe allergic reaction to a previous influenza vaccine dose
C) Pregnancy
D) Chronic obstructive pulmonary disease
Correct Answer: B) Severe allergic reaction to a previous influenza vaccine dose
Rationale: A severe allergic reaction (e.g., anaphylaxis) to a previous influenza vaccine dose or
vaccine component is an absolute contraindication. Age over 65, pregnancy, and COPD are
indications, not contraindications.
Question 7:
A 55-year-old woman with diabetes and hypertension should receive which of the following
vaccines?
A) Pneumococcal conjugate vaccine
B) Zoster vaccine
C) Hepatitis A vaccine
D) Both A and B
Correct Answer: D) Both A and B
Rationale: Adults with diabetes and hypertension are at increased risk for pneumococcal
disease and should receive pneumococcal vaccination. The zoster vaccine (Shingrix) is
