NR601 / NR 601 Final Exam Qs & Ans (Latest 2025 /
2026) : Primary Care of the Maturing & Aged Family
Practicum
Healthcare providers should recommend that older adults engage in which one of the following?
a. 150 minutes of moderate intensity physical activity weekly
b. 20 minutes of moderate intensity physical activity 3 days per week
c. 10 minutes of vigorous physical activity most days of the week
d. 30 minutes of vigorous physical activity 3 days per week
a. 150 minutes of moderate intensity physical activity weekly
A 69-year-old female presents to your office for routine primary care. Her elder sister was recently
diagnosed with Alzheimer disease, and she wonders what steps she can take to reduce her own risk of
developing dementia. Which of the following statements about the prevention of dementia is true?
a. There is moderate quality evidence to support daily use of vitamin B12 and fish oil to prevent risk of
cognitive decline.
b. Risk of dementia is modulated by nonmodifiable risk factors, such as genetics, family history, and
educational attainment, and there are no behavioral interventions that can be taken to reduce risk of
developing dementia.
c. There is moderate quality evidence to suggest control of cardiovascular and metabolic risk factors,
such as blood pressure, weight, and blood sugar, may reduce risk of dementia.
d. There is moderate to low quality evidence supporting cannabinoids maementia.y reduce rates of
progression from mild cognitive impairment to dementia.
c. There is moderate quality evidence to suggest control of cardiovascular and metabolic risk factors,
such as blood pressure, weight, and blood sugar, may reduce risk of dementia.
An 86-year-old female comes to your office for a wellness visit. Her blood pressure is 125/70 mmHg,
pulse 69 beats per min, and respiratory rate 18 breaths per min. She is well appearing and reports she is
up to date on her routine vaccinations. She introduces her partner of 35 years whom she would like to
make medical decisions for her in case she becomes unable to make decisions for herself. She reports
that she and her partner are not married. She asks if she needs any further documentation to ensure her
goals of care are followed.
Which one of the following would be the most appropriate recommendation for this patient and her
partner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documentation to be recognized legally.
,c. Advise them to file an advanced directive.
d. Respond that although they lack documentation, her partner will be recognized de facto.
c. Advise them to file an advanced directive.
A 78-year-old male was recently diagnosed with Alzheimer disease. He scored 23/30 on his Montreal
Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. He returns to
clinic with his family to discuss possible initiation of pharmacotherapy. You consider beginning donepezil
5 mg daily for 4 weeks, with a plan to increase to 10 mg daily if he tolerates the lower dose. Which of
the following is not a common side effect of donepezil?
a. Thrombocytopenia
b. Bradycardia
c. Vivid dreams
d. Gastrointestinal distress
a. Thrombocytopenia
We have an expert-written solution to this problem!
An 84-year-old male with history of stroke without residual deficit, systolic heart failure, and type 2
diabetes presents to clinic for follow-up. He is independently living in a retirement community and still
works part time on a golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice
a day), furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years
ago, with no abnormality. He reports he is sexually active with men and women, engaging in receptive
oral, receptive anal, and penetrative sex. He states he has had over three sexual partners in the last year
with intermittent condom use.
What sexually transmitted infection testing should be offered?
a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing, anal swab, and oropharyngeal swab
d. Urine testing, blood testing, anal swab, and oropharyngeal swab
2. An 81-year-old transgender female with history of depression and hyperlipidemia presents to your
clinic for routine care. She endorses a history of smoking, currently smoking 1 pack per day, and
occasionally drinks a glass of wine, although she denies illicit drug use. She reports she takes
atorvastatin 20 mg and subcutaneous estrogen therapy.
, Which of the following is the most important next step in this patient’s primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram
c. Counseling on smoking cessation
Which of the following is true about tolterodine?
a. It should be avoided in men with prostatic hypertrophy.
b. It increases the risk of constipation compared with oral oxybutynin.
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its twice-daily formulation.
d. It has greater risk of adverse effects with its twice-daily formulation.
An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times per night. His other
lower urinary tract symptoms are slow stream, occasional urgency, and urgency-related leakage once
weekly. Medical problems include poorly controlled hypertension, diastolic heart failure,
hyperlipidemia, osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily,
metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg twice daily,
hydrocodone-acetaminophen as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently
added by his cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime
fatigue, and he is more constipated. Physical examination is notable for blood pressure 162/83 mmHg,
heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21 pretibial edema.
Your next step in management should be:
a. Stop hydrocodone-acetaminophen and add naproxen.
b. Stop amlodipine and increase lisinopril.
c. Add afternoon furosemide.
d. Add tamsulosin.
b. Stop amlodipine and increase lisinopril.
The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is
wetting herself when she attends her new day program. Program staff have requested that “something
be done” as she is requiring a clothes change nearly every time she is there. She cannot describe the
circumstances of leakage, saying “it just comes.” Leakage is uncommon at home. Her medications
include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will
require intervention by which of the following?
a. Mrs. A’s physician
2026) : Primary Care of the Maturing & Aged Family
Practicum
Healthcare providers should recommend that older adults engage in which one of the following?
a. 150 minutes of moderate intensity physical activity weekly
b. 20 minutes of moderate intensity physical activity 3 days per week
c. 10 minutes of vigorous physical activity most days of the week
d. 30 minutes of vigorous physical activity 3 days per week
a. 150 minutes of moderate intensity physical activity weekly
A 69-year-old female presents to your office for routine primary care. Her elder sister was recently
diagnosed with Alzheimer disease, and she wonders what steps she can take to reduce her own risk of
developing dementia. Which of the following statements about the prevention of dementia is true?
a. There is moderate quality evidence to support daily use of vitamin B12 and fish oil to prevent risk of
cognitive decline.
b. Risk of dementia is modulated by nonmodifiable risk factors, such as genetics, family history, and
educational attainment, and there are no behavioral interventions that can be taken to reduce risk of
developing dementia.
c. There is moderate quality evidence to suggest control of cardiovascular and metabolic risk factors,
such as blood pressure, weight, and blood sugar, may reduce risk of dementia.
d. There is moderate to low quality evidence supporting cannabinoids maementia.y reduce rates of
progression from mild cognitive impairment to dementia.
c. There is moderate quality evidence to suggest control of cardiovascular and metabolic risk factors,
such as blood pressure, weight, and blood sugar, may reduce risk of dementia.
An 86-year-old female comes to your office for a wellness visit. Her blood pressure is 125/70 mmHg,
pulse 69 beats per min, and respiratory rate 18 breaths per min. She is well appearing and reports she is
up to date on her routine vaccinations. She introduces her partner of 35 years whom she would like to
make medical decisions for her in case she becomes unable to make decisions for herself. She reports
that she and her partner are not married. She asks if she needs any further documentation to ensure her
goals of care are followed.
Which one of the following would be the most appropriate recommendation for this patient and her
partner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documentation to be recognized legally.
,c. Advise them to file an advanced directive.
d. Respond that although they lack documentation, her partner will be recognized de facto.
c. Advise them to file an advanced directive.
A 78-year-old male was recently diagnosed with Alzheimer disease. He scored 23/30 on his Montreal
Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. He returns to
clinic with his family to discuss possible initiation of pharmacotherapy. You consider beginning donepezil
5 mg daily for 4 weeks, with a plan to increase to 10 mg daily if he tolerates the lower dose. Which of
the following is not a common side effect of donepezil?
a. Thrombocytopenia
b. Bradycardia
c. Vivid dreams
d. Gastrointestinal distress
a. Thrombocytopenia
We have an expert-written solution to this problem!
An 84-year-old male with history of stroke without residual deficit, systolic heart failure, and type 2
diabetes presents to clinic for follow-up. He is independently living in a retirement community and still
works part time on a golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice
a day), furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years
ago, with no abnormality. He reports he is sexually active with men and women, engaging in receptive
oral, receptive anal, and penetrative sex. He states he has had over three sexual partners in the last year
with intermittent condom use.
What sexually transmitted infection testing should be offered?
a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing, anal swab, and oropharyngeal swab
d. Urine testing, blood testing, anal swab, and oropharyngeal swab
2. An 81-year-old transgender female with history of depression and hyperlipidemia presents to your
clinic for routine care. She endorses a history of smoking, currently smoking 1 pack per day, and
occasionally drinks a glass of wine, although she denies illicit drug use. She reports she takes
atorvastatin 20 mg and subcutaneous estrogen therapy.
, Which of the following is the most important next step in this patient’s primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram
c. Counseling on smoking cessation
Which of the following is true about tolterodine?
a. It should be avoided in men with prostatic hypertrophy.
b. It increases the risk of constipation compared with oral oxybutynin.
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its twice-daily formulation.
d. It has greater risk of adverse effects with its twice-daily formulation.
An 82-year-old man, Mr. A, complains of worsening nocturia, occurring four times per night. His other
lower urinary tract symptoms are slow stream, occasional urgency, and urgency-related leakage once
weekly. Medical problems include poorly controlled hypertension, diastolic heart failure,
hyperlipidemia, osteoarthritis, and prediabetes. His medications include lisinopril 20 mg daily,
metoprolol succinate 75 mg daily, atorvastatin 10 mg daily, metformin 500 mg twice daily,
hydrocodone-acetaminophen as needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently
added by his cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime
fatigue, and he is more constipated. Physical examination is notable for blood pressure 162/83 mmHg,
heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged prostate, and 21 pretibial edema.
Your next step in management should be:
a. Stop hydrocodone-acetaminophen and add naproxen.
b. Stop amlodipine and increase lisinopril.
c. Add afternoon furosemide.
d. Add tamsulosin.
b. Stop amlodipine and increase lisinopril.
The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is
wetting herself when she attends her new day program. Program staff have requested that “something
be done” as she is requiring a clothes change nearly every time she is there. She cannot describe the
circumstances of leakage, saying “it just comes.” Leakage is uncommon at home. Her medications
include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will
require intervention by which of the following?
a. Mrs. A’s physician
