NR601 / NR-601 Primary Care of Adults
(FNP I) Midterm Exam 1 Study Set Q
& A (Latest ) Chamberlain
College Of Nursing
1. What is the most common cause of dementia in the elderly?
Alzheimer’s disease
Alzheimer’s disease is the leading cause of dementia in the elderly,
characterized by progressive memory loss and cognitive decline.
2. A 68-year-old patient presents with bradykinesia, resting tremor, and rigidity.
What is the most likely diagnosis?
Parkinson’s disease
These are hallmark signs of Parkinson’s disease, a neurodegenerative
disorder involving dopamine deficiency.
3. Which lab value is most specific for diagnosing iron deficiency anemia?
Serum ferritin
Serum ferritin reflects iron stores and is the most specific marker for
iron deficiency anemia.
,4. Which type of incontinence is associated with increased abdominal pressure
such as coughing or sneezing?
Stress incontinence
Stress incontinence results from weakened pelvic floor muscles or
urethral sphincter dysfunction.
5. What screening test is recommended annually for older adults with a history
of smoking to detect lung cancer?
Low-dose CT scan
The USPSTF recommends low-dose CT scans for high-risk individuals to
detect lung cancer early.
6. A patient with new-onset confusion and a history of HTN and DM is likely
experiencing what condition?
Delirium
Delirium often presents acutely with confusion, especially in older adults
with comorbid conditions.
7. What is the first-line treatment for moderate major depressive disorder in
older adults?
SSRI therapy
SSRIs are the first-line pharmacologic treatment for depression in the
elderly due to safety and efficacy.
8. What immunization is recommended every 10 years for older adults?
Tdap or Td booster
, Tetanus-containing vaccines are recommended every 10 years to
maintain immunity.
9. A Mini-Cog screening tool includes which components?
Three-word recall and clock drawing test
The Mini-Cog combines short-term memory and executive function
assessment.
10. What is the primary goal in treating type 2 diabetes in the elderly?
Prevent complications
The goal is to avoid hypoglycemia and long-term complications while
maintaining quality of life.
11. What medication is most commonly associated with increased fall risk in
elderly patients?
Benzodiazepines
These medications cause sedation and impaired balance, increasing fall
risk.
12. What is the most common cause of hypothyroidism in older adults?
Hashimoto’s thyroiditis
This autoimmune condition is the most frequent cause of
hypothyroidism in all age groups.
13. What is the recommended screening test for colorectal cancer starting at
age 50?
(FNP I) Midterm Exam 1 Study Set Q
& A (Latest ) Chamberlain
College Of Nursing
1. What is the most common cause of dementia in the elderly?
Alzheimer’s disease
Alzheimer’s disease is the leading cause of dementia in the elderly,
characterized by progressive memory loss and cognitive decline.
2. A 68-year-old patient presents with bradykinesia, resting tremor, and rigidity.
What is the most likely diagnosis?
Parkinson’s disease
These are hallmark signs of Parkinson’s disease, a neurodegenerative
disorder involving dopamine deficiency.
3. Which lab value is most specific for diagnosing iron deficiency anemia?
Serum ferritin
Serum ferritin reflects iron stores and is the most specific marker for
iron deficiency anemia.
,4. Which type of incontinence is associated with increased abdominal pressure
such as coughing or sneezing?
Stress incontinence
Stress incontinence results from weakened pelvic floor muscles or
urethral sphincter dysfunction.
5. What screening test is recommended annually for older adults with a history
of smoking to detect lung cancer?
Low-dose CT scan
The USPSTF recommends low-dose CT scans for high-risk individuals to
detect lung cancer early.
6. A patient with new-onset confusion and a history of HTN and DM is likely
experiencing what condition?
Delirium
Delirium often presents acutely with confusion, especially in older adults
with comorbid conditions.
7. What is the first-line treatment for moderate major depressive disorder in
older adults?
SSRI therapy
SSRIs are the first-line pharmacologic treatment for depression in the
elderly due to safety and efficacy.
8. What immunization is recommended every 10 years for older adults?
Tdap or Td booster
, Tetanus-containing vaccines are recommended every 10 years to
maintain immunity.
9. A Mini-Cog screening tool includes which components?
Three-word recall and clock drawing test
The Mini-Cog combines short-term memory and executive function
assessment.
10. What is the primary goal in treating type 2 diabetes in the elderly?
Prevent complications
The goal is to avoid hypoglycemia and long-term complications while
maintaining quality of life.
11. What medication is most commonly associated with increased fall risk in
elderly patients?
Benzodiazepines
These medications cause sedation and impaired balance, increasing fall
risk.
12. What is the most common cause of hypothyroidism in older adults?
Hashimoto’s thyroiditis
This autoimmune condition is the most frequent cause of
hypothyroidism in all age groups.
13. What is the recommended screening test for colorectal cancer starting at
age 50?
