NR601 / NR-601 Midterm Exam Study
Set Q & A (Latest ): Primary
Care of the Maturing & Aged Family
Practicum - Chamberlain
Section 1: Primary Care Principles (Questions 1–10)
1. Which statement is true about lab values in older adults?
A. Abnormal findings are often due to physiological aging
B. Most lab values remain stable with age
C. Creatinine clearance increases with age
D. Thyroid function tests are unaffected by age
Answer: Most lab values remain stable with age
Rationale: While some lab values (e.g., creatinine clearance) may change due to aging,
most remain stable unless affected by disease, not physiological aging alone.
2. What is the purpose of the Comprehensive Geriatric Assessment (CGA)?
A. To diagnose acute illnesses
B. To evaluate functional status and comorbidities
C. To prescribe medications
D. To assess only cognitive function
Answer: To evaluate functional status and comorbidities
Rationale: The CGA assesses physical, functional, and psychosocial health to guide care
in older adults.
3. Which of the following is a component of the Rule of Fourths in geriatric care?
A. Most problems are due to medication errors
B. One-fourth of geriatric problems are iatrogenic
C. All aging problems are preventable
D. Disease is the primary cause of all geriatric issues
Answer: One-fourth of geriatric problems are iatrogenic
Rationale: The Rule of Fourths suggests one-fourth of geriatric problems are iatrogenic,
one-fourth are disease-related, one-fourth are due to disuse, and one-fourth are due to
misuse.
4. What is a key consideration in polypharmacy management? (Select all that apply)
A. Conduct medication reconciliation
, B. Prescribe multiple drugs for the same condition
C. Assess for drug interactions
D. Ignore patient’s medication history
E. Simplify regimens when possible
Answer: Conduct medication reconciliation, Assess for drug interactions, Simplify
regimens when possible
Rationale: Polypharmacy management involves reconciling medications, checking for
interactions, and simplifying regimens to reduce risks.
5. A 79-year-old patient insists on wearing a sweater in 90°F weather. This behavior
may indicate:
A. Hypothyroidism
B. Age-related neurosensory changes
C. Hyperthyroidism
D. Cognitive impairment
Answer: Age-related neurosensory changes
Rationale: Older adults may have diminished temperature perception due to
neurosensory changes, leading to inappropriate clothing choices.
6. What is a common preventable condition in older adults?
A. Cognitive impairment
B. Falls
C. Frailty
D. Iatrogenic disease
Answer: Falls
Rationale: Falls are common and often preventable through environmental modifications
and assessments like Timed Up and Go.
7. What is the primary advantage of the Clock Drawing Test (CDT) over the Mini-
Mental State Exam (MMSE)?
A. Assesses only memory
B. Quick and easy to administer
C. Diagnoses dementia
D. Requires no training
Answer: Quick and easy to administer
Rationale: The CDT is a quick screening tool for cognitive impairment, easier to
administer than the MMSE.
8. What is a key nursing intervention for a patient with multiple chronic conditions?
A. Avoid shared decision-making
B. Develop a person-centered care plan
Set Q & A (Latest ): Primary
Care of the Maturing & Aged Family
Practicum - Chamberlain
Section 1: Primary Care Principles (Questions 1–10)
1. Which statement is true about lab values in older adults?
A. Abnormal findings are often due to physiological aging
B. Most lab values remain stable with age
C. Creatinine clearance increases with age
D. Thyroid function tests are unaffected by age
Answer: Most lab values remain stable with age
Rationale: While some lab values (e.g., creatinine clearance) may change due to aging,
most remain stable unless affected by disease, not physiological aging alone.
2. What is the purpose of the Comprehensive Geriatric Assessment (CGA)?
A. To diagnose acute illnesses
B. To evaluate functional status and comorbidities
C. To prescribe medications
D. To assess only cognitive function
Answer: To evaluate functional status and comorbidities
Rationale: The CGA assesses physical, functional, and psychosocial health to guide care
in older adults.
3. Which of the following is a component of the Rule of Fourths in geriatric care?
A. Most problems are due to medication errors
B. One-fourth of geriatric problems are iatrogenic
C. All aging problems are preventable
D. Disease is the primary cause of all geriatric issues
Answer: One-fourth of geriatric problems are iatrogenic
Rationale: The Rule of Fourths suggests one-fourth of geriatric problems are iatrogenic,
one-fourth are disease-related, one-fourth are due to disuse, and one-fourth are due to
misuse.
4. What is a key consideration in polypharmacy management? (Select all that apply)
A. Conduct medication reconciliation
, B. Prescribe multiple drugs for the same condition
C. Assess for drug interactions
D. Ignore patient’s medication history
E. Simplify regimens when possible
Answer: Conduct medication reconciliation, Assess for drug interactions, Simplify
regimens when possible
Rationale: Polypharmacy management involves reconciling medications, checking for
interactions, and simplifying regimens to reduce risks.
5. A 79-year-old patient insists on wearing a sweater in 90°F weather. This behavior
may indicate:
A. Hypothyroidism
B. Age-related neurosensory changes
C. Hyperthyroidism
D. Cognitive impairment
Answer: Age-related neurosensory changes
Rationale: Older adults may have diminished temperature perception due to
neurosensory changes, leading to inappropriate clothing choices.
6. What is a common preventable condition in older adults?
A. Cognitive impairment
B. Falls
C. Frailty
D. Iatrogenic disease
Answer: Falls
Rationale: Falls are common and often preventable through environmental modifications
and assessments like Timed Up and Go.
7. What is the primary advantage of the Clock Drawing Test (CDT) over the Mini-
Mental State Exam (MMSE)?
A. Assesses only memory
B. Quick and easy to administer
C. Diagnoses dementia
D. Requires no training
Answer: Quick and easy to administer
Rationale: The CDT is a quick screening tool for cognitive impairment, easier to
administer than the MMSE.
8. What is a key nursing intervention for a patient with multiple chronic conditions?
A. Avoid shared decision-making
B. Develop a person-centered care plan
