NR601 / NR-601 Final Exam Study Guide
Material (Latest ): Primary
Care of the Maturing & Aged Family
Practicum - Chamberlain
Comprehensive Study Guide with Key Topics and Practice
Questions | 100% Correct | Grade A
Below is a comprehensive study guide for the NR601 Final Exam, aligned with Chamberlain
University’s 2024/2025 curriculum for the Primary Care of the Maturing & Aged Family
Practicum. This guide covers core topics such as chronic illness management, geriatric
syndromes, preventive care, and advanced health assessments, including practice questions with
verified answers.
Key Topics Covered
1. Chronic Illness Management in Older Adults
o Focus: Diabetes, hypertension, cardiovascular disease, COPD, arthritis, and
thyroid dysfunction.
o Key Considerations: Polypharmacy, medication reconciliation, and patient
education.
2. Geriatric Syndromes
o Includes: Cognitive decline (dementia, delirium), falls, incontinence, frailty, and
depression.
3. Preventive Care and Screenings
o Immunizations, cancer screenings, osteoporosis screening, and health
maintenance strategies.
4. Psychosocial Challenges
o Depression, anxiety, grief, and end-of-life care considerations.
5. Advanced Health Assessments
o Tools: Montreal Cognitive Assessment (MoCA), Confusion Assessment Method
(CAM), Lawton Scale.
6. Evidence-Based Protocols
o Referrals, follow-up care, and clinical management rationale.
, Questions with Verified Answers
1. What is the next step for a patient who experienced a brief onset of right-sided
weakness, slurred speech, and confusion yesterday, with resolved symptoms and a
normal CT?
o a. Assure the patient symptoms won’t recur
o b. Identify modifiable cardiovascular risk factors
o c. Order ASA 81 mg stat
o d. Order a stat EEG and administer O2 by mask
o ANS: b. Identify modifiable cardiovascular risk factors
▪ Explanation: The symptoms suggest a transient ischemic attack (TIA).
The next step is to identify and manage cardiovascular risk factors (e.g.,
hypertension, diabetes) to prevent stroke.
2. A 56-year-old male with a fasting plasma glucose of 96 mg/dL should have which
management plan?
o a. Repeat fasting plasma glucose in three years
o b. Prescribe metformin 500 mg PO BID
o c. Repeat fasting plasma glucose in one year
o d. Refer to ophthalmology for eye exam
o ANS: a. Repeat fasting plasma glucose in three years
▪ Explanation: A fasting plasma glucose of 96 mg/dL is normal (<100
mg/dL). Screening should be repeated every three years in adults over 45
without risk factors.
3. A 57-year-old Native American female reports irritability, difficulty concentrating,
insomnia, and financial worries. The NP diagnoses anxiety. What is the first-line
treatment?
o a. Diazepam
o b. Clonazepam
o c. Aripiprazole
o d. Paroxetine
o ANS: d. Paroxetine
▪ Explanation: Paroxetine, an SSRI, is a first-line treatment for generalized
anxiety disorder due to efficacy and safety.
4. What is the most common sustained rhythmic disorder characterized by fibrillatory
waves?
o a. AV block
o b. Atrial tachycardia
o c. Atrial fibrillation
o d. Atrial flutter
o ANS: c. Atrial fibrillation
▪ Explanation: Atrial fibrillation is characterized by irregular fibrillatory
waves on ECG, increasing stroke risk in older adults.
5. Atrophic vaginitis is a contributing factor to:
o a. Same symptoms in every woman
o b. More acidic vaginal environment
o c. Frequent urinary tract infections
Material (Latest ): Primary
Care of the Maturing & Aged Family
Practicum - Chamberlain
Comprehensive Study Guide with Key Topics and Practice
Questions | 100% Correct | Grade A
Below is a comprehensive study guide for the NR601 Final Exam, aligned with Chamberlain
University’s 2024/2025 curriculum for the Primary Care of the Maturing & Aged Family
Practicum. This guide covers core topics such as chronic illness management, geriatric
syndromes, preventive care, and advanced health assessments, including practice questions with
verified answers.
Key Topics Covered
1. Chronic Illness Management in Older Adults
o Focus: Diabetes, hypertension, cardiovascular disease, COPD, arthritis, and
thyroid dysfunction.
o Key Considerations: Polypharmacy, medication reconciliation, and patient
education.
2. Geriatric Syndromes
o Includes: Cognitive decline (dementia, delirium), falls, incontinence, frailty, and
depression.
3. Preventive Care and Screenings
o Immunizations, cancer screenings, osteoporosis screening, and health
maintenance strategies.
4. Psychosocial Challenges
o Depression, anxiety, grief, and end-of-life care considerations.
5. Advanced Health Assessments
o Tools: Montreal Cognitive Assessment (MoCA), Confusion Assessment Method
(CAM), Lawton Scale.
6. Evidence-Based Protocols
o Referrals, follow-up care, and clinical management rationale.
, Questions with Verified Answers
1. What is the next step for a patient who experienced a brief onset of right-sided
weakness, slurred speech, and confusion yesterday, with resolved symptoms and a
normal CT?
o a. Assure the patient symptoms won’t recur
o b. Identify modifiable cardiovascular risk factors
o c. Order ASA 81 mg stat
o d. Order a stat EEG and administer O2 by mask
o ANS: b. Identify modifiable cardiovascular risk factors
▪ Explanation: The symptoms suggest a transient ischemic attack (TIA).
The next step is to identify and manage cardiovascular risk factors (e.g.,
hypertension, diabetes) to prevent stroke.
2. A 56-year-old male with a fasting plasma glucose of 96 mg/dL should have which
management plan?
o a. Repeat fasting plasma glucose in three years
o b. Prescribe metformin 500 mg PO BID
o c. Repeat fasting plasma glucose in one year
o d. Refer to ophthalmology for eye exam
o ANS: a. Repeat fasting plasma glucose in three years
▪ Explanation: A fasting plasma glucose of 96 mg/dL is normal (<100
mg/dL). Screening should be repeated every three years in adults over 45
without risk factors.
3. A 57-year-old Native American female reports irritability, difficulty concentrating,
insomnia, and financial worries. The NP diagnoses anxiety. What is the first-line
treatment?
o a. Diazepam
o b. Clonazepam
o c. Aripiprazole
o d. Paroxetine
o ANS: d. Paroxetine
▪ Explanation: Paroxetine, an SSRI, is a first-line treatment for generalized
anxiety disorder due to efficacy and safety.
4. What is the most common sustained rhythmic disorder characterized by fibrillatory
waves?
o a. AV block
o b. Atrial tachycardia
o c. Atrial fibrillation
o d. Atrial flutter
o ANS: c. Atrial fibrillation
▪ Explanation: Atrial fibrillation is characterized by irregular fibrillatory
waves on ECG, increasing stroke risk in older adults.
5. Atrophic vaginitis is a contributing factor to:
o a. Same symptoms in every woman
o b. More acidic vaginal environment
o c. Frequent urinary tract infections
