NR601 FINAL EXAM 2026 | PRIMARY CARE OF THE MATURING &
AGED FAMILY – FULL (160+) CORRECT AND VERIFIED QUESTION
AND ANSWER ALREADY GRADED A+, GUARANTEED PASS
1. Which of the following is a normal age-related change in the integumentary
system?
A) Increased skin elasticity
B) Decreased number of melanocytes
C) Increased sebaceous gland activity
D) Thickening of the epidermis
Correct Answer: B) Decreased number of melanocytes
Explanation:
As individuals age, there is a decrease in the number of melanocytes, leading to
reduced skin pigmentation and increased susceptibility to sunburn. This change
contributes to the development of age spots and a lighter skin tone.
2. A 68-year-old male presents with a complaint of increased frequency of
urination, especially at night, and a weak urinary stream. What is the most
likely diagnosis?
A) Urinary tract infection
B) Benign prostatic hyperplasia
C) Prostate cancer
D) Diabetes mellitus
Correct Answer: B) Benign prostatic hyperplasia
,Explanation:
Benign prostatic hyperplasia (BPH) is a common condition in older men
characterized by the non-cancerous enlargement of the prostate gland. Symptoms
include increased urinary frequency, nocturia, weak stream, and difficulty starting
urination. Management may involve medications such as alpha-blockers or 5-
alpha-reductase inhibitors, and in some cases, surgical intervention.
3. Which of the following is a risk factor for developing osteoporosis in older
adults?
A) High body mass index
B) Sedentary lifestyle
C) High dietary calcium intake
D) Regular weight-bearing exercise
Correct Answer: B) Sedentary lifestyle
Explanation:
A sedentary lifestyle is a significant risk factor for osteoporosis. Regular weight-
bearing and muscle-strengthening exercises are essential for maintaining bone
density and reducing the risk of fractures. Other risk factors include low calcium
and vitamin D intake, smoking, excessive alcohol consumption, and certain
medications.
4. Which immunization is recommended for older adults to prevent shingles?
A) MMR vaccine
B) Shingrix vaccine
C) Influenza vaccine
D) Pneumococcal vaccine
Correct Answer: B) Shingrix vaccine
Explanation:
Shingrix is a recombinant zoster vaccine recommended for adults aged 50 and
older to prevent shingles and its complications, such as postherpetic neuralgia. It is
,administered in two doses, with the second dose given 2 to 6 months after the first.
The vaccine has shown high efficacy in preventing shingles in older adults.
5. A 72-year-old female has residual effects from a stroke that include memory
loss and apathy. Which of the following is the most likely diagnosis?
A) Alzheimer's disease
B) Post-stroke depression
C) Parkinson's disease
D) Normal aging process
Correct Answer: B) Post-stroke depression
Explanation:
Post-stroke depression is a common condition that can occur after a
cerebrovascular event. Symptoms may include memory loss, apathy, and mood
disturbances. These symptoms can be mistaken for other conditions, such as
Alzheimer's disease, but the onset following a stroke and the presence of other
neurological deficits help differentiate it. Treatment typically involves
antidepressant medications and psychotherapy.
6. Which of the following is a common geriatric syndrome?
A) Hypertension
B) Urinary incontinence
C) Type 2 diabetes
D) Asthma
Correct Answer: B) Urinary incontinence
Explanation:
Geriatric syndromes are multifactorial health conditions that occur in older adults
and are not specific to a single disease. Urinary incontinence is a common geriatric
syndrome that can result from various factors, including age-related changes in the
urinary tract, medications, and comorbid conditions. Management involves
, addressing underlying causes and may include behavioral interventions,
medications, or surgical options.
7. Which of the following is an age-related change in the integumentary
system?
A) Increased skin elasticity
B) Decreased number of melanocytes
C) Increased sebaceous gland activity
D) Thickening of the epidermis
Correct Answer: B) Decreased number of melanocytes
Explanation:
With aging, there is a decrease in the number of melanocytes in the skin, leading to
a reduced ability to tan and an increased risk of sunburn. Additionally, the skin
becomes thinner, less elastic, and more prone to bruising and injury. Regular skin
assessments and sun protection are important in older adults.
8. Which of the following is a common side effect of polypharmacy in older
adults?
A) Improved medication adherence
B) Increased risk of drug interactions
C) Enhanced therapeutic effects
D) Decreased healthcare costs
Correct Answer: B) Increased risk of drug interactions
Explanation:
Polypharmacy, defined as the use of multiple medications, is prevalent among
older adults and increases the risk of drug interactions and adverse effects. This can
lead to complications such as falls, cognitive impairment, and hospitalizations.
Regular medication reviews and deprescribing when appropriate are essential
components of geriatric care.
AGED FAMILY – FULL (160+) CORRECT AND VERIFIED QUESTION
AND ANSWER ALREADY GRADED A+, GUARANTEED PASS
1. Which of the following is a normal age-related change in the integumentary
system?
A) Increased skin elasticity
B) Decreased number of melanocytes
C) Increased sebaceous gland activity
D) Thickening of the epidermis
Correct Answer: B) Decreased number of melanocytes
Explanation:
As individuals age, there is a decrease in the number of melanocytes, leading to
reduced skin pigmentation and increased susceptibility to sunburn. This change
contributes to the development of age spots and a lighter skin tone.
2. A 68-year-old male presents with a complaint of increased frequency of
urination, especially at night, and a weak urinary stream. What is the most
likely diagnosis?
A) Urinary tract infection
B) Benign prostatic hyperplasia
C) Prostate cancer
D) Diabetes mellitus
Correct Answer: B) Benign prostatic hyperplasia
,Explanation:
Benign prostatic hyperplasia (BPH) is a common condition in older men
characterized by the non-cancerous enlargement of the prostate gland. Symptoms
include increased urinary frequency, nocturia, weak stream, and difficulty starting
urination. Management may involve medications such as alpha-blockers or 5-
alpha-reductase inhibitors, and in some cases, surgical intervention.
3. Which of the following is a risk factor for developing osteoporosis in older
adults?
A) High body mass index
B) Sedentary lifestyle
C) High dietary calcium intake
D) Regular weight-bearing exercise
Correct Answer: B) Sedentary lifestyle
Explanation:
A sedentary lifestyle is a significant risk factor for osteoporosis. Regular weight-
bearing and muscle-strengthening exercises are essential for maintaining bone
density and reducing the risk of fractures. Other risk factors include low calcium
and vitamin D intake, smoking, excessive alcohol consumption, and certain
medications.
4. Which immunization is recommended for older adults to prevent shingles?
A) MMR vaccine
B) Shingrix vaccine
C) Influenza vaccine
D) Pneumococcal vaccine
Correct Answer: B) Shingrix vaccine
Explanation:
Shingrix is a recombinant zoster vaccine recommended for adults aged 50 and
older to prevent shingles and its complications, such as postherpetic neuralgia. It is
,administered in two doses, with the second dose given 2 to 6 months after the first.
The vaccine has shown high efficacy in preventing shingles in older adults.
5. A 72-year-old female has residual effects from a stroke that include memory
loss and apathy. Which of the following is the most likely diagnosis?
A) Alzheimer's disease
B) Post-stroke depression
C) Parkinson's disease
D) Normal aging process
Correct Answer: B) Post-stroke depression
Explanation:
Post-stroke depression is a common condition that can occur after a
cerebrovascular event. Symptoms may include memory loss, apathy, and mood
disturbances. These symptoms can be mistaken for other conditions, such as
Alzheimer's disease, but the onset following a stroke and the presence of other
neurological deficits help differentiate it. Treatment typically involves
antidepressant medications and psychotherapy.
6. Which of the following is a common geriatric syndrome?
A) Hypertension
B) Urinary incontinence
C) Type 2 diabetes
D) Asthma
Correct Answer: B) Urinary incontinence
Explanation:
Geriatric syndromes are multifactorial health conditions that occur in older adults
and are not specific to a single disease. Urinary incontinence is a common geriatric
syndrome that can result from various factors, including age-related changes in the
urinary tract, medications, and comorbid conditions. Management involves
, addressing underlying causes and may include behavioral interventions,
medications, or surgical options.
7. Which of the following is an age-related change in the integumentary
system?
A) Increased skin elasticity
B) Decreased number of melanocytes
C) Increased sebaceous gland activity
D) Thickening of the epidermis
Correct Answer: B) Decreased number of melanocytes
Explanation:
With aging, there is a decrease in the number of melanocytes in the skin, leading to
a reduced ability to tan and an increased risk of sunburn. Additionally, the skin
becomes thinner, less elastic, and more prone to bruising and injury. Regular skin
assessments and sun protection are important in older adults.
8. Which of the following is a common side effect of polypharmacy in older
adults?
A) Improved medication adherence
B) Increased risk of drug interactions
C) Enhanced therapeutic effects
D) Decreased healthcare costs
Correct Answer: B) Increased risk of drug interactions
Explanation:
Polypharmacy, defined as the use of multiple medications, is prevalent among
older adults and increases the risk of drug interactions and adverse effects. This can
lead to complications such as falls, cognitive impairment, and hospitalizations.
Regular medication reviews and deprescribing when appropriate are essential
components of geriatric care.
