GRADUATE NURSING EXAM PREP
NR 601 MIDTERM EXAM
PRIMARY CARE OF THE
MATURING AND AGED FAMILY
2026/2027 ACTUAL EXAM TEST BANK
WITH REAL EXAM QUESTIONS AND
100% CORRECT VERIFIED ANSWERS
(GUARANTEED PASS!!)
Aligned to Chamberlain University NR601 Objectives • Graduate Nursing Level A+
A+ QUESTIONS 5 SECTIONS 100%
VERIFIED COMPLETE RATIONALES
CATEGORIES
SECTION 1 — Geriatric Assessment & Foundations of Aging
SECTION 2 — Polypharmacy, Prescribing & Preventive Care
SECTION 3 — Cardiovascular Disorders in Older Adults
SECTION 4 — Respiratory & Related Chronic Conditions
SECTION 5 — Endocrine, Neurologic, MSK & Mental Health
STUVIAACTUALEXAM
, SECTION 1: Geriatric Assessment & Foundations of Aging
Q1. A 78-year-old woman is brought by her daughter for a comprehensive geriatric assessment after two recent falls and
progressive difficulty managing medications and finances. The nurse practitioner begins with functional assessment.
Which pair of instruments is most appropriate to evaluate basic self-care and higher-level independent living skills,
respectively?
A. Mini-Cog and PHQ-9
B. Katz ADL Index and Lawton IADL Scale
C. Get-Up-and-Go test alone and MMSE only
D. Beers Criteria checklist and STOPP/START criteria
Correct Answer: B
Rationale: The Katz Index assesses basic ADLs (bathing, dressing, toileting, transferring, continence, feeding); the Lawton Scale
assesses IADLs (finances, medications, shopping, etc.). Cognitive and depression screens are complementary but do not replace
functional instruments.
Q2. During a new-patient visit an 82-year-old man scores 2 on the Mini-Cog (abnormal clock and only one of three words
recalled). The daughter reports increasing forgetfulness and occasional disorientation to time. Which next step best
aligns with evidence-based cognitive evaluation in primary care?
A. Reassure the family that memory loss is normal aging and recheck in one year
B. Immediately prescribe a cholinesterase inhibitor without further testing
C. Perform a more detailed cognitive assessment (e.g., MoCA or full MMSE) and evaluate for reversible causes
D. Order a brain biopsy to confirm Alzheimer pathology
Correct Answer: C
Rationale: An abnormal Mini-Cog warrants more comprehensive cognitive testing and a work-up for reversible contributors (B12, TSH,
depression, medications, etc.). Normal aging does not produce significant functional impairment; empiric dementia treatment without
evaluation is inappropriate.
Q3. A 75-year-old patient is being screened for depression using the Geriatric Depression Scale (GDS-15). The score is
8. The patient also reports poor sleep and loss of interest in gardening. Which interpretation and action are most
appropriate?
A. Score of 8 suggests possible depression; further clinical evaluation and consideration of treatment or referral are
warranted
B. Score of 8 is within normal limits; no further action needed
C. GDS scores above 5 always require immediate hospitalization
D. Depression screening is unnecessary after age 70 because rates decline
Correct Answer: A
Rationale: A GDS-15 score ≥5 (and especially ≥8–10) indicates possible depression requiring clinical confirmation and management.
Depression remains common and treatable in late life; hospitalization is not automatic.
Q4. An 80-year-old woman with multiple chronic conditions is evaluated using the 5Ms framework of age-friendly care.
The “Mind” domain has already been addressed. Which set of domains completes the 5Ms model?
A. Metabolism, Memory, Mood, and Mobility only
B. Muscles, Minerals, Multivitamins, and Meditation
C. Mortality risk, Medicare status, and Medication count only
D. Mobility, Medications, Multi-complexity, and What Matters
Correct Answer: D
Rationale: The 5Ms are Mind, Mobility, Medications, Multi-complexity, and What Matters (patient goals/priorities). The other options
omit key domains or introduce unrelated concepts.
STUVIAACTUALEXAM • Page 2
NR 601 MIDTERM EXAM
PRIMARY CARE OF THE
MATURING AND AGED FAMILY
2026/2027 ACTUAL EXAM TEST BANK
WITH REAL EXAM QUESTIONS AND
100% CORRECT VERIFIED ANSWERS
(GUARANTEED PASS!!)
Aligned to Chamberlain University NR601 Objectives • Graduate Nursing Level A+
A+ QUESTIONS 5 SECTIONS 100%
VERIFIED COMPLETE RATIONALES
CATEGORIES
SECTION 1 — Geriatric Assessment & Foundations of Aging
SECTION 2 — Polypharmacy, Prescribing & Preventive Care
SECTION 3 — Cardiovascular Disorders in Older Adults
SECTION 4 — Respiratory & Related Chronic Conditions
SECTION 5 — Endocrine, Neurologic, MSK & Mental Health
STUVIAACTUALEXAM
, SECTION 1: Geriatric Assessment & Foundations of Aging
Q1. A 78-year-old woman is brought by her daughter for a comprehensive geriatric assessment after two recent falls and
progressive difficulty managing medications and finances. The nurse practitioner begins with functional assessment.
Which pair of instruments is most appropriate to evaluate basic self-care and higher-level independent living skills,
respectively?
A. Mini-Cog and PHQ-9
B. Katz ADL Index and Lawton IADL Scale
C. Get-Up-and-Go test alone and MMSE only
D. Beers Criteria checklist and STOPP/START criteria
Correct Answer: B
Rationale: The Katz Index assesses basic ADLs (bathing, dressing, toileting, transferring, continence, feeding); the Lawton Scale
assesses IADLs (finances, medications, shopping, etc.). Cognitive and depression screens are complementary but do not replace
functional instruments.
Q2. During a new-patient visit an 82-year-old man scores 2 on the Mini-Cog (abnormal clock and only one of three words
recalled). The daughter reports increasing forgetfulness and occasional disorientation to time. Which next step best
aligns with evidence-based cognitive evaluation in primary care?
A. Reassure the family that memory loss is normal aging and recheck in one year
B. Immediately prescribe a cholinesterase inhibitor without further testing
C. Perform a more detailed cognitive assessment (e.g., MoCA or full MMSE) and evaluate for reversible causes
D. Order a brain biopsy to confirm Alzheimer pathology
Correct Answer: C
Rationale: An abnormal Mini-Cog warrants more comprehensive cognitive testing and a work-up for reversible contributors (B12, TSH,
depression, medications, etc.). Normal aging does not produce significant functional impairment; empiric dementia treatment without
evaluation is inappropriate.
Q3. A 75-year-old patient is being screened for depression using the Geriatric Depression Scale (GDS-15). The score is
8. The patient also reports poor sleep and loss of interest in gardening. Which interpretation and action are most
appropriate?
A. Score of 8 suggests possible depression; further clinical evaluation and consideration of treatment or referral are
warranted
B. Score of 8 is within normal limits; no further action needed
C. GDS scores above 5 always require immediate hospitalization
D. Depression screening is unnecessary after age 70 because rates decline
Correct Answer: A
Rationale: A GDS-15 score ≥5 (and especially ≥8–10) indicates possible depression requiring clinical confirmation and management.
Depression remains common and treatable in late life; hospitalization is not automatic.
Q4. An 80-year-old woman with multiple chronic conditions is evaluated using the 5Ms framework of age-friendly care.
The “Mind” domain has already been addressed. Which set of domains completes the 5Ms model?
A. Metabolism, Memory, Mood, and Mobility only
B. Muscles, Minerals, Multivitamins, and Meditation
C. Mortality risk, Medicare status, and Medication count only
D. Mobility, Medications, Multi-complexity, and What Matters
Correct Answer: D
Rationale: The 5Ms are Mind, Mobility, Medications, Multi-complexity, and What Matters (patient goals/priorities). The other options
omit key domains or introduce unrelated concepts.
STUVIAACTUALEXAM • Page 2
