NURSING · OBJECTIVE ASSESSMENT A+ VERIFIED
NR 601 Midterm Exam — Complete
Primary Care of the Maturing and Aged Family Practicum
Official Exam
50 Questions Full Rationales Verified Answers
50 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Health Promotion & Disease Prevention in Older Adults
02 Cardiovascular & Respiratory Conditions
03 Endocrine & Metabolic Disorders
04 Musculoskeletal & Neurologic Conditions
05 Geriatric Syndromes & Palliative Care
ABOUT THIS ASSESSMENT
Build mastery in primary care of older adults — from health promotion and disease prevention to cardiovascular, respiratory, endocrine,
musculoskeletal, and neurologic conditions, geriatric syndromes, and palliative care. This original study bank targets application and analysis skills for
NR 601 Midterm Exam, with full rationales for every answer. For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
80% Advanced (Graduate Nursing) Application / Analysis
STUVIA ACTUAL EXAM Page 1
,SECTION 1: Health Promotion & Disease Prevention in Older Adults
Q1. A 72-year-old woman presents for her annual wellness visit. She has no chronic conditions, lives independently, and asks
about recommended immunizations. According to current guidelines for older adults, which immunization schedule is most
appropriate?
A. Only the annual influenza vaccine is required after age 65; other vaccines are optional
B. Annual influenza vaccine, one-time high-dose or adjuvanted influenza if indicated, pneumococcal conjugate followed by polysaccharide
as recommended, and recombinant zoster vaccine series
C. Live attenuated influenza vaccine and annual pneumococcal polysaccharide alone
D. Defer all immunizations until the patient develops a chronic disease
Correct Answer: B
Rationale:
Current ACIP recommendations for adults ≥65 years include annual influenza (preferably high-dose or adjuvanted), sequential pneumococcal vaccination, and
the two-dose recombinant zoster vaccine. These protect against high-burden diseases in this age group.
Q2. A 68-year-old man with well-controlled hypertension asks about cancer screening. He has never had colorectal cancer
screening. Which recommendation best aligns with evidence-based guidelines for average-risk older adults?
A. Begin annual fecal occult blood testing only if symptoms of rectal bleeding appear
B. Order CT colonography every 2 years starting immediately
C. Offer colonoscopy every 10 years or an alternative validated stool-based test at appropriate intervals through age 75, with individualized
discussion after age 75
D. Defer all colorectal screening because the patient is over 65
Correct Answer: C
Rationale:
USPSTF and specialty guidelines support continued colorectal cancer screening for average-risk adults through age 75. Shared decision-making is used for
ages 76–85. Screening should not be limited to symptomatic patients.
Q3. During a Medicare Annual Wellness Visit, a 70-year-old patient reports taking eight prescription medications daily. The nurse
practitioner’s priority action regarding medication safety is to:
A. Perform a comprehensive medication review using Beers Criteria and deprescribe potentially inappropriate medications when clinically
appropriate
B. Continue all current medications without review because the patient reports no side effects
C. Add a multivitamin to address possible nutritional deficiencies from polypharmacy
D. Switch all medications to once-daily formulations without evaluating necessity
Correct Answer: A
Rationale:
Polypharmacy increases adverse drug event risk in older adults. Systematic review against Beers Criteria and other tools, followed by deprescribing when
benefit-risk balance is unfavorable, is a core safety intervention.
Q4. A 75-year-old woman who is sedentary and has a BMI of 31 kg/m² asks how much physical activity she should aim for. The
most appropriate evidence-based recommendation is:
A. Complete bed rest on most days to avoid joint stress
B. Only flexibility exercises; aerobic activity is contraindicated after age 70
C. Vigorous high-impact exercise for 60 minutes daily
D. At least 150 minutes of moderate-intensity aerobic activity per week plus muscle-strengthening activities on 2 or more days, adapted to
her functional capacity
Correct Answer: D
Rationale:
Guidelines recommend ≥150 minutes of moderate aerobic activity weekly plus strength training for older adults, modified for individual ability. Inactivity and
extreme high-impact programs both carry risks.
STUVIA ACTUAL EXAM · Page 2
, SECTION 1: Health Promotion & Disease Prevention in Older Adults
Q5. A 69-year-old man with a 30-pack-year smoking history quit 8 years ago. He is asymptomatic. Which lung-cancer screening
approach is indicated?
A. Chest X-ray every 6 months for the next 5 years
B. Annual low-dose CT screening if he meets age and pack-year criteria and is willing to undergo curative treatment if cancer is found
C. No further screening because he has already quit smoking
D. Sputum cytology annually for life
Correct Answer: B
Rationale:
USPSTF recommends annual low-dose CT for adults 50–80 years with ≥20 pack-year history who currently smoke or quit within the past 15 years. Shared
decision-making and willingness for treatment are required.
Q6. A 78-year-old patient with mild cognitive impairment is due for osteoporosis screening. She has never had a DXA scan. The
most appropriate next step is:
A. Begin empiric high-dose vitamin D without densitometry
B. Defer screening until a fragility fracture occurs
C. Order DXA of hip and spine and calculate FRAX score to guide treatment decisions
D. Order whole-body bone scan as the first-line test
Correct Answer: C
Rationale:
Women ≥65 years and men ≥70 years (or younger with risk factors) should undergo DXA. FRAX integrates clinical risk factors with bone density to determine
treatment thresholds.
Q7. A 71-year-old woman asks about breast-cancer screening. She is average risk, has a life expectancy greater than 10 years,
and has had prior normal mammograms. The best recommendation is:
A. Continue biennial mammography through age 74 with individualized discussion thereafter based on life expectancy and preferences
B. Stop all mammography after age 70
C. Switch to annual MRI only
D. Perform clinical breast examination alone every 3 years
Correct Answer: A
Rationale:
USPSTF supports biennial screening mammography for women 50–74. After 74, decisions are individualized according to health status and patient values.
Q8. During a home visit, the nurse practitioner notes multiple throw rugs, poor lighting, and absence of grab bars in the bathroom of
an 80-year-old patient with prior falls. The priority preventive intervention is:
A. Prescribe a benzodiazepine for sleep so the patient remains in bed at night
B. Advise the patient to use a wheelchair exclusively
C. Order a head CT to evaluate for subclinical stroke
D. Conduct a multifactorial fall-risk assessment and implement home-safety modifications together with strength and balance exercise
referral
Correct Answer: D
Rationale:
Evidence-based fall prevention includes multifactorial assessment, environmental modification, and exercise programs targeting strength and balance. Sedatives
increase fall risk.
STUVIA ACTUAL EXAM · Page 3
NR 601 Midterm Exam — Complete
Primary Care of the Maturing and Aged Family Practicum
Official Exam
50 Questions Full Rationales Verified Answers
50 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Health Promotion & Disease Prevention in Older Adults
02 Cardiovascular & Respiratory Conditions
03 Endocrine & Metabolic Disorders
04 Musculoskeletal & Neurologic Conditions
05 Geriatric Syndromes & Palliative Care
ABOUT THIS ASSESSMENT
Build mastery in primary care of older adults — from health promotion and disease prevention to cardiovascular, respiratory, endocrine,
musculoskeletal, and neurologic conditions, geriatric syndromes, and palliative care. This original study bank targets application and analysis skills for
NR 601 Midterm Exam, with full rationales for every answer. For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
80% Advanced (Graduate Nursing) Application / Analysis
STUVIA ACTUAL EXAM Page 1
,SECTION 1: Health Promotion & Disease Prevention in Older Adults
Q1. A 72-year-old woman presents for her annual wellness visit. She has no chronic conditions, lives independently, and asks
about recommended immunizations. According to current guidelines for older adults, which immunization schedule is most
appropriate?
A. Only the annual influenza vaccine is required after age 65; other vaccines are optional
B. Annual influenza vaccine, one-time high-dose or adjuvanted influenza if indicated, pneumococcal conjugate followed by polysaccharide
as recommended, and recombinant zoster vaccine series
C. Live attenuated influenza vaccine and annual pneumococcal polysaccharide alone
D. Defer all immunizations until the patient develops a chronic disease
Correct Answer: B
Rationale:
Current ACIP recommendations for adults ≥65 years include annual influenza (preferably high-dose or adjuvanted), sequential pneumococcal vaccination, and
the two-dose recombinant zoster vaccine. These protect against high-burden diseases in this age group.
Q2. A 68-year-old man with well-controlled hypertension asks about cancer screening. He has never had colorectal cancer
screening. Which recommendation best aligns with evidence-based guidelines for average-risk older adults?
A. Begin annual fecal occult blood testing only if symptoms of rectal bleeding appear
B. Order CT colonography every 2 years starting immediately
C. Offer colonoscopy every 10 years or an alternative validated stool-based test at appropriate intervals through age 75, with individualized
discussion after age 75
D. Defer all colorectal screening because the patient is over 65
Correct Answer: C
Rationale:
USPSTF and specialty guidelines support continued colorectal cancer screening for average-risk adults through age 75. Shared decision-making is used for
ages 76–85. Screening should not be limited to symptomatic patients.
Q3. During a Medicare Annual Wellness Visit, a 70-year-old patient reports taking eight prescription medications daily. The nurse
practitioner’s priority action regarding medication safety is to:
A. Perform a comprehensive medication review using Beers Criteria and deprescribe potentially inappropriate medications when clinically
appropriate
B. Continue all current medications without review because the patient reports no side effects
C. Add a multivitamin to address possible nutritional deficiencies from polypharmacy
D. Switch all medications to once-daily formulations without evaluating necessity
Correct Answer: A
Rationale:
Polypharmacy increases adverse drug event risk in older adults. Systematic review against Beers Criteria and other tools, followed by deprescribing when
benefit-risk balance is unfavorable, is a core safety intervention.
Q4. A 75-year-old woman who is sedentary and has a BMI of 31 kg/m² asks how much physical activity she should aim for. The
most appropriate evidence-based recommendation is:
A. Complete bed rest on most days to avoid joint stress
B. Only flexibility exercises; aerobic activity is contraindicated after age 70
C. Vigorous high-impact exercise for 60 minutes daily
D. At least 150 minutes of moderate-intensity aerobic activity per week plus muscle-strengthening activities on 2 or more days, adapted to
her functional capacity
Correct Answer: D
Rationale:
Guidelines recommend ≥150 minutes of moderate aerobic activity weekly plus strength training for older adults, modified for individual ability. Inactivity and
extreme high-impact programs both carry risks.
STUVIA ACTUAL EXAM · Page 2
, SECTION 1: Health Promotion & Disease Prevention in Older Adults
Q5. A 69-year-old man with a 30-pack-year smoking history quit 8 years ago. He is asymptomatic. Which lung-cancer screening
approach is indicated?
A. Chest X-ray every 6 months for the next 5 years
B. Annual low-dose CT screening if he meets age and pack-year criteria and is willing to undergo curative treatment if cancer is found
C. No further screening because he has already quit smoking
D. Sputum cytology annually for life
Correct Answer: B
Rationale:
USPSTF recommends annual low-dose CT for adults 50–80 years with ≥20 pack-year history who currently smoke or quit within the past 15 years. Shared
decision-making and willingness for treatment are required.
Q6. A 78-year-old patient with mild cognitive impairment is due for osteoporosis screening. She has never had a DXA scan. The
most appropriate next step is:
A. Begin empiric high-dose vitamin D without densitometry
B. Defer screening until a fragility fracture occurs
C. Order DXA of hip and spine and calculate FRAX score to guide treatment decisions
D. Order whole-body bone scan as the first-line test
Correct Answer: C
Rationale:
Women ≥65 years and men ≥70 years (or younger with risk factors) should undergo DXA. FRAX integrates clinical risk factors with bone density to determine
treatment thresholds.
Q7. A 71-year-old woman asks about breast-cancer screening. She is average risk, has a life expectancy greater than 10 years,
and has had prior normal mammograms. The best recommendation is:
A. Continue biennial mammography through age 74 with individualized discussion thereafter based on life expectancy and preferences
B. Stop all mammography after age 70
C. Switch to annual MRI only
D. Perform clinical breast examination alone every 3 years
Correct Answer: A
Rationale:
USPSTF supports biennial screening mammography for women 50–74. After 74, decisions are individualized according to health status and patient values.
Q8. During a home visit, the nurse practitioner notes multiple throw rugs, poor lighting, and absence of grab bars in the bathroom of
an 80-year-old patient with prior falls. The priority preventive intervention is:
A. Prescribe a benzodiazepine for sleep so the patient remains in bed at night
B. Advise the patient to use a wheelchair exclusively
C. Order a head CT to evaluate for subclinical stroke
D. Conduct a multifactorial fall-risk assessment and implement home-safety modifications together with strength and balance exercise
referral
Correct Answer: D
Rationale:
Evidence-based fall prevention includes multifactorial assessment, environmental modification, and exercise programs targeting strength and balance. Sedatives
increase fall risk.
STUVIA ACTUAL EXAM · Page 3
