NR 601 Final Exam bank
Primary Care of the Maturing and Aged Family Practicum
Chamberlain- NR 601 Final Preparation Exam Bank
Updated Questions & Answers With Rationale
A+ GRADED| BRAND NEW RELEASE!
This comprehensive exam consists of 200 multiple-choice questions designed to assess
clinical competency in the primary care of maturing and aged families. It covers the
domains of health promotion, assessment, diagnosis, and management for acute and
chronic conditions in older adults.
DOMAINS COVERED:
1. Health Promotion & Disease Prevention
2. Cardiovascular System
3. Respiratory System
4. Endocrine System
5. Musculoskeletal System
6. Neurological System
7. Genitourinary System
8. Gastrointestinal System
9. Psychological & Cognitive Health
10. Geriatric Syndromes & Palliative Care
Question 1
Male patient presents with a BMI of 30 presents to the office for an annual exam.
You are reviewing the lab results. You ordered a CMP as part of routine labs. The
fasting glucose was 130. Your next action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
,c. repeat fasting glucose in 1 year
d. call the patient and report lab results as normal
Correct Answer: a
Rationale: A fasting glucose of 130 mg/dL is indicative of diabetes (≥126 mg/dL).
However, a single elevated reading requires confirmation with a repeat fasting
glucose test before initiating treatment.
Question 2
The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships
Correct Answer: a
Rationale: The tasks of grieving include accepting the reality of the loss, working
through the pain, adjusting to a world without the deceased, and relocating the
emotional energy. Disengagement is not a recognized task.
Question 3
All of the following are true statements regarding elder abuse except:
,a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are common
d. common signs of abuse include decreased anxiety and depression
Correct Answer: d
Rationale: Common signs of abuse often include increased anxiety, depression, and
fear, not decreased anxiety and depression.
Question 4
Hospice care differs from palliative care in that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life
Correct Answer: d
Rationale: Hospice care is specifically designed for patients with a terminal illness
and a life expectancy of six months or less, whereas palliative care can be
provided at any stage of illness.
, Question 5
When assessing an elderly client who reports a tremor, which assessment findings
would be most reliable in identifying Parkinsons disease?
a. cogwheel rigidity, bradykinesia, and macrographia
b. any presence of fever
c. symptoms of slowed movement, unstable angina and tremor
d. resting tremor, slow unsteady gait and cogwheel rigidity
Correct Answer: d
Rationale: The classic triad of Parkinson's disease is resting tremor, rigidity
(cogwheel), and bradykinesia. An unsteady gait is also a common finding.
Question 6
How does women anatomy make them more susceptible to UTI's
a. the female urethra is shorter
b. aymptomatic UTI's do not resolve themselves without treatment
c. women tend to get UTI's when they are pregnant
d. there is a longer distance between the urethra and anus
Correct Answer: a
Rationale: The female urethra is shorter than the male urethra, allowing bacteria
easier access to the bladder.
Primary Care of the Maturing and Aged Family Practicum
Chamberlain- NR 601 Final Preparation Exam Bank
Updated Questions & Answers With Rationale
A+ GRADED| BRAND NEW RELEASE!
This comprehensive exam consists of 200 multiple-choice questions designed to assess
clinical competency in the primary care of maturing and aged families. It covers the
domains of health promotion, assessment, diagnosis, and management for acute and
chronic conditions in older adults.
DOMAINS COVERED:
1. Health Promotion & Disease Prevention
2. Cardiovascular System
3. Respiratory System
4. Endocrine System
5. Musculoskeletal System
6. Neurological System
7. Genitourinary System
8. Gastrointestinal System
9. Psychological & Cognitive Health
10. Geriatric Syndromes & Palliative Care
Question 1
Male patient presents with a BMI of 30 presents to the office for an annual exam.
You are reviewing the lab results. You ordered a CMP as part of routine labs. The
fasting glucose was 130. Your next action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
,c. repeat fasting glucose in 1 year
d. call the patient and report lab results as normal
Correct Answer: a
Rationale: A fasting glucose of 130 mg/dL is indicative of diabetes (≥126 mg/dL).
However, a single elevated reading requires confirmation with a repeat fasting
glucose test before initiating treatment.
Question 2
The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships
Correct Answer: a
Rationale: The tasks of grieving include accepting the reality of the loss, working
through the pain, adjusting to a world without the deceased, and relocating the
emotional energy. Disengagement is not a recognized task.
Question 3
All of the following are true statements regarding elder abuse except:
,a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are common
d. common signs of abuse include decreased anxiety and depression
Correct Answer: d
Rationale: Common signs of abuse often include increased anxiety, depression, and
fear, not decreased anxiety and depression.
Question 4
Hospice care differs from palliative care in that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life
Correct Answer: d
Rationale: Hospice care is specifically designed for patients with a terminal illness
and a life expectancy of six months or less, whereas palliative care can be
provided at any stage of illness.
, Question 5
When assessing an elderly client who reports a tremor, which assessment findings
would be most reliable in identifying Parkinsons disease?
a. cogwheel rigidity, bradykinesia, and macrographia
b. any presence of fever
c. symptoms of slowed movement, unstable angina and tremor
d. resting tremor, slow unsteady gait and cogwheel rigidity
Correct Answer: d
Rationale: The classic triad of Parkinson's disease is resting tremor, rigidity
(cogwheel), and bradykinesia. An unsteady gait is also a common finding.
Question 6
How does women anatomy make them more susceptible to UTI's
a. the female urethra is shorter
b. aymptomatic UTI's do not resolve themselves without treatment
c. women tend to get UTI's when they are pregnant
d. there is a longer distance between the urethra and anus
Correct Answer: a
Rationale: The female urethra is shorter than the male urethra, allowing bacteria
easier access to the bladder.
