Chamberlain University Nursing
NR-601 Primary Care of the
Maturing & Aged Family
Comprehensive Final Exam Test Bank
100 Questions with Detailed Rationales | Latest
2025/2026 | Advanced Practice Geriatrics
, FOR THE NURSE GRADE
DOMAIN 1: GERIATRIC ASSESSMENT AND AGE-RELATED
CHANGES
(Questions 1-20)
Question 1
A 75-year-old male presents for a routine physical. Which of the
following is a normal age-related change in the cardiovascular
system?
A. Increased resting heart rate
B. Decreased compliance of the aorta
C. Decreased systolic blood pressure
D. Increased cardiac output
Correct Answer: B
Rationale: Age-related changes in the cardiovascular system
include decreased compliance of the aorta due to stiffening of the
arterial walls, leading to increased systolic blood pressure and
widened pulse pressure. Resting heart rate (A) does not significantly
increase with age. Systolic blood pressure (C) typically increases,
,not decreases. Cardiac output (D) remains stable or slightly
decreases with age .
Question 2
A 72-year-old female reports difficulty sleeping. Which of the
following is a normal age-related change in sleep patterns?
A. Increased total sleep time
B. Decreased time spent in REM sleep
C. Increased deep sleep (stage 3)
D. Decreased nighttime awakenings
Correct Answer: B
Rationale: Normal age-related changes in sleep include decreased
time spent in REM sleep, increased nighttime awakenings (D),
decreased deep sleep (stage 3) (C), and decreased total sleep time
(A). Older adults also experience earlier sleep onset and earlier
awakening .
Question 3
A 78-year-old male presents with a complaint of "I've been
forgetting things lately." Which finding would be most concerning
for dementia rather than normal age-related cognitive decline?
, A. Occasionally forgetting where he put his keys
B. Difficulty managing finances and getting lost in familiar places
C. Taking longer to recall names
D. Occasionally forgetting appointments
Correct Answer: B
Rationale: Difficulty managing finances and getting lost in
familiar places are concerning for dementia rather than normal
age-related cognitive decline. Normal age-related changes include
occasional forgetfulness (A, D) and slower recall (C), but not
functional impairment .
Question 4
An 80-year-old female presents for a well visit. Which of the
following is a normal age-related change in the renal system?
A. Increased glomerular filtration rate (GFR)
B. Decreased creatinine clearance
C. Increased renal blood flow
D. Increased ability to concentrate urine
Correct Answer: B
NR-601 Primary Care of the
Maturing & Aged Family
Comprehensive Final Exam Test Bank
100 Questions with Detailed Rationales | Latest
2025/2026 | Advanced Practice Geriatrics
, FOR THE NURSE GRADE
DOMAIN 1: GERIATRIC ASSESSMENT AND AGE-RELATED
CHANGES
(Questions 1-20)
Question 1
A 75-year-old male presents for a routine physical. Which of the
following is a normal age-related change in the cardiovascular
system?
A. Increased resting heart rate
B. Decreased compliance of the aorta
C. Decreased systolic blood pressure
D. Increased cardiac output
Correct Answer: B
Rationale: Age-related changes in the cardiovascular system
include decreased compliance of the aorta due to stiffening of the
arterial walls, leading to increased systolic blood pressure and
widened pulse pressure. Resting heart rate (A) does not significantly
increase with age. Systolic blood pressure (C) typically increases,
,not decreases. Cardiac output (D) remains stable or slightly
decreases with age .
Question 2
A 72-year-old female reports difficulty sleeping. Which of the
following is a normal age-related change in sleep patterns?
A. Increased total sleep time
B. Decreased time spent in REM sleep
C. Increased deep sleep (stage 3)
D. Decreased nighttime awakenings
Correct Answer: B
Rationale: Normal age-related changes in sleep include decreased
time spent in REM sleep, increased nighttime awakenings (D),
decreased deep sleep (stage 3) (C), and decreased total sleep time
(A). Older adults also experience earlier sleep onset and earlier
awakening .
Question 3
A 78-year-old male presents with a complaint of "I've been
forgetting things lately." Which finding would be most concerning
for dementia rather than normal age-related cognitive decline?
, A. Occasionally forgetting where he put his keys
B. Difficulty managing finances and getting lost in familiar places
C. Taking longer to recall names
D. Occasionally forgetting appointments
Correct Answer: B
Rationale: Difficulty managing finances and getting lost in
familiar places are concerning for dementia rather than normal
age-related cognitive decline. Normal age-related changes include
occasional forgetfulness (A, D) and slower recall (C), but not
functional impairment .
Question 4
An 80-year-old female presents for a well visit. Which of the
following is a normal age-related change in the renal system?
A. Increased glomerular filtration rate (GFR)
B. Decreased creatinine clearance
C. Increased renal blood flow
D. Increased ability to concentrate urine
Correct Answer: B
