NR 601 Primary Care of the Maturing
and Aged Family Practicum ACTUAL
EXAM Due March 1 2026 | Week 8
Final Exam Practice Set | Chamberlain
University | Verified Q&A | Pass
Guaranteed - A+ Graded
,What are the 3 primary physiological changes of aging? - correct answers--1. Reduced
physiological reserve of most body systems, esp. cardiac, resp, renal.
2. Reduced homeostatic mechanisms that fail to adjust regulatory systems (i.e. temp
control, fluid/lyte balance, etc.).
3. Impaired immunological function (infection risk is greater, autoimmune dz's more
prevalent)
What is the preferred amount of exercise for elderly? - correct answers--30min/day 5
days/wk of moderate exercise.
If trying to lose wt: 60min/day.
What are PFTs? - correct answers--Group of tests that provide quantifiable
measurement of lung function, used to dx resp abnormalities or assess
progression/resolution of lung dz.
What is FEV1? - correct answers--Forced Expiratory Volume in 1 second (80-120%)
What is FVC? - correct answers--Forced Vital Capacity (80-120%)
What is normal FEV1/FVC ratio? - correct answers--<0.7 (70%)
What is GOLD 1 criteria? - correct answers--Mild
FEV1 >/= 80% predicted
What is GOLD 2 criteria? - correct answers--Moderate
FEV1 50-79% predicted
What is GOLD 3 criteria? - correct answers--Severe
FEV1 30-49% predicted
What is GOLD 4 criteria? - correct answers--Very severe
FEV1 <30% predicted
What are the signal symptoms of COPD? - correct answers--Dyspnea
Chronic cough w/sputum
Decreased activity tolerance
Wheezing
What are characteristics of COPD? - correct answers--Common, preventable, treatable.
, Characterized by persistent airflow limitation.
Usually progressive, associated with enhanced chronic inflammatory response in
airways and lungs to noxious particles/gases
Airway fibrosis, luminal plugs, airway inflammation, increased airway resistance, small
airway dz.
Decreased elastic recoil of alveoli.
What are risk factors for COPD? - correct answers--Smoking (increasing w/number of
pack years)
Second hand smoke
Environmental pollution (endotoxins, coal dust, mineral dust)
What is seen on phys exam in COPD? - correct answers--May be normal in early states
As severity progresses: lung hyperinflation, decreased breath sounds, wheezes at
bases, distant heart tones (b/c of hyperinflation, so S1/S2 sounds off in distance),
accessory muscle use, pursed lip breathing, increased expiratory phase, neck vein
distention.
How is COPD diagnosed? - correct answers--Spirometry is gold standard (pre and post
bronchodilator).
Irreversible airflow limitation is hallmark.
How is COPD treated? - correct answers--Bronchodilators: beta agonists (long/short),
anticholinergics (long/short), or combo.
What is the MOA of beta agonists? - correct answers--Stimulates beta-2-adrenergic
receptors, increasing cyclic AMP, resulting in relaxing airways.
What is the MOA of anticholinergics? - correct answers--Block the effect of
acetylcholine on muscarinic type 3 receptors, resulting in bronchodilation.
Why are long-acting beta agonists prescribed for COPD? - correct answers--They are
for moderate airflow limitation.
They relieve symptoms, increase exercise tolerance, reduce number of exacerbations,
improve QOL.
What are some non pulmonary diagnoses that result in COPD-type symptoms? - correct
answers--CHF
Hyperventilation syndrome
Panic attacks
and Aged Family Practicum ACTUAL
EXAM Due March 1 2026 | Week 8
Final Exam Practice Set | Chamberlain
University | Verified Q&A | Pass
Guaranteed - A+ Graded
,What are the 3 primary physiological changes of aging? - correct answers--1. Reduced
physiological reserve of most body systems, esp. cardiac, resp, renal.
2. Reduced homeostatic mechanisms that fail to adjust regulatory systems (i.e. temp
control, fluid/lyte balance, etc.).
3. Impaired immunological function (infection risk is greater, autoimmune dz's more
prevalent)
What is the preferred amount of exercise for elderly? - correct answers--30min/day 5
days/wk of moderate exercise.
If trying to lose wt: 60min/day.
What are PFTs? - correct answers--Group of tests that provide quantifiable
measurement of lung function, used to dx resp abnormalities or assess
progression/resolution of lung dz.
What is FEV1? - correct answers--Forced Expiratory Volume in 1 second (80-120%)
What is FVC? - correct answers--Forced Vital Capacity (80-120%)
What is normal FEV1/FVC ratio? - correct answers--<0.7 (70%)
What is GOLD 1 criteria? - correct answers--Mild
FEV1 >/= 80% predicted
What is GOLD 2 criteria? - correct answers--Moderate
FEV1 50-79% predicted
What is GOLD 3 criteria? - correct answers--Severe
FEV1 30-49% predicted
What is GOLD 4 criteria? - correct answers--Very severe
FEV1 <30% predicted
What are the signal symptoms of COPD? - correct answers--Dyspnea
Chronic cough w/sputum
Decreased activity tolerance
Wheezing
What are characteristics of COPD? - correct answers--Common, preventable, treatable.
, Characterized by persistent airflow limitation.
Usually progressive, associated with enhanced chronic inflammatory response in
airways and lungs to noxious particles/gases
Airway fibrosis, luminal plugs, airway inflammation, increased airway resistance, small
airway dz.
Decreased elastic recoil of alveoli.
What are risk factors for COPD? - correct answers--Smoking (increasing w/number of
pack years)
Second hand smoke
Environmental pollution (endotoxins, coal dust, mineral dust)
What is seen on phys exam in COPD? - correct answers--May be normal in early states
As severity progresses: lung hyperinflation, decreased breath sounds, wheezes at
bases, distant heart tones (b/c of hyperinflation, so S1/S2 sounds off in distance),
accessory muscle use, pursed lip breathing, increased expiratory phase, neck vein
distention.
How is COPD diagnosed? - correct answers--Spirometry is gold standard (pre and post
bronchodilator).
Irreversible airflow limitation is hallmark.
How is COPD treated? - correct answers--Bronchodilators: beta agonists (long/short),
anticholinergics (long/short), or combo.
What is the MOA of beta agonists? - correct answers--Stimulates beta-2-adrenergic
receptors, increasing cyclic AMP, resulting in relaxing airways.
What is the MOA of anticholinergics? - correct answers--Block the effect of
acetylcholine on muscarinic type 3 receptors, resulting in bronchodilation.
Why are long-acting beta agonists prescribed for COPD? - correct answers--They are
for moderate airflow limitation.
They relieve symptoms, increase exercise tolerance, reduce number of exacerbations,
improve QOL.
What are some non pulmonary diagnoses that result in COPD-type symptoms? - correct
answers--CHF
Hyperventilation syndrome
Panic attacks
