NR601/ NR 601 Final Exam Guide (2026 Update) | Complete Exam Questions with Verified Answers and Detailed Rationales | Primary Care of the Maturing & Aged Family | A+ Graded | Chamberlain University

NR601/ NR 601 Final Exam Guide (2026
Update) | Complete Exam Questions with
Verified Answers and Detailed Rationales |
Primary Care of the Maturing & Aged
Family | A+ Graded | Chamberlain
University


1. A 72-year-old male presents with a 3-
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month history of a resting tremor in his right hand, bradykinesia, and rigidity. He report
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s that his handwriting has become very small. Which of the following is the most approp
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riate initial pharmacological therapy?
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A) Carbidopa-levodopa
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B) Pramipexole
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C) Selegiline
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D) Benztropine
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2. An 80-year-
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old female with a history of hypertension and GERD presents with a new onset of confus
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ion, dry mouth, and urinary retention. Her family reports she was started on a new medi
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cation one week ago for overactive bladder. Which medication is most likely responsible
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bfor her symptoms?
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A) Tamsulosin
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B) Solifenacin
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C) Finasteride
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D) Mirabegron
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3. A 68-year-
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old patient with Type 2 Diabetes Mellitus has an A1c of 8.2% on Metformin 1000 mg BI
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D. Her eGFR is 42 mL/min/1.73m². Which of the following is the BEST next step in mana
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ging her diabetes? nb nb

,A) Add Pioglitazone
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B) Add Glipizide
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C) Add Empagliflozin (SGLT-2 inhibitor)
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D) Increase Metformin to 2000 mg BID
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4. A 75-year-
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old patient comes in for a wellness visit. She has a history of osteoporosis. Her 10-
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year FRAX score is 22% for major osteoporotic fracture. A DEXA scan reveals a T-
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score of -2.8 at the femoral neck. Which of the following is the first-
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line pharmacologic treatment?
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A) Raloxifene
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B) Calcium and Vitamin D supplementation only
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C) Alendronate (Bisphosphonate)
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D) Teriparatide
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5. A 78-year-old male with a 45-pack-
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year smoking history presents with a new onset of hoarseness and a chronic cough. He r
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eports a 15- nb nb




pound unintentional weight loss over the last 6 months. What is the most appropriate in
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itial diagnostic step?
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A) Chest X-ray
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B) CT scan of the chest
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C) Laryngoscopy
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D) Empirical antibiotics for bronchitis
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6. An 82-year-
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old female with atrial fibrillation on Warfarin has an INR of 5.0. She is not bleeding. Acc
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ording to current anticoagulation guidelines, what is the appropriate management?
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A) Hold the warfarin dose and administer Vitamin K 10 mg orally.
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B) Hold the warfarin dose and administer Vitamin K 2.5 mg orally.
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C) Hold the warfarin dose and administer fresh frozen plasma.
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D) Hold the warfarin dose and recheck INR tomorrow.
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7. A 69-year-
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old male with osteoarthritis presents with knee pain. He has a history of a gastric ulcer.
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, Which of the following is the safest analgesic option for long-
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term management of his pain?
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A) Ibuprofen 800 mg TID
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B) Naproxen 500 mg BID
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C) Acetaminophen 1000 mg QID
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D) Celecoxib 200 mg daily
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8. A 76-year-
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old patient presents with a chief complaint of "I feel like the room is spinning" when he
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gets out of bed in the morning. The episodes last less than 60 seconds. What is the most
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likely diagnosis?
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A) Meniere's Disease
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B) Vestibular Neuritis
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C) Benign Paroxysmal Positional Vertigo (BPPV)
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D) Cerebrovascular Accident (CVA)
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9. A 70-year-
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old female is newly diagnosed with hypertension. Her BP is 158/90 mm Hg. She has no
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other comorbidities. What is the recommended initial BP goal for this patient?
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A) < 130/80 mm Hg
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B) < 140/90 mm Hg
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C) < 150/90 mm Hg
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D) < 160/95 mm Hg
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10. A 65-year-
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old male with a history of BPH presents with a sudden inability to urinate. He is in signif
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icant distress. A bladder scan shows 800 mL of urine. What is the priority intervention?
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A) Start Tamsulosin immediately.
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B) Schedule a transurethral resection of the prostate (TURP).
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C) Perform a urethral catheterization.
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D) Administer IV fluids to promote diuresis.
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11. An 80-year-
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old patient with Dementia with Lewy Bodies (DLB) is experiencing severe visual hallucina
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tions. Which of the following antipsychotics is MOST contraindicated?
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