NR 601 MIDTERM EXAM (CHAMBERLAIN) NEWEST
2026 ACTUAL EXAM TEST BANK| NR601 PRIMARY
CARE OF THE MATURING AND AGED FAMILY
MIDTERM REVIEW WITH 400 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Which tool helps identify potentially inappropriate medications in older
adults? – ANSWER - BEERS Criteria
What is the FIRST-line pharmacologic treatment for mild to moderate
chronic pain in older adults? – ANSWER - Acetaminophen
Why should NSAIDs be used cautiously in older adults? – ANSWER -
Increased risk of GI bleeding and renal injury
Which pain management principle is most appropriate in geriatric care?
– ANSWER - Start low and go slow
Which medication is specifically listed as inappropriate for older adults
due to neurotoxicity? – ANSWER - Meperidine
Which tool evaluates functional status and prognosis in palliative care? –
ANSWER - Palliative Performance Scale (PPS)
pg. 1
,In the P-SPIKES framework, which step involves asking how much
information the patient wants? – ANSWER - Invitation
Which element is required to determine decision-making capacity? –
ANSWER - Ability to understand, reason, and communicate a choice
Which document becomes active ONLY when a patient loses capacity –
ANSWER - Advance Directive
What is the primary purpose of a POLST form? – ANSWER -
Immediate medical orders guiding treatment across settings
Which lipid value is considered optimal for most adults? – ANSWER -
LDL < 100 md/dL
What is the FIRST-line medication class for hyperlipidemia? –
ANSWER - Statins
A 67-year-old man has total cholesterol 245 mg/dL and LDL 165 mg/dL.
He has hypertension and diabetes. What tool should be used to guide
statin therapy initiation? – ANSWER - ASCVD 10-year risk calculator
Which statin adverse effect should prompt checking liver enzymes? –
ANSWER - Muscle pain and weakness
pg. 2
,Which condition is a contraindication to statin therapy – ANSWER -
Active liver disease or pregnancy
A patient cannot tolerate statins due to myalgias. Which medication
blocks intestinal cholesterol absorption? – ANSWER - Ezetimibe
A patient with peripheral arterial disease reports calf pain with walking
that resolves with rest. What is this symptom called? – ANSWER -
Intermittent claudication
Which physical exam finding is MOST consistent with peripheral
arterial disease? – ANSWER - Diminished dorsalis pedis pulses and
hairless skin
An ankle-brachial index (ABI) of 0.65 indicates: – ANSWER -
Peripheral arterial disease
Which lifestyle intervention is MOST effective for improving outcomes
in PAD? – ANSWER - Smoking cessation
Which medication improves walking distance in patients with PAD and
claudication? – ANSWER - Cilostazol
A patient with PAD also has heart failure. Which medication should be
AVOIDED? – ANSWER - Cilostazol
pg. 3
, A 58-year-old man has BP readings averaging 146/92 mmHg on two
visits. How is this classified? – ANSWER - Stage 2 hypertension
Which test is part of the INITIAL workup for newly diagnosed
hypertension? – ANSWER - Basic metabolic panel (BMP) and
urinalysis
A patient with hypertension and diabetes should preferentially receive
which medication class for renal protection? – ANSWER - ACE-
inhibitor or ARB
Which antihypertensive medication is preferred in African American
patients without CKD? – ANSWER - Thiazide diuretic or calcium
channel blocker
A BP of 190/124 mmHg with acute vision changes represents: –
ANSWER - Hypertensive emergency
Initial management of hypertensive urgency includes: – ANSWER -
Oral medications with gradual BP reduction
A patient with heart failure presents with orthopnea, paroxysmal
nocturnal dyspnea, and crackles. These are signs of: – ANSWER - Left-
sided heart failure
pg. 4
2026 ACTUAL EXAM TEST BANK| NR601 PRIMARY
CARE OF THE MATURING AND AGED FAMILY
MIDTERM REVIEW WITH 400 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Which tool helps identify potentially inappropriate medications in older
adults? – ANSWER - BEERS Criteria
What is the FIRST-line pharmacologic treatment for mild to moderate
chronic pain in older adults? – ANSWER - Acetaminophen
Why should NSAIDs be used cautiously in older adults? – ANSWER -
Increased risk of GI bleeding and renal injury
Which pain management principle is most appropriate in geriatric care?
– ANSWER - Start low and go slow
Which medication is specifically listed as inappropriate for older adults
due to neurotoxicity? – ANSWER - Meperidine
Which tool evaluates functional status and prognosis in palliative care? –
ANSWER - Palliative Performance Scale (PPS)
pg. 1
,In the P-SPIKES framework, which step involves asking how much
information the patient wants? – ANSWER - Invitation
Which element is required to determine decision-making capacity? –
ANSWER - Ability to understand, reason, and communicate a choice
Which document becomes active ONLY when a patient loses capacity –
ANSWER - Advance Directive
What is the primary purpose of a POLST form? – ANSWER -
Immediate medical orders guiding treatment across settings
Which lipid value is considered optimal for most adults? – ANSWER -
LDL < 100 md/dL
What is the FIRST-line medication class for hyperlipidemia? –
ANSWER - Statins
A 67-year-old man has total cholesterol 245 mg/dL and LDL 165 mg/dL.
He has hypertension and diabetes. What tool should be used to guide
statin therapy initiation? – ANSWER - ASCVD 10-year risk calculator
Which statin adverse effect should prompt checking liver enzymes? –
ANSWER - Muscle pain and weakness
pg. 2
,Which condition is a contraindication to statin therapy – ANSWER -
Active liver disease or pregnancy
A patient cannot tolerate statins due to myalgias. Which medication
blocks intestinal cholesterol absorption? – ANSWER - Ezetimibe
A patient with peripheral arterial disease reports calf pain with walking
that resolves with rest. What is this symptom called? – ANSWER -
Intermittent claudication
Which physical exam finding is MOST consistent with peripheral
arterial disease? – ANSWER - Diminished dorsalis pedis pulses and
hairless skin
An ankle-brachial index (ABI) of 0.65 indicates: – ANSWER -
Peripheral arterial disease
Which lifestyle intervention is MOST effective for improving outcomes
in PAD? – ANSWER - Smoking cessation
Which medication improves walking distance in patients with PAD and
claudication? – ANSWER - Cilostazol
A patient with PAD also has heart failure. Which medication should be
AVOIDED? – ANSWER - Cilostazol
pg. 3
, A 58-year-old man has BP readings averaging 146/92 mmHg on two
visits. How is this classified? – ANSWER - Stage 2 hypertension
Which test is part of the INITIAL workup for newly diagnosed
hypertension? – ANSWER - Basic metabolic panel (BMP) and
urinalysis
A patient with hypertension and diabetes should preferentially receive
which medication class for renal protection? – ANSWER - ACE-
inhibitor or ARB
Which antihypertensive medication is preferred in African American
patients without CKD? – ANSWER - Thiazide diuretic or calcium
channel blocker
A BP of 190/124 mmHg with acute vision changes represents: –
ANSWER - Hypertensive emergency
Initial management of hypertensive urgency includes: – ANSWER -
Oral medications with gradual BP reduction
A patient with heart failure presents with orthopnea, paroxysmal
nocturnal dyspnea, and crackles. These are signs of: – ANSWER - Left-
sided heart failure
pg. 4
