NR 601 Midterm Exam – Primary Care of the Maturing
and Aged Family Practicum – (2026) – Original
Practice Questions
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
NR 601 Midterm Exam – Primary Care of the Maturing and Aged Family Practicum – (2026) – Original
1
Practice Questions
,Q1
Which theory of aging proposes that cells have a finite number of divisions before they stop
replicating?
A) Free radical theory
B) Replicative senescence theory CORRECT
C) Error theory
D) Neuroendocrine theory
Rationale
Replicative senescence theory holds that cells have a limited capacity for division, linked to telomere
shortening, after which they cease replicating.
Q2
Which assessment domain is a defining component of the comprehensive geriatric assessment?
A) Cardiac catheterization results
B) Functional status and social support CORRECT
C) Genetic testing
D) Occupational history only
Rationale
The comprehensive geriatric assessment uniquely evaluates functional status, social support, cognition,
mood, and environment alongside medical problems.
Q3
Which finding is a normal age-related cardiovascular change rather than pathology?
A) New S3 gallop
B) Increased arterial stiffness CORRECT
C) New murmur of aortic stenosis
D) Resting tachycardia
2
,Rationale
Arterial stiffening is a normal age-related change; new gallops, murmurs, and tachycardia indicate
pathology.
Q4
Which age-related renal change most affects drug dosing?
A) Increased renal blood flow
B) Decreased glomerular filtration rate CORRECT
C) Increased tubular secretion
D) Increased creatinine production
Rationale
Reduced GFR decreases clearance of renally eliminated drugs, requiring dose adjustment.
Q5
Which tool is used to assess basic activities of daily living in older adults?
A) Lawton IADL Scale
B) Katz Index CORRECT
C) Mini-Mental State Examination
D) Geriatric Depression Scale
Rationale
The Katz Index evaluates basic ADLs such as bathing, dressing, toileting, transferring, continence, and
feeding.
Q6
Which domain is unique to geriatric assessment compared with a standard adult history?
A) Review of systems
B) Functional status and home safety CORRECT
C) Past medical history
3
, D) Family history
Rationale
Functional status and home safety evaluation are core geriatric assessment domains not typically
included in a standard adult history.
Q7
Which statement best describes the “Rule of Fourths” in geriatric care?
A) One-fourth of geriatric problems are iatrogenic CORRECT
B) One-fourth of older adults live in nursing homes
C) One-fourth of medications are unnecessary
D) One-fourth of visits require hospitalization
Rationale
A classic geriatric teaching principle holds that approximately one-fourth of geriatric problems are
iatrogenic, emphasizing careful evaluation of medical care effects.
Q8
Which aging theory links oxidative damage to aging and supports antioxidant research?
A) Free radical theory CORRECT
B) Error theory
C) Continuity theory
D) Programmed cell death theory
Rationale
The free radical theory proposes that cumulative oxidative damage contributes to aging.
Q9
Which physiologic change contributes most to reduced maximal heart rate with aging?
A) Increased sympathetic sensitivity
4
and Aged Family Practicum – (2026) – Original
Practice Questions
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
NR 601 Midterm Exam – Primary Care of the Maturing and Aged Family Practicum – (2026) – Original
1
Practice Questions
,Q1
Which theory of aging proposes that cells have a finite number of divisions before they stop
replicating?
A) Free radical theory
B) Replicative senescence theory CORRECT
C) Error theory
D) Neuroendocrine theory
Rationale
Replicative senescence theory holds that cells have a limited capacity for division, linked to telomere
shortening, after which they cease replicating.
Q2
Which assessment domain is a defining component of the comprehensive geriatric assessment?
A) Cardiac catheterization results
B) Functional status and social support CORRECT
C) Genetic testing
D) Occupational history only
Rationale
The comprehensive geriatric assessment uniquely evaluates functional status, social support, cognition,
mood, and environment alongside medical problems.
Q3
Which finding is a normal age-related cardiovascular change rather than pathology?
A) New S3 gallop
B) Increased arterial stiffness CORRECT
C) New murmur of aortic stenosis
D) Resting tachycardia
2
,Rationale
Arterial stiffening is a normal age-related change; new gallops, murmurs, and tachycardia indicate
pathology.
Q4
Which age-related renal change most affects drug dosing?
A) Increased renal blood flow
B) Decreased glomerular filtration rate CORRECT
C) Increased tubular secretion
D) Increased creatinine production
Rationale
Reduced GFR decreases clearance of renally eliminated drugs, requiring dose adjustment.
Q5
Which tool is used to assess basic activities of daily living in older adults?
A) Lawton IADL Scale
B) Katz Index CORRECT
C) Mini-Mental State Examination
D) Geriatric Depression Scale
Rationale
The Katz Index evaluates basic ADLs such as bathing, dressing, toileting, transferring, continence, and
feeding.
Q6
Which domain is unique to geriatric assessment compared with a standard adult history?
A) Review of systems
B) Functional status and home safety CORRECT
C) Past medical history
3
, D) Family history
Rationale
Functional status and home safety evaluation are core geriatric assessment domains not typically
included in a standard adult history.
Q7
Which statement best describes the “Rule of Fourths” in geriatric care?
A) One-fourth of geriatric problems are iatrogenic CORRECT
B) One-fourth of older adults live in nursing homes
C) One-fourth of medications are unnecessary
D) One-fourth of visits require hospitalization
Rationale
A classic geriatric teaching principle holds that approximately one-fourth of geriatric problems are
iatrogenic, emphasizing careful evaluation of medical care effects.
Q8
Which aging theory links oxidative damage to aging and supports antioxidant research?
A) Free radical theory CORRECT
B) Error theory
C) Continuity theory
D) Programmed cell death theory
Rationale
The free radical theory proposes that cumulative oxidative damage contributes to aging.
Q9
Which physiologic change contributes most to reduced maximal heart rate with aging?
A) Increased sympathetic sensitivity
4
