NR 601 Final Exam 11 – Primary Care of the Maturing
and Aged Family Practicum – (2026) – Original
Practice Questions
100 QUESTIONS
TABLE OF CONTENTS
# TOPIC
NR 601 Final Exam 11 – Primary Care of the Maturing and Aged Family Practicum – (2026) – Original
1
Practice Questions
,Q1
Which age-related cardiovascular change most directly increases the risk of orthostatic
hypotension?
A) Increased baroreceptor sensitivity
B) Decreased baroreceptor sensitivity CORRECT
C) Increased cardiac output
D) Increased venous return
Rationale
Aging reduces baroreceptor sensitivity, impairing the compensatory response to standing and increasing
orthostatic hypotension risk.
Q2
Which finding is most consistent with normal aging of the arterial system?
A) Increased arterial compliance
B) Increased arterial stiffness CORRECT
C) Decreased pulse pressure
D) Decreased systolic blood pressure
Rationale
Arterial stiffness increases with age, raising systolic pressure and pulse pressure.
Q3
Which medication class is most likely to cause orthostatic hypotension in an older adult?
A) Alpha-blockers CORRECT
B) Inhaled corticosteroids
C) Topical emollients
D) Oral iron supplements
2
,Rationale
Alpha-blockers cause vasodilation and are common contributors to orthostatic hypotension and falls.
Q4
A 74-year-old reports dizziness when rising from a chair. Which initial assessment is most
appropriate?
A) Orthostatic vital signs CORRECT
B) Brain MRI
C) Carotid ultrasound
D) Echocardiogram
Rationale
Orthostatic vital signs should be checked first to identify positional blood pressure drops.
Q5
Which age-related renal change most affects medication 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.
Q6
Which laboratory value may appear normal despite reduced renal function in an older adult with
low muscle mass?
A) Blood urea nitrogen
B) Serum creatinine CORRECT
C) Urine specific gravity
3
, D) Serum potassium
Rationale
Low muscle mass reduces creatinine production, so serum creatinine may remain normal despite
reduced GFR.
Q7
Which age-related change increases the risk of dehydration in older adults?
A) Increased thirst sensation
B) Decreased total body water and blunted thirst CORRECT
C) Increased renal concentrating ability
D) Increased aldosterone sensitivity
Rationale
Older adults have reduced total body water and a blunted thirst mechanism, increasing dehydration risk.
Q8
Which medication is most likely to cause hyperkalemia in an older adult with chronic kidney
disease?
A) Lisinopril CORRECT
B) Furosemide
C) Amlodipine
D) Atorvastatin
Rationale
ACE inhibitors such as lisinopril reduce potassium excretion and can cause hyperkalemia, especially with
renal impairment.
4
and Aged Family Practicum – (2026) – Original
Practice Questions
100 QUESTIONS
TABLE OF CONTENTS
# TOPIC
NR 601 Final Exam 11 – Primary Care of the Maturing and Aged Family Practicum – (2026) – Original
1
Practice Questions
,Q1
Which age-related cardiovascular change most directly increases the risk of orthostatic
hypotension?
A) Increased baroreceptor sensitivity
B) Decreased baroreceptor sensitivity CORRECT
C) Increased cardiac output
D) Increased venous return
Rationale
Aging reduces baroreceptor sensitivity, impairing the compensatory response to standing and increasing
orthostatic hypotension risk.
Q2
Which finding is most consistent with normal aging of the arterial system?
A) Increased arterial compliance
B) Increased arterial stiffness CORRECT
C) Decreased pulse pressure
D) Decreased systolic blood pressure
Rationale
Arterial stiffness increases with age, raising systolic pressure and pulse pressure.
Q3
Which medication class is most likely to cause orthostatic hypotension in an older adult?
A) Alpha-blockers CORRECT
B) Inhaled corticosteroids
C) Topical emollients
D) Oral iron supplements
2
,Rationale
Alpha-blockers cause vasodilation and are common contributors to orthostatic hypotension and falls.
Q4
A 74-year-old reports dizziness when rising from a chair. Which initial assessment is most
appropriate?
A) Orthostatic vital signs CORRECT
B) Brain MRI
C) Carotid ultrasound
D) Echocardiogram
Rationale
Orthostatic vital signs should be checked first to identify positional blood pressure drops.
Q5
Which age-related renal change most affects medication 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.
Q6
Which laboratory value may appear normal despite reduced renal function in an older adult with
low muscle mass?
A) Blood urea nitrogen
B) Serum creatinine CORRECT
C) Urine specific gravity
3
, D) Serum potassium
Rationale
Low muscle mass reduces creatinine production, so serum creatinine may remain normal despite
reduced GFR.
Q7
Which age-related change increases the risk of dehydration in older adults?
A) Increased thirst sensation
B) Decreased total body water and blunted thirst CORRECT
C) Increased renal concentrating ability
D) Increased aldosterone sensitivity
Rationale
Older adults have reduced total body water and a blunted thirst mechanism, increasing dehydration risk.
Q8
Which medication is most likely to cause hyperkalemia in an older adult with chronic kidney
disease?
A) Lisinopril CORRECT
B) Furosemide
C) Amlodipine
D) Atorvastatin
Rationale
ACE inhibitors such as lisinopril reduce potassium excretion and can cause hyperkalemia, especially with
renal impairment.
4
