NR 601 Final Exam 9 – Primary Care of the Maturing
and Aged Family Practicum – (2026) – Original
Practice Questions
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
NR 601 Final Exam 9 – Primary Care of the Maturing and Aged Family Practicum – (2026) – Original
1
Practice Questions
,Q1
An 82-year-old patient presents for a Medicare Annual Wellness Visit. Which of the following is
the single most effective intervention to reduce mortality and morbidity in this patient?
A) Initiation of a daily multivitamin
B) Screening for colorectal cancer
C) Counseling on smoking cessation CORRECT
D) Referral for hearing screening
Rationale
Smoking cessation provides the greatest single mortality and morbidity benefit for older adults; even in
later life, quitting smoking reduces cardiovascular and cancer risk significantly within months to years.
Q2
A 78-year-old female reports a gradual decline in her ability to hear high-pitched sounds. Her
family has noticed she turns up the television volume. Which of the following best describes this
age-related change?
A) Presbyopia
B) Presbycusis CORRECT
C) Sensorineural conductive loss
D) Tinnitus associated with aging
Rationale
Presbycusis is the progressive, bilateral, age-related sensorineural hearing loss that primarily affects
high-frequency sounds, which is classic in older adults.
Q3
The nurse practitioner is performing a comprehensive geriatric assessment (CGA) on an 82-year-
old patient. Which of the following components is considered the MOST essential element of the
CGA that distinguishes it from a standard adult physical examination?
A) Complete blood count and metabolic panel
B) Functional status assessment including ADLs and IADLs CORRECT
C) Comprehensive skin examination for melanoma screening
2
,D) Detailed family history of chronic diseases
Rationale
The comprehensive geriatric assessment is distinguished from a standard adult physical by its emphasis
on functional status, including evaluation of Activities of Daily Living (ADLs) using the Katz Index and
Instrumental Activities of Daily Living (IADLs) using the Lawton Scale.
Q4
Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A) Bathing
B) Transferring
C) Toileting
D) Managing finances CORRECT
Rationale
IADLs are more complex tasks necessary for living independently in the community, such as managing
finances, shopping, and using a telephone, whereas ADLs are basic self-care tasks like bathing and
toileting.
Q5
Which of the following is a normal physiologic change of aging that affects pharmacokinetics?
A) Increased gastric pH CORRECT
B) Increased renal blood flow
C) Decreased body fat
D) Increased hepatic blood flow
Rationale
As part of the aging process, gastric pH increases (becomes less acidic), which can affect the absorption
of medications that require an acidic environment for dissolution.
3
, Q6
The NP is performing a functional assessment on a 75-year-old patient. Which of the following
assessment tools is most appropriate to evaluate the patient’s risk of falls?
A) Mini-Mental Status Examination (MMSE)
B) Timed Up and Go (TUG) Test CORRECT
C) Katz Activities of Daily Living (ADL) Scale
D) Geriatric Depression Scale (GDS)
Rationale
The Timed Up and Go Test is a simple, validated screening tool for fall risk in older adults. It measures
the time it takes for a patient to rise from a chair, walk three meters, turn around, and sit back down.
Q7
The FNP has an older adult female who is experiencing dizziness complete the Dizziness
Handicap Inventory while in the office to determine the magnitude of functional, emotional, and
physical problems associated with vestibular impairment. The results indicate that the dizziness
is having a significant impact on the patient's quality of life. Before prescribing Meclizine
(Antivert), the FNP recognizes that:
A) Meclizine is the first-line treatment for all geriatric dizziness
B) Meclizine (Antivert) often makes dizziness symptoms worse in older adults CORRECT
C) Meclizine should be prescribed for long-term vestibular rehabilitation
D) Meclizine has no anticholinergic side effects in the elderly
Rationale
Meclizine's potent anticholinergic properties cause cognitive impairment, blurred vision, and urinary
retention in older adults, potentially exacerbating balance issues. Current guidelines recommend
vestibular rehabilitation therapy rather than vestibular suppressants for chronic dizziness.
Q8
Which of the following medications should be used as a first-line medication for smoking
cessation?
A) Nicotine replacement therapy only
4
and Aged Family Practicum – (2026) – Original
Practice Questions
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
NR 601 Final Exam 9 – Primary Care of the Maturing and Aged Family Practicum – (2026) – Original
1
Practice Questions
,Q1
An 82-year-old patient presents for a Medicare Annual Wellness Visit. Which of the following is
the single most effective intervention to reduce mortality and morbidity in this patient?
A) Initiation of a daily multivitamin
B) Screening for colorectal cancer
C) Counseling on smoking cessation CORRECT
D) Referral for hearing screening
Rationale
Smoking cessation provides the greatest single mortality and morbidity benefit for older adults; even in
later life, quitting smoking reduces cardiovascular and cancer risk significantly within months to years.
Q2
A 78-year-old female reports a gradual decline in her ability to hear high-pitched sounds. Her
family has noticed she turns up the television volume. Which of the following best describes this
age-related change?
A) Presbyopia
B) Presbycusis CORRECT
C) Sensorineural conductive loss
D) Tinnitus associated with aging
Rationale
Presbycusis is the progressive, bilateral, age-related sensorineural hearing loss that primarily affects
high-frequency sounds, which is classic in older adults.
Q3
The nurse practitioner is performing a comprehensive geriatric assessment (CGA) on an 82-year-
old patient. Which of the following components is considered the MOST essential element of the
CGA that distinguishes it from a standard adult physical examination?
A) Complete blood count and metabolic panel
B) Functional status assessment including ADLs and IADLs CORRECT
C) Comprehensive skin examination for melanoma screening
2
,D) Detailed family history of chronic diseases
Rationale
The comprehensive geriatric assessment is distinguished from a standard adult physical by its emphasis
on functional status, including evaluation of Activities of Daily Living (ADLs) using the Katz Index and
Instrumental Activities of Daily Living (IADLs) using the Lawton Scale.
Q4
Which of the following is considered an Instrumental Activity of Daily Living (IADL)?
A) Bathing
B) Transferring
C) Toileting
D) Managing finances CORRECT
Rationale
IADLs are more complex tasks necessary for living independently in the community, such as managing
finances, shopping, and using a telephone, whereas ADLs are basic self-care tasks like bathing and
toileting.
Q5
Which of the following is a normal physiologic change of aging that affects pharmacokinetics?
A) Increased gastric pH CORRECT
B) Increased renal blood flow
C) Decreased body fat
D) Increased hepatic blood flow
Rationale
As part of the aging process, gastric pH increases (becomes less acidic), which can affect the absorption
of medications that require an acidic environment for dissolution.
3
, Q6
The NP is performing a functional assessment on a 75-year-old patient. Which of the following
assessment tools is most appropriate to evaluate the patient’s risk of falls?
A) Mini-Mental Status Examination (MMSE)
B) Timed Up and Go (TUG) Test CORRECT
C) Katz Activities of Daily Living (ADL) Scale
D) Geriatric Depression Scale (GDS)
Rationale
The Timed Up and Go Test is a simple, validated screening tool for fall risk in older adults. It measures
the time it takes for a patient to rise from a chair, walk three meters, turn around, and sit back down.
Q7
The FNP has an older adult female who is experiencing dizziness complete the Dizziness
Handicap Inventory while in the office to determine the magnitude of functional, emotional, and
physical problems associated with vestibular impairment. The results indicate that the dizziness
is having a significant impact on the patient's quality of life. Before prescribing Meclizine
(Antivert), the FNP recognizes that:
A) Meclizine is the first-line treatment for all geriatric dizziness
B) Meclizine (Antivert) often makes dizziness symptoms worse in older adults CORRECT
C) Meclizine should be prescribed for long-term vestibular rehabilitation
D) Meclizine has no anticholinergic side effects in the elderly
Rationale
Meclizine's potent anticholinergic properties cause cognitive impairment, blurred vision, and urinary
retention in older adults, potentially exacerbating balance issues. Current guidelines recommend
vestibular rehabilitation therapy rather than vestibular suppressants for chronic dizziness.
Q8
Which of the following medications should be used as a first-line medication for smoking
cessation?
A) Nicotine replacement therapy only
4
