NURSING 601 MIDTERM EXAM: PRIMARY
CARE OF THE MATURING AND AGED
FAMILY PRACTICUM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN UNIVERSITY
chapter 1: principles of primary care of older adults
chapter 3: geriatric assessment
chapter 5: wellness and prevention
chapter 6: cultural competency and cultural humility in caring for older adults
chapter 7: appropriate prescribing
chapter 24: constipation and fecal incontinence
chapter 28: malnutrition and feeding problems
chapter 30: pressure injuries
chapter 36: hypertension
chapter 37: coronary artery disease and atrial fibrillation
chapter 38: heart failure
chapter 41: diabetes mellitus
chapter 42: thyroid disorders
chapter 43: osteoporosis
chapter 44: arthritis and related disorders
chapter 46: cancer
chapter 47: anemia in older adults
chapter 48: pulmonary disease
chapter 50: gastroenterology
chapter 54: skin problems
CHAPTER 1: PRINCIPLES OF PRIMARY CARE OF OLDER ADULTS
Which one of the following is most true about the rule of fourths?
,What used to be called normal aging can be largely explained by
processes that are not normal.
Which one of the following is most true about aging changes?
Stage 3 and 4 sleep decreases.
An old woman who is cared for by attentive, cautious, concerned family is
particularly likely to suffer from which one of the following complications
after an episode of gastroenteritis?
Immobility related to overconcern
Which one of the following is most true about psychological aging?
Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often
preventable?
Iatrogenic disease
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society?
More nursing services will be required to serve the needs of the
population 85 years of age and older
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
,watching television as I get older." The nurse explains that aging
may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting
CHAPTER 3: GERIATRIC ASSESSMENT
An 86-year-old male who lives in an assisted living facility is at the clinic.
He has a history of hypertension and manages his own medications. He
admits he takes them sometimes. After speaking to him, you find it
unclear if he understands the questions and discussions. Which of the
following evidences that the patient has adequate health literacy?
He knows the names and doses of his medications and can explain why
he takes them.
You are performing a geriatric assessment on an 82-year-old female. At
the end of the visit, which of the following would require top priority over
the others?
The death of the patient's caregiver
Ms. M's family has noticed memory loss for the past 6 months. She
continues to drive but recently had a fender bender and was caught
speeding on a 35-mph road. She insists that she is safe and needs to drive
to church and for shopping. What is the best next step?
Get a driving evaluation.
The following are true statements about bipolar disorders in older
adults except
, Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults.
CHAPTER 5: WELLNESS AND PREVENTION
The US Advisory Committee on Immunization Practices and the Centers
for Disease Control currently recommend which one of the following?
a. All older adults be immunized against influenza annually and that they
receive at least one pneumococcal vaccination.
b. All high-risk older adults should receive an additional pneumococcal
vaccination 5 years or more after their first immunization.
c. Older adults should receive a one-time revaccination for pneumonia if
they were initially vaccinated more than 5 years previously and were less
than 65 years of age at the time of the initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend that older adults engage in
which one of the following?
150 minutes of moderate intensity physical activity weekly
Guidelines for the primary prevention of stroke recommend that aspirin
be used in which one of the following?
Individuals whose risk is high enough for the benefits to outweigh the
risks
CARE OF THE MATURING AND AGED
FAMILY PRACTICUM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN UNIVERSITY
chapter 1: principles of primary care of older adults
chapter 3: geriatric assessment
chapter 5: wellness and prevention
chapter 6: cultural competency and cultural humility in caring for older adults
chapter 7: appropriate prescribing
chapter 24: constipation and fecal incontinence
chapter 28: malnutrition and feeding problems
chapter 30: pressure injuries
chapter 36: hypertension
chapter 37: coronary artery disease and atrial fibrillation
chapter 38: heart failure
chapter 41: diabetes mellitus
chapter 42: thyroid disorders
chapter 43: osteoporosis
chapter 44: arthritis and related disorders
chapter 46: cancer
chapter 47: anemia in older adults
chapter 48: pulmonary disease
chapter 50: gastroenterology
chapter 54: skin problems
CHAPTER 1: PRINCIPLES OF PRIMARY CARE OF OLDER ADULTS
Which one of the following is most true about the rule of fourths?
,What used to be called normal aging can be largely explained by
processes that are not normal.
Which one of the following is most true about aging changes?
Stage 3 and 4 sleep decreases.
An old woman who is cared for by attentive, cautious, concerned family is
particularly likely to suffer from which one of the following complications
after an episode of gastroenteritis?
Immobility related to overconcern
Which one of the following is most true about psychological aging?
Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often
preventable?
Iatrogenic disease
Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society?
More nursing services will be required to serve the needs of the
population 85 years of age and older
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
,watching television as I get older." The nurse explains that aging
may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting
CHAPTER 3: GERIATRIC ASSESSMENT
An 86-year-old male who lives in an assisted living facility is at the clinic.
He has a history of hypertension and manages his own medications. He
admits he takes them sometimes. After speaking to him, you find it
unclear if he understands the questions and discussions. Which of the
following evidences that the patient has adequate health literacy?
He knows the names and doses of his medications and can explain why
he takes them.
You are performing a geriatric assessment on an 82-year-old female. At
the end of the visit, which of the following would require top priority over
the others?
The death of the patient's caregiver
Ms. M's family has noticed memory loss for the past 6 months. She
continues to drive but recently had a fender bender and was caught
speeding on a 35-mph road. She insists that she is safe and needs to drive
to church and for shopping. What is the best next step?
Get a driving evaluation.
The following are true statements about bipolar disorders in older
adults except
, Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults.
CHAPTER 5: WELLNESS AND PREVENTION
The US Advisory Committee on Immunization Practices and the Centers
for Disease Control currently recommend which one of the following?
a. All older adults be immunized against influenza annually and that they
receive at least one pneumococcal vaccination.
b. All high-risk older adults should receive an additional pneumococcal
vaccination 5 years or more after their first immunization.
c. Older adults should receive a one-time revaccination for pneumonia if
they were initially vaccinated more than 5 years previously and were less
than 65 years of age at the time of the initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend that older adults engage in
which one of the following?
150 minutes of moderate intensity physical activity weekly
Guidelines for the primary prevention of stroke recommend that aspirin
be used in which one of the following?
Individuals whose risk is high enough for the benefits to outweigh the
risks
