NR601 Exam Primary Care of the Maturing & Aged Family
Practicum | NR 601 Final Exam Questions & Answers, Latest
2024/2025 Guide
A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15
years ago lives alone but in an apartment complex where her sister lives as well. She is
being discharged home after a hospitalization for congestive heart failure with
prescriptions for 8 different medications. She is considered at risk for noncompliance
due to the following contributing factors except:
• Ethnic background
A 78-year-old patient who is dying of colon cancer with metastases to the liver is
refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat,
which is causing the family great distress. In order to best address the client and family,
you should:
• Educate the family that this is normal behavior in this situation
A 79-year-old female client resides independently in the community. The client’s
daughter is concerned because her mother insists on wearing a sweater and keeps all of
the windows closed even though it is 90 degrees Fahrenheit outside. The nurse
practitioner initially recognizes that this behavior may be related to:
• age-related neurosensory changes that diminish awareness of temperature changes
An 88-year-old, being admitted to rule out lung cancer, is assessed using the short
form of the Geriatric Depression Scale tool. When it is determines that the earned
score is 9, the nurse practitioner initially:
• asks if they have any thoughts of committing suicide
The area in which nurse practitioners have the greatest effect on the safe, effective
medication therapy of an older client is:
• educating the client to all aspects of the medication.
The Beers list is an effective tool for healthcare professionals prescribing and/or
managing the medication therapy of older adults since it identifies medications that for
this population:
• have a higher than usual risk for injury
A client who reported, “a problem sleeping” shows an understanding of good sleep hygiene
when:
• limiting the afternoon nap to just 30 minutes
Common causes of dyspnea in the older adult may include which of the following?
• Heart
failure
Asthma
Chronic obstructive lung disease
Pneumonia
Common ethical issues in the nursing home may include which of the following?
• Quality of life
1|Page
, Decision-making
capacity Preservation
of autonomy
Surrogate decision
making
The cost of nursing home care is significant. The primary payer for nursing home care is:
• Medicaid and private pay.
Each of the following assessment finding is a contributor to an older client’s risk for falls
except:
• client has a history of contact dermatitis and psoriasis
Each of the following data supports the diagnosis of sleep apnea in the older adult except:
• followed a vegetarian diet for last 28 years
Factors that affect the pharmacokinetics of lipophilic medications in older include:
• greater adipose tissue ratio to body mass
2|Page
, The following precautions are beneficial in minimizing an older adult’s risk of being
a victim of fraud except:
• Rely on the advice of people who only friends have recommended.
In order to focus on the older population with the greatest risk for suicide the nurse
practitioner would conduct a depression that targets:
• White men
In planning teaching for a client with diabetes, which precaution related to fall
prevention is particularly important for the nurse practitioner to include?
• Rising slowly from the table after meals
It is imperative that nursing take a leadership role in providing effective health care
across the lifespan and in various health care settings. Which intervention will have the
greatest impact on achieving positive outcomes concerning that issue?
• A baccalaureate degree nursing program including a geriatric care course into the
curriculum
The nurse is most concerned by observing which of the following during an older
client’s physical assessment:
• a slightly raised irregular patch that is bluish black in color
The nurse is providing care to a client diagnosed with dementia. What option is
an example of the appropriate use of implied consent by the nurse?
• Changing the client's dressing when the client asks, "Will you change this bandage
now?"
The nurse practitioner demonstrates an understanding of the older client’s preventable
risk factors for early death when:
• providing clients with information regarding the effectiveness of a
nicotine patch monitoring the blood pressure of those living at a
homeless shelter each month
weighing the clients who visit a walk-in clinic that is located in an economically
depressed
neighborhood
educating the diabetic residents of a low rent apartment complex on how to monitor
their blood glucose levels
The nurse practitioner documents that an older adult client is living independently in a
safe environment. Which assessment data supports this evaluation?
• The client demonstrates the home's security alarm system.
Various safety features were installed when the bathroom was
remodeled. The nurse observes the client wearing a safety
alarm bracelet.
The client's home is within walking distance of a grocery store.
The nurse practitioner educates the older client that the greatest risk related to poor foot
care results is:
• loss of independent mobility.
The nurse practitioner has the obligation to ask questions and obtain specific
3|Page
, information about the use of herbs and supplements. Which of the following statements
is most accurate regarding herbal therapy?
• may interact with prescription medications
A nurse practitioner in an area of the country that is prone to tornadoes routinely
discusses disaster preparedness with older adult clients. What is the primary
rationale for this intervention?
• Older adults are less likely to seek formal and informal help when affected by
natural disasters.
A nurse practitioner is preparing an educational program focused on herbal
supplements. Which of the following is a likely interested target group?
• White females who own their own successful businesses
4|Page
Practicum | NR 601 Final Exam Questions & Answers, Latest
2024/2025 Guide
A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15
years ago lives alone but in an apartment complex where her sister lives as well. She is
being discharged home after a hospitalization for congestive heart failure with
prescriptions for 8 different medications. She is considered at risk for noncompliance
due to the following contributing factors except:
• Ethnic background
A 78-year-old patient who is dying of colon cancer with metastases to the liver is
refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat,
which is causing the family great distress. In order to best address the client and family,
you should:
• Educate the family that this is normal behavior in this situation
A 79-year-old female client resides independently in the community. The client’s
daughter is concerned because her mother insists on wearing a sweater and keeps all of
the windows closed even though it is 90 degrees Fahrenheit outside. The nurse
practitioner initially recognizes that this behavior may be related to:
• age-related neurosensory changes that diminish awareness of temperature changes
An 88-year-old, being admitted to rule out lung cancer, is assessed using the short
form of the Geriatric Depression Scale tool. When it is determines that the earned
score is 9, the nurse practitioner initially:
• asks if they have any thoughts of committing suicide
The area in which nurse practitioners have the greatest effect on the safe, effective
medication therapy of an older client is:
• educating the client to all aspects of the medication.
The Beers list is an effective tool for healthcare professionals prescribing and/or
managing the medication therapy of older adults since it identifies medications that for
this population:
• have a higher than usual risk for injury
A client who reported, “a problem sleeping” shows an understanding of good sleep hygiene
when:
• limiting the afternoon nap to just 30 minutes
Common causes of dyspnea in the older adult may include which of the following?
• Heart
failure
Asthma
Chronic obstructive lung disease
Pneumonia
Common ethical issues in the nursing home may include which of the following?
• Quality of life
1|Page
, Decision-making
capacity Preservation
of autonomy
Surrogate decision
making
The cost of nursing home care is significant. The primary payer for nursing home care is:
• Medicaid and private pay.
Each of the following assessment finding is a contributor to an older client’s risk for falls
except:
• client has a history of contact dermatitis and psoriasis
Each of the following data supports the diagnosis of sleep apnea in the older adult except:
• followed a vegetarian diet for last 28 years
Factors that affect the pharmacokinetics of lipophilic medications in older include:
• greater adipose tissue ratio to body mass
2|Page
, The following precautions are beneficial in minimizing an older adult’s risk of being
a victim of fraud except:
• Rely on the advice of people who only friends have recommended.
In order to focus on the older population with the greatest risk for suicide the nurse
practitioner would conduct a depression that targets:
• White men
In planning teaching for a client with diabetes, which precaution related to fall
prevention is particularly important for the nurse practitioner to include?
• Rising slowly from the table after meals
It is imperative that nursing take a leadership role in providing effective health care
across the lifespan and in various health care settings. Which intervention will have the
greatest impact on achieving positive outcomes concerning that issue?
• A baccalaureate degree nursing program including a geriatric care course into the
curriculum
The nurse is most concerned by observing which of the following during an older
client’s physical assessment:
• a slightly raised irregular patch that is bluish black in color
The nurse is providing care to a client diagnosed with dementia. What option is
an example of the appropriate use of implied consent by the nurse?
• Changing the client's dressing when the client asks, "Will you change this bandage
now?"
The nurse practitioner demonstrates an understanding of the older client’s preventable
risk factors for early death when:
• providing clients with information regarding the effectiveness of a
nicotine patch monitoring the blood pressure of those living at a
homeless shelter each month
weighing the clients who visit a walk-in clinic that is located in an economically
depressed
neighborhood
educating the diabetic residents of a low rent apartment complex on how to monitor
their blood glucose levels
The nurse practitioner documents that an older adult client is living independently in a
safe environment. Which assessment data supports this evaluation?
• The client demonstrates the home's security alarm system.
Various safety features were installed when the bathroom was
remodeled. The nurse observes the client wearing a safety
alarm bracelet.
The client's home is within walking distance of a grocery store.
The nurse practitioner educates the older client that the greatest risk related to poor foot
care results is:
• loss of independent mobility.
The nurse practitioner has the obligation to ask questions and obtain specific
3|Page
, information about the use of herbs and supplements. Which of the following statements
is most accurate regarding herbal therapy?
• may interact with prescription medications
A nurse practitioner in an area of the country that is prone to tornadoes routinely
discusses disaster preparedness with older adult clients. What is the primary
rationale for this intervention?
• Older adults are less likely to seek formal and informal help when affected by
natural disasters.
A nurse practitioner is preparing an educational program focused on herbal
supplements. Which of the following is a likely interested target group?
• White females who own their own successful businesses
4|Page
