THE MATURING & AGED FAMILY
PRACTICUM, (LATEST 2026/2027 UPDATE),
WITH CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN COLLEGE OF NURSING
Question 1
Which of the following is an age-related, not pathological, physiological
change?
A. Increased collagen and elastin in arteries
B. Intermittent tinnitus
C. Reduced gas exchange efficiency
D. Progressive tremor
Correct Answer: C. Reduced gas exchange efficiency
Rationale: As people age, the lungs experience structural changes such as decreased
elasticity and alveolar surface area. These changes reduce gas exchange efficiency
even in the absence of disease. Other options represent either pathological changes or
conditions not universally associated with aging.
Question 2
Which statement BEST reflects the concept of successful aging and
appropriate provider actions to support health promotion in older adults?
A. Successful aging emphasizes autonomy, functional ability, and active engagement,
and providers should address access barriers and promote culturally sensitive,
preventive care.
B. Older adults define health primarily through the management of medical conditions,
not through independence or quality of life.
C. Health promotion is unnecessary beyond age 65 due to the inevitability of chronic
illness and declining function.
D. Successful aging is defined by the complete absence of disease and disability, and
providers should focus solely on curative treatments.
, Correct Answer: A
Rationale: Successful aging focuses on maintaining independence, functional ability,
and active participation in life. Providers support this by reducing barriers, offering
preventive care, and incorporating culturally sensitive approaches. Options B, C, and D
overlook the holistic and proactive nature of successful aging.
Question 3
Which individual is MOST appropriately utilizing Medicare Part D benefits?
A. A patient enrolled in a Medicare Advantage plan that includes gym membership and
over-the-counter drug coverage.
B. A patient visiting their primary care provider for a diabetes check-up and durable
medical equipment refill.
C. A patient receiving inpatient care at a hospital and rehabilitation services in a
skilled nursing facility.
D. A patient picking up a monthly prescription for antihypertensive medication from a
pharmacy under a Medicare-approved drug plan.
Correct Answer: D
Rationale: Medicare Part D provides prescription drug coverage. Picking up a
prescription under a Medicare-approved drug plan demonstrates proper use. Other
options involve services or benefits not directly covered by Part D.
Question 4
Which statement MOST accurately reflects the role and structure of Medicaid
in the U.S. healthcare system?
A. Medicaid provides healthcare coverage for eligible low-income individuals, but
coverage may vary by state.
B. Medicaid only covers children and pregnant women.
C. Medicaid is a federally administered program with identical eligibility requirements
in all 50 states.
D. Medicaid functions only as a secondary insurance and cannot serve as a primary
payer for any population.
Correct Answer: A
Rationale: Medicaid is a joint federal and state program covering low-income
individuals. Coverage details, including eligibility and benefits, differ across states.
Other options incorrectly describe Medicaid’s scope and flexibility.
Question 5
What is the primary clinical use of the Karnofsky Performance Scale Index in
the care of patients with serious illness?