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NR 601: CHAMBERLAIN GERIATRIC CLASS CHAPTER QUESTIONS ANAD
ANSWERS FOR THE FINAL EXAM 2026/2027 UPDATE.
. An 86-year-old female comes to
your office for a
c wellness visit. Her blood pressure is
125/70 mmHg,
pulse 69 beats per min, and
respiratory rate 18 breaths per min.
She is well appearing and reports
she is up to date on her routine
vaccinations. She introduces her
partner of 35 years whom she
would like to make medical
decisions for her in case she
becomes unable to make decisions
for herself. She reports that she and
her partner are not married. She
asks if she needs any further
documentation to ensure her goals
of care are followed. Which one of
the following would be the most
appropriate recommendation for
this patient and her partner?
a. Advise them to complete a POLST.
b. Advise them that they have
adequate documentation to be
recognized legally.
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c. Advise them to file an advanced directive.
d. Respond that although they lack
documentation, her partner will be
recognized de facto
. An 81-year-old transgender female
with history of
c depression and hyperlipidemia
presents to your clinic
for routine care. She endorses a
history of smoking, currently
smoking 1 pack per day, and
occasionally drinks a glass of
wine, although she denies illicit
drug use. She reports she takes
atorvastatin 20 mg and
subcutaneous estrogen therapy.
Which of the following is the most
important next step in this patient's
primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram
3. An 84-year-old male with history of
stroke without
d residual deficit, systolic heart
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failure, and type 2
diabetes presents to clinic for
follow-up. He is independently
living in a retirement community and
still works part time on a golf
course. He currently takes aspirin
81 mg, metoprolol tartrate 25 mg
BID (twice a day), furosemide 20 mg
BID, and lisinopril 10 mg daily. He
reports his last colonoscopy was 8
years ago, with no abnormality.
He reports he is sexually active
with men and women, engaging in
receptive oral, receptive anal, and
penetrative sex. He states he has
had over three sexual partners in
the last year with intermittent
condom use. What sexually
transmitted infection testing should
be offered?
a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing,
anal swab, and
oropharyngeal swab
1. Which of the following is true about tolterodine? d
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a. It should be avoided in men
with prostatic hypertrophy.
b. It increases the risk of
constipation compared with oral
oxybutynin.
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse
effects with its twice- daily
formulation.
2. A
n 82-year-old man, Mr. A, complains
of worsening
b nocturia, occurring four times per
night. His other lower urinary tract
symptoms are slow stream,
occasional
urgency, and urgency-related
leakage once weekly. Medical
problems include poorly
controlled hypertension, diastolic
heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His
medications include lisinopril 20 mg
daily, metoprolol succinate 75 mg
daily, atorvastatin 10 mg daily,
metformin 500 mg twice daily,
hydrocodone-acetaminophen as
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