NR 601 Primary Care of the Maturing and Elderly Family Final Exam
Prep 2026 Chamberlain College
1. Which of the following Medicare parts covers outpatient provider visits and
durable medical equipment?
A. Medicare Part A
B. Medicare Part D
C. Medicare Part C
D. Medicare Part B
Answer: D
Rationale: Medicare Part B covers medically necessary services like doctors’ services and
outpatient care, as well as durable medical equipment.
2. According to the Beers Criteria, which medication class should be avoided in
older adults with a history of falls or fractures?
A. ACE Inhibitors
B. Statins
C. Biguanides
D. Benzodiazepines
Answer: D
Rationale: Benzodiazepines increase ataxia, impaired psychomotor function, and sedation,
significantly increasing fall risk in the elderly.
,3. Which of the following is categorized as an Instrumental Activity of Daily
Living (IADL)?
A. Bathing
B. Dressing
C. Managing finances
D. Transferring from bed to chair
Answer: C
Rationale: IADLs are complex skills needed to live independently, such as shopping,
cooking, and managing finances. Bathing, dressing, and transferring are basic ADLs.
4. A 75-year-old patient presents with a new onset of confusion, fluctuating
consciousness, and visual hallucinations. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Major Depressive Disorder
D. Vascular Dementia
Answer: B
Rationale: Delirium is characterized by acute onset, fluctuating course, and disturbances in
consciousness/attention, often triggered by an underlying medical condition.
5. In the management of hypertension for an 80-year-old patient without
diabetes or CKD, what is the JNC 8 recommended blood pressure goal?
A. < 130/80 mmHg
B. < 140/90 mmHg
C. < 160/100 mmHg
D. < 150/90 mmHg
Answer: D
Rationale: For patients aged 60 and older, JNC 8 recommends a blood pressure goal of less
than 150/90 mmHg.
, 6. Which physical assessment finding is highly suggestive of heart failure in an
older adult?
A. Heberden’s nodes
B. Kyphosis
C. S3 heart sound
D. Diminished peripheral pulses
Answer: C
Rationale: The presence of an S3 gallop is a classic sign of fluid overload and ventricular
dysfunction, commonly seen in heart failure.
7. What is the primary characteristic of ‘Urge Incontinence’?
A. Involuntary loss of urine with coughing or sneezing
B. Inability to reach the toilet due to physical disability
C. Constant dribbling due to incomplete bladder emptying
D. Sudden, strong desire to void followed by involuntary urine loss
Answer: D
Rationale: Urge incontinence is caused by detrusor overactivity, leading to a sudden urge
to urinate that cannot be suppressed.
8. When screening for dementia, which tool involves asking the patient to draw
a clock face set to a specific time?
A. GDS
B. PHQ-9
C. Epworth Sleepiness Scale
D. Mini-Cog
Answer: D
Rationale: The Mini-Cog consists of a 3-item recall and the Clock Drawing Test (CDT).
Prep 2026 Chamberlain College
1. Which of the following Medicare parts covers outpatient provider visits and
durable medical equipment?
A. Medicare Part A
B. Medicare Part D
C. Medicare Part C
D. Medicare Part B
Answer: D
Rationale: Medicare Part B covers medically necessary services like doctors’ services and
outpatient care, as well as durable medical equipment.
2. According to the Beers Criteria, which medication class should be avoided in
older adults with a history of falls or fractures?
A. ACE Inhibitors
B. Statins
C. Biguanides
D. Benzodiazepines
Answer: D
Rationale: Benzodiazepines increase ataxia, impaired psychomotor function, and sedation,
significantly increasing fall risk in the elderly.
,3. Which of the following is categorized as an Instrumental Activity of Daily
Living (IADL)?
A. Bathing
B. Dressing
C. Managing finances
D. Transferring from bed to chair
Answer: C
Rationale: IADLs are complex skills needed to live independently, such as shopping,
cooking, and managing finances. Bathing, dressing, and transferring are basic ADLs.
4. A 75-year-old patient presents with a new onset of confusion, fluctuating
consciousness, and visual hallucinations. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Delirium
C. Major Depressive Disorder
D. Vascular Dementia
Answer: B
Rationale: Delirium is characterized by acute onset, fluctuating course, and disturbances in
consciousness/attention, often triggered by an underlying medical condition.
5. In the management of hypertension for an 80-year-old patient without
diabetes or CKD, what is the JNC 8 recommended blood pressure goal?
A. < 130/80 mmHg
B. < 140/90 mmHg
C. < 160/100 mmHg
D. < 150/90 mmHg
Answer: D
Rationale: For patients aged 60 and older, JNC 8 recommends a blood pressure goal of less
than 150/90 mmHg.
, 6. Which physical assessment finding is highly suggestive of heart failure in an
older adult?
A. Heberden’s nodes
B. Kyphosis
C. S3 heart sound
D. Diminished peripheral pulses
Answer: C
Rationale: The presence of an S3 gallop is a classic sign of fluid overload and ventricular
dysfunction, commonly seen in heart failure.
7. What is the primary characteristic of ‘Urge Incontinence’?
A. Involuntary loss of urine with coughing or sneezing
B. Inability to reach the toilet due to physical disability
C. Constant dribbling due to incomplete bladder emptying
D. Sudden, strong desire to void followed by involuntary urine loss
Answer: D
Rationale: Urge incontinence is caused by detrusor overactivity, leading to a sudden urge
to urinate that cannot be suppressed.
8. When screening for dementia, which tool involves asking the patient to draw
a clock face set to a specific time?
A. GDS
B. PHQ-9
C. Epworth Sleepiness Scale
D. Mini-Cog
Answer: D
Rationale: The Mini-Cog consists of a 3-item recall and the Clock Drawing Test (CDT).
