This NR 601 Midterm Exam focuses on Primary Care of the Maturing
and Aged, covering weeks 1–4 content (geriatric care, cardiovascular,
and respiratory disorders). This exam consists of 175 multiple-choice
questions and is non-cumulative. It tests assessment, diagnosis,
treatment, and risk management.
Exam Details & Coverage
Format: Multiple-choice, non-cumulative.
Key Topics Covered (Weeks 1-4):
Week 1: The Maturing Adult Client, aging theories, Comprehensive
Geriatric Assessment (CGA), and Beers Criteria.
Week 2: Coronary Artery Disease (CAD), Peripheral Vascular Disease
(PVD), and Hypertension (HTN) management (ACC/AHA guidelines).
Week 3: Cardiac Arrhythmias (e.g., A-fib) and Valvular Disorders.
Week 4: Respiratory Disorders (e.g., COPD, Asthma, Sleep Apnea).
Key Concepts to Study
, Physiological Aging: Distinguishing normal age-related changes from
pathological ones, specifically cardiovascular, respiratory, and
musculoskeletal changes.
Management Guidelines: High/moderate-intensity statin criteria
(40–75 yo, ASCVD, diabetes) and hypertension goals (2017 ACC
guidelines).
Preventive Care: Understanding primordial, primary, secondary, and
tertiary prevention in the elderly.
Comprehensive Geriatric Assessment (CGA): Five domains of the
CGA and identifying at-risk patients.
Medication Management: Understanding the Beers Criteria for safe
medication use in older adults.
Common Question Focus
Questions frequently test the ability to assess, diagnose, and treat
chronic conditions in the elderly, with a strong focus on "what to do
next" for conditions like heart failure or arrhythmias.
Quiz_________________?
The percentage of the FVC expired in one second is -
Answer
FEV1/FVC ratio
Quiz_________________?
The aging process causes what normal physiological changes in the heart -
Answer
The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
, Quiz_________________?
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his
med is causing a cough and sometimes he has difficulty breathing. Which med was
most likely prescribed? -
Answer
Lisinopril
Quiz_________________?
MJ presents with h/o structural damage with current s/s of HF. Treatment will be
based on his stage of HF which is -
Answer
Stage C
Quiz_________________?
65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is -
Answer
Stage B
Quiz_________________?
The best way to diagnose structural heart disease/dysfunction noninvasively is -
Answer
, Echocardiogram
Quiz_________________?
Chronic pain can have major impact on patients ability to function and have
profound impact on overall QOL. Ongoing pain may be linked to -
Answer
Depression, sleep disturbance, decreased socialization
Quiz_________________?
The Beers criteria are appropriate for use in evaluating use of certain meds in
patients -
Answer
>65 y/o
Quiz_________________?
All of the following statements are true about lab values in older adults except -
Answer
Abnormal findings are often due to physiological aging
Quiz_________________?
According to the 2017 ACC HTN guidelines, the recommended BP goal for a
65y/o African American woman with a h/o HTN and DM and no h/o CKD is -