NR-601 Primary Care of the Maturing &
Aged Family Practicum 2024-2025
NUR 601 Final Exam Questions and
Answers | 100% Pass | Grades A+|
Guaranteed Success
An 86-year-old female comes to your office for a 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? - Correct Answer: Advise them to file an advanced directive.
. An 81-year-old transgender female with history of 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. - Correct Answer: Counseling on smoking
cessation
An 84-year-old male with history of stroke without residual deficit, systolic heart 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? - Correct
Answer: Urine testing, blood testing, anal swab, and oropharyngeal swab
Which of the following is true about tolterodine? - Correct Answer: It has greater risk of adverse effects
with its twice-daily formulation.
An 82-year-old man, Mr. A, complains of worsening 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 needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently added by his
cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime fatigue, and he is
more constipated. Physical examination is notable for blood pressure 162/83 mmHg, heart rate 60 beats
per minute, clear lungs, soft abdomen, enlarged prostate, and 21 pretibial edema. Your next step in
management should be: - Correct Answer: Stop amlodipine and increase lisinopril.
The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is
wetting herself when she attends her new day program. Program staff have requested that "something
be done" as she is requiring a clothes change nearly every time she is there. She cannot describe the
circumstances of leakage, saying "it just comes." Leakage is uncommon at home. Her medications
include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will
require intervention by which of the following? - Correct Answer: Day program staff
. Ms. J, who is 82 years old, complains of urine leakage while playing golf. This has gotten worse over the
past year, and she rarely makes it through nine holes without feeling like she needs to "run into the
bushes and go." Leakage is usually small volume, but causes her extreme embarrassment because she is
afraid she will smell of urine. She has tried limiting caffeine in the morning before she golfs and avoiding
drinking water while playing, to no effect. She also tried "those Kegler" exercises in the past without
success. Which of the following is the most appropriate recommendation for Ms. J? - Correct Answer:
Bladder training
What is the most common cause of erectile dysfunction in older men? - Correct Answer: Atherosclerosis
Which is the most reasonable first step in the treatment of older men with erectile dysfunction? -
Correct Answer: Sildenafil
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her medical history includes
type 2 diabetes, hypertension, and osteoarthritis. Medications are glyburide, chlorthalidone, and
acetaminophen. What would be your first step in therapy? - Correct Answer: Stop chlorthalidone
A 70-year-old woman reports sexual pain with deep penetration only. What is the most likely cause of
her problem? - Correct Answer: High-tone pelvic floor dysfunction
A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy. Pathology revealed ductal
carcinoma that is hormone receptor negative (estrogen receptor 0%, progesterone receptor 1%) and
Aged Family Practicum 2024-2025
NUR 601 Final Exam Questions and
Answers | 100% Pass | Grades A+|
Guaranteed Success
An 86-year-old female comes to your office for a 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? - Correct Answer: Advise them to file an advanced directive.
. An 81-year-old transgender female with history of 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. - Correct Answer: Counseling on smoking
cessation
An 84-year-old male with history of stroke without residual deficit, systolic heart 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? - Correct
Answer: Urine testing, blood testing, anal swab, and oropharyngeal swab
Which of the following is true about tolterodine? - Correct Answer: It has greater risk of adverse effects
with its twice-daily formulation.
An 82-year-old man, Mr. A, complains of worsening 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 needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently added by his
cardiologist. On review of systems, Mr. A complains that nocturia is causing daytime fatigue, and he is
more constipated. Physical examination is notable for blood pressure 162/83 mmHg, heart rate 60 beats
per minute, clear lungs, soft abdomen, enlarged prostate, and 21 pretibial edema. Your next step in
management should be: - Correct Answer: Stop amlodipine and increase lisinopril.
The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is
wetting herself when she attends her new day program. Program staff have requested that "something
be done" as she is requiring a clothes change nearly every time she is there. She cannot describe the
circumstances of leakage, saying "it just comes." Leakage is uncommon at home. Her medications
include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will
require intervention by which of the following? - Correct Answer: Day program staff
. Ms. J, who is 82 years old, complains of urine leakage while playing golf. This has gotten worse over the
past year, and she rarely makes it through nine holes without feeling like she needs to "run into the
bushes and go." Leakage is usually small volume, but causes her extreme embarrassment because she is
afraid she will smell of urine. She has tried limiting caffeine in the morning before she golfs and avoiding
drinking water while playing, to no effect. She also tried "those Kegler" exercises in the past without
success. Which of the following is the most appropriate recommendation for Ms. J? - Correct Answer:
Bladder training
What is the most common cause of erectile dysfunction in older men? - Correct Answer: Atherosclerosis
Which is the most reasonable first step in the treatment of older men with erectile dysfunction? -
Correct Answer: Sildenafil
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her medical history includes
type 2 diabetes, hypertension, and osteoarthritis. Medications are glyburide, chlorthalidone, and
acetaminophen. What would be your first step in therapy? - Correct Answer: Stop chlorthalidone
A 70-year-old woman reports sexual pain with deep penetration only. What is the most likely cause of
her problem? - Correct Answer: High-tone pelvic floor dysfunction
A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy. Pathology revealed ductal
carcinoma that is hormone receptor negative (estrogen receptor 0%, progesterone receptor 1%) and
