NR 601 Midterm Exam – Primary Care of the Aging Adult
| Questions with Correct Answers | Latest Update 2026 |
Exam Prep | Graded A+
1. Which of the following is true regarding the atypical presentation of infection
in the elderly
60-70% of all deaths due to sepsis occur in the elderly but are
unrelated to delay in diagnosis
20-45% of elderly with bacteremia have abnormal WBC
may have more symptoms, might present with nonspecific
consequences of infection that appear unrelated
classic manifestation of infection may be absent or blunted
2. Describe the vaccination schedule for the PCV-13 vaccine in older adults.
The PCV-13 vaccine is given in three doses starting at age 70.
The PCV-13 vaccine is given annually after age 65.
The PCV-13 vaccine is given in two doses at ages 60 and 65.
The PCV-13 vaccine is administered as a single dose to adults aged
65 and older.
3. Which of the following is true of depression in older adults?
Depression in older adults is often atypical
A and C
Depression in older adults is a normal part of aging
4. What is one commonly used screening tool for assessing the
, socioenvironmental domain in older adults?
The Mini-Mental State Examination
The Geriatric Depression Scale
The Katz Index of Independence in Activities of Daily Living
The Social Assessment Tool
5. Healthcare providers should recommend that older adults engage in which
one of the following?
20 minutes of moderate intensity physical activity 3 days per week
10 minutes of vigorous physical activity most days of the week
150 minutes of moderate intensity physical activity weekly
30 minutes of vigorous physical activity 3 days per week
6. What is the recommended age range for screening colorectal cancer in older
adults?
40 to 60 years
60 to 80 years
45 to 70 years
50 to 75 years
7. What is a common characteristic of atypical presentations of infectious
diseases in older adults?
They are easier to diagnose.
They may not exhibit classic symptoms.
They are identical to presentations in younger adults.
They always show fever and chills.
,8. An 85-year-old retired teacher comes to your office for evaluation of
weakness. You obtain a complete history, perform a thorough physical
examination, and order laboratory tests. You diagnose her with
hyperthyroidism. Based on her age, which of the atypical symptoms of
hyperthyroidism is more likely to be seen?
Weight loss
Anorexia
Tachycardia
Fatigue
9. According to demographers, people aged 65-74 are categorized as the
"childish-old."
"old-old."
"young-old."
"older-old."
10. Describe the significance of using screening tools like the WHOQOL-OLD
scale in the care of aging adults.
The WHOQOL-OLD scale helps assess the quality of life in older
adults, providing insights into their well-being and guiding care
decisions.
The WHOQOL-OLD scale is a tool for diagnosing chronic diseases in
older populations.
The WHOQOL-OLD scale is primarily used to evaluate cognitive
function in older adults.
The WHOQOL-OLD scale measures physical strength and endurance
in aging adults.
, 11. If an elderly patient presents with sudden confusion and no typical
respiratory symptoms, what should a healthcare provider consider?
Dehydration
Normal aging process
Potential pneumonia
Anxiety disorder
12. If a healthcare provider identifies low quality of life scores using the
WHOQOL-OLD scale in a patient, what would be an appropriate next step
in their care plan?
Focus solely on physical health assessments without considering
mental health.
Increase the patient's medication dosage immediately.
Develop a personalized intervention plan to improve the patient's
quality of life.
Refer the patient to a specialist without further assessment.
13. General Recommendations for aerobic physical activity levels for the older
adult age 65 or older or those age 50-65 with chronic health conditions is
minutes of intensity exercise; days a week
10 minutes; minimum activity (intensity); 2 (days a week)
30 minutes of vigorous (intensity); 7 (days a week)
60 minutes; moderate to vigorous (intensity); 7 (days a week)
30 minutes; moderate (intensity); 5 (days a week)
14. In older adults, infectious disease may present with which of the following?
Decreased appetite or fluid intake
| Questions with Correct Answers | Latest Update 2026 |
Exam Prep | Graded A+
1. Which of the following is true regarding the atypical presentation of infection
in the elderly
60-70% of all deaths due to sepsis occur in the elderly but are
unrelated to delay in diagnosis
20-45% of elderly with bacteremia have abnormal WBC
may have more symptoms, might present with nonspecific
consequences of infection that appear unrelated
classic manifestation of infection may be absent or blunted
2. Describe the vaccination schedule for the PCV-13 vaccine in older adults.
The PCV-13 vaccine is given in three doses starting at age 70.
The PCV-13 vaccine is given annually after age 65.
The PCV-13 vaccine is given in two doses at ages 60 and 65.
The PCV-13 vaccine is administered as a single dose to adults aged
65 and older.
3. Which of the following is true of depression in older adults?
Depression in older adults is often atypical
A and C
Depression in older adults is a normal part of aging
4. What is one commonly used screening tool for assessing the
, socioenvironmental domain in older adults?
The Mini-Mental State Examination
The Geriatric Depression Scale
The Katz Index of Independence in Activities of Daily Living
The Social Assessment Tool
5. Healthcare providers should recommend that older adults engage in which
one of the following?
20 minutes of moderate intensity physical activity 3 days per week
10 minutes of vigorous physical activity most days of the week
150 minutes of moderate intensity physical activity weekly
30 minutes of vigorous physical activity 3 days per week
6. What is the recommended age range for screening colorectal cancer in older
adults?
40 to 60 years
60 to 80 years
45 to 70 years
50 to 75 years
7. What is a common characteristic of atypical presentations of infectious
diseases in older adults?
They are easier to diagnose.
They may not exhibit classic symptoms.
They are identical to presentations in younger adults.
They always show fever and chills.
,8. An 85-year-old retired teacher comes to your office for evaluation of
weakness. You obtain a complete history, perform a thorough physical
examination, and order laboratory tests. You diagnose her with
hyperthyroidism. Based on her age, which of the atypical symptoms of
hyperthyroidism is more likely to be seen?
Weight loss
Anorexia
Tachycardia
Fatigue
9. According to demographers, people aged 65-74 are categorized as the
"childish-old."
"old-old."
"young-old."
"older-old."
10. Describe the significance of using screening tools like the WHOQOL-OLD
scale in the care of aging adults.
The WHOQOL-OLD scale helps assess the quality of life in older
adults, providing insights into their well-being and guiding care
decisions.
The WHOQOL-OLD scale is a tool for diagnosing chronic diseases in
older populations.
The WHOQOL-OLD scale is primarily used to evaluate cognitive
function in older adults.
The WHOQOL-OLD scale measures physical strength and endurance
in aging adults.
, 11. If an elderly patient presents with sudden confusion and no typical
respiratory symptoms, what should a healthcare provider consider?
Dehydration
Normal aging process
Potential pneumonia
Anxiety disorder
12. If a healthcare provider identifies low quality of life scores using the
WHOQOL-OLD scale in a patient, what would be an appropriate next step
in their care plan?
Focus solely on physical health assessments without considering
mental health.
Increase the patient's medication dosage immediately.
Develop a personalized intervention plan to improve the patient's
quality of life.
Refer the patient to a specialist without further assessment.
13. General Recommendations for aerobic physical activity levels for the older
adult age 65 or older or those age 50-65 with chronic health conditions is
minutes of intensity exercise; days a week
10 minutes; minimum activity (intensity); 2 (days a week)
30 minutes of vigorous (intensity); 7 (days a week)
60 minutes; moderate to vigorous (intensity); 7 (days a week)
30 minutes; moderate (intensity); 5 (days a week)
14. In older adults, infectious disease may present with which of the following?
Decreased appetite or fluid intake
