NR601 / NR 601 ACTUAL MIDTERM
QUESTIONS AND ANSWERS 2025. A
GUARANTEED
Course
NR 601
1. Question:
A 78-year-old female presents with fatigue, weight loss, and memory issues. Which of the
following is the most appropriate initial screening tool for cognitive impairment?
A. PHQ-9
B. Mini-Cog
C. MMSE
D. GDS-15
Answer: B. Mini-Cog
Rationale: The Mini-Cog is a quick, validated screening tool appropriate for primary care
settings.
2. Question:
Which of the following medications is most inappropriate for an 82-year-old male with a history
of falls?
A. Acetaminophen
B. Sertraline
C. Lorazepam
D. Lisinopril
Answer: C. Lorazepam
Rationale: Benzodiazepines increase fall risk and are generally inappropriate in older adults (per
Beers Criteria).
3. Question:
Which immunization is recommended annually for all adults over age 65?
A. Zoster vaccine
B. Hepatitis B vaccine
C. Pneumococcal conjugate vaccine
D. Influenza vaccine
,Answer: D. Influenza vaccine
Rationale: Annual influenza vaccination is recommended for all adults, especially the elderly.
4. Question:
A 70-year-old female reports urinary urgency and nocturia. Which is the most likely diagnosis?
A. Overflow incontinence
B. Functional incontinence
C. Urge incontinence
D. Stress incontinence
Answer: C. Urge incontinence
Rationale: Urge incontinence is common in older adults and characterized by urgency and
nocturia.
5. Question:
Which lab result is most indicative of anemia of chronic disease in the elderly?
A. Low MCV, high RDW
B. Low serum ferritin
C. Normal ferritin, low serum iron
D. High MCV, low B12
Answer: C. Normal ferritin, low serum iron
Rationale: Anemia of chronic disease shows low serum iron but normal to high ferritin.
6. Question:
Which of the following is a hallmark of frailty in older adults?
A. Chronic constipation
B. Unintentional weight loss
C. Joint hypermobility
D. Increased appetite
Answer: B. Unintentional weight loss
Rationale: Frailty criteria include weight loss, weakness, exhaustion, slowness, and low activity.
, 7. Question:
Which test is most appropriate to assess for depression in older adults?
A. GAD-7
B. Geriatric Depression Scale (GDS)
C. MoCA
D. PHQ-2
Answer: B. Geriatric Depression Scale (GDS)
Rationale: GDS is designed specifically for older populations to assess depression.
8. Question:
Which medication requires renal function monitoring in the elderly?
A. Metformin
B. Amlodipine
C. Warfarin
D. Acetaminophen
Answer: A. Metformin
Rationale: Risk of lactic acidosis increases with declining renal function; monitor eGFR.
9. Question:
An 85-year-old male with multiple comorbidities is being considered for cancer screening. What
is the most important consideration?
A. His insurance coverage
B. Patient’s request
C. Life expectancy
D. Family history
Answer: C. Life expectancy
Rationale: Screening decisions in the elderly should be based on life expectancy and potential
benefit.
10. Question:
What is the most appropriate strategy to reduce polypharmacy in the elderly?
A. Prescribing herbal alternatives
B. Discontinuing all medications
QUESTIONS AND ANSWERS 2025. A
GUARANTEED
Course
NR 601
1. Question:
A 78-year-old female presents with fatigue, weight loss, and memory issues. Which of the
following is the most appropriate initial screening tool for cognitive impairment?
A. PHQ-9
B. Mini-Cog
C. MMSE
D. GDS-15
Answer: B. Mini-Cog
Rationale: The Mini-Cog is a quick, validated screening tool appropriate for primary care
settings.
2. Question:
Which of the following medications is most inappropriate for an 82-year-old male with a history
of falls?
A. Acetaminophen
B. Sertraline
C. Lorazepam
D. Lisinopril
Answer: C. Lorazepam
Rationale: Benzodiazepines increase fall risk and are generally inappropriate in older adults (per
Beers Criteria).
3. Question:
Which immunization is recommended annually for all adults over age 65?
A. Zoster vaccine
B. Hepatitis B vaccine
C. Pneumococcal conjugate vaccine
D. Influenza vaccine
,Answer: D. Influenza vaccine
Rationale: Annual influenza vaccination is recommended for all adults, especially the elderly.
4. Question:
A 70-year-old female reports urinary urgency and nocturia. Which is the most likely diagnosis?
A. Overflow incontinence
B. Functional incontinence
C. Urge incontinence
D. Stress incontinence
Answer: C. Urge incontinence
Rationale: Urge incontinence is common in older adults and characterized by urgency and
nocturia.
5. Question:
Which lab result is most indicative of anemia of chronic disease in the elderly?
A. Low MCV, high RDW
B. Low serum ferritin
C. Normal ferritin, low serum iron
D. High MCV, low B12
Answer: C. Normal ferritin, low serum iron
Rationale: Anemia of chronic disease shows low serum iron but normal to high ferritin.
6. Question:
Which of the following is a hallmark of frailty in older adults?
A. Chronic constipation
B. Unintentional weight loss
C. Joint hypermobility
D. Increased appetite
Answer: B. Unintentional weight loss
Rationale: Frailty criteria include weight loss, weakness, exhaustion, slowness, and low activity.
, 7. Question:
Which test is most appropriate to assess for depression in older adults?
A. GAD-7
B. Geriatric Depression Scale (GDS)
C. MoCA
D. PHQ-2
Answer: B. Geriatric Depression Scale (GDS)
Rationale: GDS is designed specifically for older populations to assess depression.
8. Question:
Which medication requires renal function monitoring in the elderly?
A. Metformin
B. Amlodipine
C. Warfarin
D. Acetaminophen
Answer: A. Metformin
Rationale: Risk of lactic acidosis increases with declining renal function; monitor eGFR.
9. Question:
An 85-year-old male with multiple comorbidities is being considered for cancer screening. What
is the most important consideration?
A. His insurance coverage
B. Patient’s request
C. Life expectancy
D. Family history
Answer: C. Life expectancy
Rationale: Screening decisions in the elderly should be based on life expectancy and potential
benefit.
10. Question:
What is the most appropriate strategy to reduce polypharmacy in the elderly?
A. Prescribing herbal alternatives
B. Discontinuing all medications
