NR 601 Week 8 Final Exam Actual Week 8
Final Exam Complete 1-100 Exam Questions
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1. An 82-year-old female presents for a routine wellness visit. Her daughter notes she has
become increasingly forgetful over the past year, occasionally misplacing items and forgetting
names, but remains independent with her Instrumental Activities of Daily Living (IADLs). Her
Mini-Mental State Examination (MMSE) score is 25/30. Which of the following is the most
likely provisional diagnosis?
A. Acute delirium
B. Early-stage Alzheimer's disease
C. Normal age-related memory decline
D. Mild Cognitive Impairment (MCI)
2. According to the AGS Beers Criteria, which medication class should be strictly avoided or
used with extreme caution in an older adult with a history of falls and fractures due to an
increased risk of ataxia and psychomotor impairment?
A. ACE inhibitors
B. Biguanides
C. Benzodiazepines
,D. Proton pump inhibitors
3. A frail 78-year-old male with a 10-year history of Type 2 Diabetes Mellitus presents to your
primary care clinic. Considering his frailty, multiple comorbidities, and limited life expectancy,
what is the recommended target Hemoglobin A1c (HbA1c) goal according to the American
Diabetes Association (ADA) guidelines for older adults?
A. Less than 7.0%
B. Less than 6.5%
C. No target necessary; maintain below 10.0%
D. Less than 8.0% to 8.5%
4. An 84-year-old male resident of a long-term care facility is evaluated for an acute change in
mental status over the past 24 hours. He is lethargic, easily distracted, and believes he is at a train
station. His physical exam is notable only for suprapubic fullness. What diagnostic evaluation
should the clinician prioritize first?
A. Lumbar puncture for CSF analysis
B. Outpatient psychiatry referral for depression assessment
C. Brain MRI with and without contrast
D. Urinalysis and urine culture
5. An older adult patient is diagnosed with moderate-to-severe Chronic Obstructive Pulmonary
Disease (COPD). Which of the following is an established, evidence-based immunization
recommendation specifically indicated to prevent acute exacerbations and hospitalization in this
population? A. Hepatitis
A vaccine series
B. Meningococcal conjugate vaccine
C. Pneumococcal conjugate vaccine (PCV20 or PCV15 followed by PPSV23)
D. Varicella vaccine
6. Which tool is considered the gold standard for identifying and quantifying an older adult's
multi-factorial fall risk profile in a primary care setting?
A. The PHQ-9 tool
, B. The CAGE assessment
C. The CDC's STEADI (Stopping Elderly Accidents, Deaths, & Injuries) toolkit
D. The Epworth Sleepiness Scale
7. When assessing an 80-year-old patient with new-onset hypertension, the nurse practitioner
notes a blood pressure reading of 162/68 mmHg. What physiological change associated with
normal vascular aging primarily drives this presentation of Isolated Systolic Hypertension (ISH)?
A. Increased compliance and dilation of large systemic veins
B. Loss of arterial elasticity and increased stiffness of large central arteries
C. Decreased baroreceptor sensitivity resulting in erratic volume regulation
D. Hypertrophy of the renal juxtaglomerular apparatus
8. A 76-year-old patient with a history of heart failure with reduced ejection fraction (HFrEF)
and osteoarthritis presents with worsening bilateral peripheral edema. Upon chart review, you
note a new medication was added last month. Which medication is the most likely cause of this
exacerbation?
A. Atorvastatin
B. Ibuprofen (NSAID)
C. Glucosamine chondroitin
D. Acetaminophen
9. An 88-year-old male with end-stage severe Alzheimer's dementia has experienced a 15%
weight loss over the past 6 months due to progressive dysphagia. The family asks the primary
care nurse practitioner about placing a percutaneous endoscopic gastrostomy (PEG) tube. Based
on current gerontological consensus guidelines, what should the clinician advise?
A. Strongly recommend the PEG tube to prolong overall survival and prevent aspiration
pneumonia.
B. Counsel the family that careful hand-feeding is preferred over tube feeding, as PEG tubes do
not extend life or improve comfort in advanced dementia.
C. Advise that a PEG tube should only be placed if the patient's MMSE score improves above
15.
D. Recommend the PEG tube solely because it significantly improves functional status and
wound healing parameters.
Final Exam Complete 1-100 Exam Questions
Proctored Via Examplify Chamberlain
University With Correct Answers | 100% Pass
Guaranteed | Graded A+ | 2026
EMAIL FOR MORE INFO :
1. An 82-year-old female presents for a routine wellness visit. Her daughter notes she has
become increasingly forgetful over the past year, occasionally misplacing items and forgetting
names, but remains independent with her Instrumental Activities of Daily Living (IADLs). Her
Mini-Mental State Examination (MMSE) score is 25/30. Which of the following is the most
likely provisional diagnosis?
A. Acute delirium
B. Early-stage Alzheimer's disease
C. Normal age-related memory decline
D. Mild Cognitive Impairment (MCI)
2. According to the AGS Beers Criteria, which medication class should be strictly avoided or
used with extreme caution in an older adult with a history of falls and fractures due to an
increased risk of ataxia and psychomotor impairment?
A. ACE inhibitors
B. Biguanides
C. Benzodiazepines
,D. Proton pump inhibitors
3. A frail 78-year-old male with a 10-year history of Type 2 Diabetes Mellitus presents to your
primary care clinic. Considering his frailty, multiple comorbidities, and limited life expectancy,
what is the recommended target Hemoglobin A1c (HbA1c) goal according to the American
Diabetes Association (ADA) guidelines for older adults?
A. Less than 7.0%
B. Less than 6.5%
C. No target necessary; maintain below 10.0%
D. Less than 8.0% to 8.5%
4. An 84-year-old male resident of a long-term care facility is evaluated for an acute change in
mental status over the past 24 hours. He is lethargic, easily distracted, and believes he is at a train
station. His physical exam is notable only for suprapubic fullness. What diagnostic evaluation
should the clinician prioritize first?
A. Lumbar puncture for CSF analysis
B. Outpatient psychiatry referral for depression assessment
C. Brain MRI with and without contrast
D. Urinalysis and urine culture
5. An older adult patient is diagnosed with moderate-to-severe Chronic Obstructive Pulmonary
Disease (COPD). Which of the following is an established, evidence-based immunization
recommendation specifically indicated to prevent acute exacerbations and hospitalization in this
population? A. Hepatitis
A vaccine series
B. Meningococcal conjugate vaccine
C. Pneumococcal conjugate vaccine (PCV20 or PCV15 followed by PPSV23)
D. Varicella vaccine
6. Which tool is considered the gold standard for identifying and quantifying an older adult's
multi-factorial fall risk profile in a primary care setting?
A. The PHQ-9 tool
, B. The CAGE assessment
C. The CDC's STEADI (Stopping Elderly Accidents, Deaths, & Injuries) toolkit
D. The Epworth Sleepiness Scale
7. When assessing an 80-year-old patient with new-onset hypertension, the nurse practitioner
notes a blood pressure reading of 162/68 mmHg. What physiological change associated with
normal vascular aging primarily drives this presentation of Isolated Systolic Hypertension (ISH)?
A. Increased compliance and dilation of large systemic veins
B. Loss of arterial elasticity and increased stiffness of large central arteries
C. Decreased baroreceptor sensitivity resulting in erratic volume regulation
D. Hypertrophy of the renal juxtaglomerular apparatus
8. A 76-year-old patient with a history of heart failure with reduced ejection fraction (HFrEF)
and osteoarthritis presents with worsening bilateral peripheral edema. Upon chart review, you
note a new medication was added last month. Which medication is the most likely cause of this
exacerbation?
A. Atorvastatin
B. Ibuprofen (NSAID)
C. Glucosamine chondroitin
D. Acetaminophen
9. An 88-year-old male with end-stage severe Alzheimer's dementia has experienced a 15%
weight loss over the past 6 months due to progressive dysphagia. The family asks the primary
care nurse practitioner about placing a percutaneous endoscopic gastrostomy (PEG) tube. Based
on current gerontological consensus guidelines, what should the clinician advise?
A. Strongly recommend the PEG tube to prolong overall survival and prevent aspiration
pneumonia.
B. Counsel the family that careful hand-feeding is preferred over tube feeding, as PEG tubes do
not extend life or improve comfort in advanced dementia.
C. Advise that a PEG tube should only be placed if the patient's MMSE score improves above
15.
D. Recommend the PEG tube solely because it significantly improves functional status and
wound healing parameters.
