NURSING 601 FINAL EXAM: PRIMARY CARE
OF THE MATURING AND AGED FAMILY
PRACTICUM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN UNIVERSITY
The comprehensive curriculum of the Primary Care of the Maturing and
Aged Family Practicum. It is designed to assess your ability to apply
advanced practice nursing skills to diagnose, treat, and manage
conditions in older adults within a primary care setting.
Focusing on chronic disease management and complex issues in geriatric
care.
PRIMARY CARE OF THE MATURING AND
AGED FAMILY PRACTICUM
A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan
includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - CORRECT-ANSWERS--a. repeat
fasting plasma glucose in three years
According to the Sexually presentation, atrophic vaginitis
,a. the symptoms are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - CORRECT-ANSWERS--c. is a
contributing factor for frequent urinary tract infections
Which of the following would you recommend annually for the elderly type
2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an ophthalmologist - CORRECT-ANSWERS--d. eye exam
with an ophthalmologist
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - CORRECT-ANSWERS--d. at home
Which of the following is a role of the advanced practice nurse in palliative
cancer care?
a. detecting cancer in asymptomatic patients or those with specific
symptoms
b. arranging for follow up including patients
c. identifying and managing complications of care
d. all of the above - CORRECT-ANSWERS--d. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to
the clinic as a new patient. He takes metformin 500mg twice a day. His
last Hgb A1c was 7%. He is up to date on eye and foot examinations. His
,BP is 142/96. According to ACC 2017 guidelines for high blood pressure in
adults, what is the most appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine - CORRECT-ANSWERS--a. lisinopril
A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months. She
denies dysuria, frequency and nocturia. US dipstick is negative for RBC's
leukocyte esterase, nitrates, ketones and urobilinogen. What is the
diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence - CORRECT-ANSWERS--a. stress incontinence
A 52 year old female patient screened for diabetes has a fasting plasma
glucose level of 123 mg/dl. The nurse practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years - CORRECT-ANSWERS--c. repeat
fasting plasma glucose in one year
According to the palliative care presentation, most elderly patients die:
a. alone
b. at home
c. in institutions
d. in pain - CORRECT-ANSWERS--c. in institutions
, Male patient presents with a BMI of 30 presents to the office for an annual
exam. You are reviewing the lab results. You ordered a CMP as part of
routine labs. The fasting glucose was 130. Your next action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
d. call the patient and report lab results as normal - CORRECT-ANSWERS--
a. repeat the fasting glucose
The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships - CORRECT-ANSWERS--a. begin to disengage
All of the following are true statements regarding elder abuse except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are
common
d. common signs of abuse include decreased anxiety and depression -
CORRECT-ANSWERS--d. common signs of abuse include decreased
anxiety and depression
Hospice care differs from palliative care in that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life - CORRECT-ANSWERS--d. it
is designed for the last six months of life
OF THE MATURING AND AGED FAMILY
PRACTICUM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN UNIVERSITY
The comprehensive curriculum of the Primary Care of the Maturing and
Aged Family Practicum. It is designed to assess your ability to apply
advanced practice nursing skills to diagnose, treat, and manage
conditions in older adults within a primary care setting.
Focusing on chronic disease management and complex issues in geriatric
care.
PRIMARY CARE OF THE MATURING AND
AGED FAMILY PRACTICUM
A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan
includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - CORRECT-ANSWERS--a. repeat
fasting plasma glucose in three years
According to the Sexually presentation, atrophic vaginitis
,a. the symptoms are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - CORRECT-ANSWERS--c. is a
contributing factor for frequent urinary tract infections
Which of the following would you recommend annually for the elderly type
2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an ophthalmologist - CORRECT-ANSWERS--d. eye exam
with an ophthalmologist
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - CORRECT-ANSWERS--d. at home
Which of the following is a role of the advanced practice nurse in palliative
cancer care?
a. detecting cancer in asymptomatic patients or those with specific
symptoms
b. arranging for follow up including patients
c. identifying and managing complications of care
d. all of the above - CORRECT-ANSWERS--d. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to
the clinic as a new patient. He takes metformin 500mg twice a day. His
last Hgb A1c was 7%. He is up to date on eye and foot examinations. His
,BP is 142/96. According to ACC 2017 guidelines for high blood pressure in
adults, what is the most appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine - CORRECT-ANSWERS--a. lisinopril
A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months. She
denies dysuria, frequency and nocturia. US dipstick is negative for RBC's
leukocyte esterase, nitrates, ketones and urobilinogen. What is the
diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence - CORRECT-ANSWERS--a. stress incontinence
A 52 year old female patient screened for diabetes has a fasting plasma
glucose level of 123 mg/dl. The nurse practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years - CORRECT-ANSWERS--c. repeat
fasting plasma glucose in one year
According to the palliative care presentation, most elderly patients die:
a. alone
b. at home
c. in institutions
d. in pain - CORRECT-ANSWERS--c. in institutions
, Male patient presents with a BMI of 30 presents to the office for an annual
exam. You are reviewing the lab results. You ordered a CMP as part of
routine labs. The fasting glucose was 130. Your next action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
d. call the patient and report lab results as normal - CORRECT-ANSWERS--
a. repeat the fasting glucose
The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships - CORRECT-ANSWERS--a. begin to disengage
All of the following are true statements regarding elder abuse except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are
common
d. common signs of abuse include decreased anxiety and depression -
CORRECT-ANSWERS--d. common signs of abuse include decreased
anxiety and depression
Hospice care differs from palliative care in that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life - CORRECT-ANSWERS--d. it
is designed for the last six months of life
