Cognitive Disorders NCLEX Practice Taken by: raphaelchristian8
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1. Which of the following is not one of the modifiable risk factors of Alzheimer's disease?
Head trauma/injury
Cardiovascular disease
Advanced age
Physical inactivity
Smoking
2. When teaching a family about Alzheimer's disease, what information should the nurse
include?
Alzheimer's disease is self-limiting and will resolve over time.
Alzheimer's disease has an abrupt onset and runs a variable course.
Alzheimer's disease has a slow and insidious onset.
Alzheimer's disease causes a rapid functional and cognitive decline.
3. A patient with known memory impairment describes having eaten waffles for
breakfast today, but you observed the patient eating eggs and toast. This is most
likely?
Confabulation
Understand
the
Disinterest
answers
Story-telling Get in-depth
explanations
Lying for any
question on
your practice
4. When developing a care plan for a patient with Alzheimer's disease who exhibits
test.
symptoms of sundowning, which of the following strategies should the nurse
prioritize to help manage the patient's behavior? Got it
A. Encourage stimulating activities in the evening to keep the patient engaged.
B. Create a structured evening routine to promote relaxation and
predictability.
C. Increase the patient's fluid intake during the evening to prevent
dehydration.
D. Allow the patient to choose their bedtime to foster independence.
5. What is the gold standard for managing cognitive symptoms in alzheimer's disease?
Non-pharmacologic therapy with education for patient and family
Pharmacologic management with anti-AChE
Pharmacologic management with anti-AChE or NMDA antagonist
Pharmacologic management with NMDA antagonist
6. A 78-year-old patient diagnosed with multi-infarct dementia is agitated because an
unfamiliar staff person is providing care. Which intervention is appropriate for de-
escalating this patient's agitation?
Repeatedly reinforce the patient's orientation.
Talk with the patient individually about familiar family and friends.
Administer a medication with sedative properties to reduce agitation.
Reduce environmental stimulation by placing the patient in a quiet room until
the agitation subsides.
7. A nurse is caring for a client with dementia who frequently engages in wandering
behavior. Which intervention is most appropriate to address the safety concerns
associated with wandering?
Administering sedative medications to reduce restlessness
Placing physical restraints to limit movement
Creating a secure environment and using door alarms
Encouraging increased outdoor activities to expend energy
8. All of the following conditions have cognitive symptoms that mimic dementia EXCEPT:
delirium
urinary tract infection
pneumonia
depression
9. What is the biggest risk factor for developing delirium?
IV drug abuse
having GI surgery
being a nursing home resident
having dementia
10. Which of the following outcomes may result from implementing reminiscence
therapy for individuals with Alzheimer's disease?
Enhanced emotional connection with caregivers
Total restoration of cognitive function
Increased episodes of confusion
Heightened anxiety and distress
Improved ability to perform complex tasks
11. Which of the following approaches should a nurse prioritize when communicating
with a patient diagnosed with moderate Alzheimer's disease to enhance
understanding and engagement?
A. Use complex medical terminology to explain procedures.
B. Provide written instructions for all interactions.
C. Speak in a calm tone and use familiar words.
D. Encourage the patient to speak without interruption.
E. Use humor to lighten the conversation.
12. What is a fundamental difference between delirium and dementia regarding their
duration and treatment outcomes?
A. Delirium is often a chronic condition requiring long-term management,
while dementia can resolve with treatment.
B. Delirium typically has a rapid onset and can be reversed, whereas
dementia develops gradually and is irreversible.
C. Delirium is primarily caused by neurodegenerative diseases, while
dementia results from acute medical events.
D. Delirium affects cognitive function only during sleep, while dementia
impacts cognition throughout the day.
13. The nurse is meeting with a 70-year-old client with suspected Alzheimer's Disease.
Which of the following assessment findings would be most consistent with this
diagnosis?
The client verbalizes their name correctly but does not know the date nor
location.
The client was recently relocated to a new living facility, is recovering from a
urinary tract infection and appears confused.
The client is unable to remember what they ate for breakfast but can
remember their street address when they were a child.
The client has an enhanced sense of smell and increased appetite.
14. What is the most common form of Dementia in people that are Younger than 65?
Alzheimers Dementia
Vascular Dementia
Frontotemporal Dementia
Semantic Dementia
Dementia w/ Lewy Bodies
15. Which of ONE of the following BEST represents non-pharmacologic interventions
known to reduce delirium?
Restricting visitors, reducing noise at night, and patient mobilization
Deep sedation with propofol, presence of family at the bedside, and fluid
repletion
Patient mobilization, reduction of noise at night, and presence of family at
the bedside
16. Which of the following statements is true about medications that are used for
management of Alzheimer's disease?
Memantine (Namenda) cannot be used in conjunction with a cholinesterase
inhibitor.
Donepezil (Aricept) works by increasing the amount of acetylcholine in the
brain.
If prescribed properly, medications can stop the course of Alzheimer's
disease.
Antipsychotics and benzodiazepines are FDA approved for use of managing
behavioral symptoms.
17. A client is disoriented to person, place, and time. Which of the following observations
made by the nurse indicate the client is experiencing delirium?
The client's pupils are 4mm in diameter and respond equally to light.
The confusion began 5 months ago.
The client remains awake and alert.
The client has disorganized thinking.
18. What is the main purpose of implementing reality orientation techniques in the care
of patients with cognitive impairments?
To enhance the patient's ability to recall past events.
To assist the patient in recognizing their surroundings and current
circumstances.
To encourage the patient to engage in therapeutic activities.
To minimize the effects of medication side effects.
19. The progress of cognitive deterioration in Alzheimer's disease is most rapid during
the _____ stages of the disease.
early
middle
late
advanced
20. During a cognitive assessment, a nurse notes that a patient is struggling to maintain
attention and is unable to make sound decisions. Which term most accurately
characterizes this cognitive impairment?
Dysphasia
Disorientation
Impaired judgment
Apraxia
