NURS 317 Final Exam Practice Questions
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Which patient is exhibiting signs of delirium?
A. A patient at home unable to solve a puzzle
B. A patient in the ICU acting erratic and drowsy
C. A patient in an assisted living facility having difficulty speaking.
Ans: B. Acting erratic and drowsy
b/c of erratic lucidity & somnolence (drowsiness), also they
show disturbance in behavior, orientation, percepti on
seen mostly in ICU psychosis
A patient with dementia has cognitive deficits manifested by which
conditions?
A. Amnesia, aphagia, apraxia, agnosia
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B. Amnesia, aphasia, apraxia, analgesia
C. Amnesia, aphasia, apraxia, agnosia
D. Amnesia, abstract thinking, apraxia, aphasia
Ans: C. Amnesia, aphasia, apraxia, agnosia
the 4 A's
sometimes abstract thinking
A patient showing signs of agnosia and apraxia would most look like:
A. Have difficulty remembering what they were going to do
B. Have difficulty speaking and swallowing
C. Have difficulty knowing what utensils to use to eat and have
difficulty speaking
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D. Have difficulty knowing what utensils to use to eat and unable to
easily pick up the utensils
Ans: D. Have difficulty knowing what utensils to use to eat and
unable to easily pick up the utensils
B/C
Agnosia --> inability to recognize things
Apraxia --> difficulty with motor movements
Depression in older adults can be seen with all of the following
EXCEPT:
A. Sleeping in until noon
B. Anxiety & irritability
C. Unexplained aches & pains
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D. Neglecting personal care
Ans: A. Sleeping in until noon
Although wanting to remain in bed can be a sign of depression,
the other 3 are more prevalent in older adults
All of the following brain changes are seen in the development of
Alzheimers EXCEPT:
A. Amyloid plaques & neurofibrillary tangles
B. Dysfunction & gliosis of neuronal cells in the frontal and temporal
lobes
C. Reduction in neurotransmitters like acetylcholine
D. Reduction in brain size & weight
Ans: B. Dysfunction & gliosis of neuronal cells in the frontal
and temporal lobes
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