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NU 180 Nursing and Healthcare II Exam 1
(Galen) 2025/2026 | Verified Answers &
Detailed Rationales | Grade A Study Guide
1. The nurse is assessing memory in a 76-year-old client. Which statement by the nurse
is most effective?
A. "Tell me your name and where you are."
B. "Describe how you came to the hospital today."
C. "What year were you born?"
D. "Do you remember what we talked about yesterday?"
CORRECT ANSWER: B
Rationale: Asking the client to describe the sequence of events leading to their arrival
assesses recent memory and the ability to organize thoughts. It is more open-ended and
functional than simple recall of personal facts (orientation) or specific details from the
past.
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2. An older adult client who is usually alert and oriented becomes suddenly confused.
What is the nurse's priority assessment?
A. Blood pressure
B. Oxygen saturation (SpO2)
C. Blood glucose
D. Temperature
CORRECT ANSWER: B
Rationale: Sudden confusion (acute change in mental status) in an older adult is a classic
sign of hypoxia. Assessing oxygen saturation is a quick, non-invasive priority to rule out
respiratory compromise before investigating other causes.
3. A 30-year-old client experienced a frontal lobe infarction after an accident. What is an
appropriate nursing intervention?
A. Initiate a bladder training program.
B. Enable the bed alarm safety system.
C. Provide a detailed schedule for the day.
D. Encourage participation in group therapy.
CORRECT ANSWER: B
Rationale: Frontal lobe damage can cause impulsivity, poor judgment, and safety risks.
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A bed alarm is a priority intervention to prevent falls or wandering, ensuring the client's
safety.
4. A client's family member asks how naloxone (Narcan) can be given. The nurse
correctly states it can be administered via:
A. Intravenous route only.
B. Intramuscular or intravenous routes.
C. Any route (IV, IM, SubQ, Intranasal).
D. Oral route only in an emergency.
CORRECT ANSWER: C
Rationale: Naloxone is a lifesaving opioid antagonist that can be administered by
multiple routes (IV, IM, SubQ, intranasal, endotracheal) to rapidly reverse respiratory
depression in an overdose emergency.
5. The nurse is caring for a client with damage to the frontal lobes. Which behavior
change should the nurse anticipate?
A. Visual hallucinations.
B. Onset of or increased aggression.
C. Memory loss for recent events.
D. Inability to recognize family members.
CORRECT ANSWER: B
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Rationale: The frontal lobes are responsible for executive functions, judgment, impulse
control, and social behavior. Damage commonly results in personality changes,
disinhibition, irritability, and aggression.
6. (Case Study 1, Q1) The wife of a client recently diagnosed with Alzheimer's disease
asks if there is a cure. What is the nurse's appropriate response?
A. "No, but the progression can be slowed with cholinesterase inhibitor drugs for some
patients."
B. "Yes, a combination of medication and therapy can reverse the symptoms."
C. "There is no treatment; it's a normal part of aging."
D. "Only lifestyle changes like diet and exercise can help."
CORRECT ANSWER: A
Rationale: It is honest and therapeutic to explain that while there is no cure,
medications like cholinesterase inhibitors (e.g., donepezil) can help slow cognitive
decline and manage symptoms for some individuals in the early to moderate stages.
7. (Case Study 1, Q2) To facilitate the client's safe independence, which action will the
nurse recommend to the wife?
A. Choose and lay out his clothes each morning.
B. Place out clothing options and allow the client to choose what to wear.
C. Label all dresser drawers with pictures.
NU 180 Nursing and Healthcare II Exam 1
(Galen) 2025/2026 | Verified Answers &
Detailed Rationales | Grade A Study Guide
1. The nurse is assessing memory in a 76-year-old client. Which statement by the nurse
is most effective?
A. "Tell me your name and where you are."
B. "Describe how you came to the hospital today."
C. "What year were you born?"
D. "Do you remember what we talked about yesterday?"
CORRECT ANSWER: B
Rationale: Asking the client to describe the sequence of events leading to their arrival
assesses recent memory and the ability to organize thoughts. It is more open-ended and
functional than simple recall of personal facts (orientation) or specific details from the
past.
,2|Page
2. An older adult client who is usually alert and oriented becomes suddenly confused.
What is the nurse's priority assessment?
A. Blood pressure
B. Oxygen saturation (SpO2)
C. Blood glucose
D. Temperature
CORRECT ANSWER: B
Rationale: Sudden confusion (acute change in mental status) in an older adult is a classic
sign of hypoxia. Assessing oxygen saturation is a quick, non-invasive priority to rule out
respiratory compromise before investigating other causes.
3. A 30-year-old client experienced a frontal lobe infarction after an accident. What is an
appropriate nursing intervention?
A. Initiate a bladder training program.
B. Enable the bed alarm safety system.
C. Provide a detailed schedule for the day.
D. Encourage participation in group therapy.
CORRECT ANSWER: B
Rationale: Frontal lobe damage can cause impulsivity, poor judgment, and safety risks.
,3|Page
A bed alarm is a priority intervention to prevent falls or wandering, ensuring the client's
safety.
4. A client's family member asks how naloxone (Narcan) can be given. The nurse
correctly states it can be administered via:
A. Intravenous route only.
B. Intramuscular or intravenous routes.
C. Any route (IV, IM, SubQ, Intranasal).
D. Oral route only in an emergency.
CORRECT ANSWER: C
Rationale: Naloxone is a lifesaving opioid antagonist that can be administered by
multiple routes (IV, IM, SubQ, intranasal, endotracheal) to rapidly reverse respiratory
depression in an overdose emergency.
5. The nurse is caring for a client with damage to the frontal lobes. Which behavior
change should the nurse anticipate?
A. Visual hallucinations.
B. Onset of or increased aggression.
C. Memory loss for recent events.
D. Inability to recognize family members.
CORRECT ANSWER: B
, 4|Page
Rationale: The frontal lobes are responsible for executive functions, judgment, impulse
control, and social behavior. Damage commonly results in personality changes,
disinhibition, irritability, and aggression.
6. (Case Study 1, Q1) The wife of a client recently diagnosed with Alzheimer's disease
asks if there is a cure. What is the nurse's appropriate response?
A. "No, but the progression can be slowed with cholinesterase inhibitor drugs for some
patients."
B. "Yes, a combination of medication and therapy can reverse the symptoms."
C. "There is no treatment; it's a normal part of aging."
D. "Only lifestyle changes like diet and exercise can help."
CORRECT ANSWER: A
Rationale: It is honest and therapeutic to explain that while there is no cure,
medications like cholinesterase inhibitors (e.g., donepezil) can help slow cognitive
decline and manage symptoms for some individuals in the early to moderate stages.
7. (Case Study 1, Q2) To facilitate the client's safe independence, which action will the
nurse recommend to the wife?
A. Choose and lay out his clothes each morning.
B. Place out clothing options and allow the client to choose what to wear.
C. Label all dresser drawers with pictures.
