NEUROCOGNITIVE DISORDER EXAM QUESTIONS WITH
ACCURATE ANSWERS
1) Which intervention should the nurse implement while caring for a client with
neurocognitive disorder (NCD) and diagnosed with wandering behavior?
A) Storing frequently used items out of the client's reach
B) Teaching the client to hold on to a hand-railing
C) .Maintaining a low level of stimuli in the environment
D) Keeping the client on a structured schedule of recreational activities --
Correct Answer ✔✔ D. keeping the client on a structured schedule of
recreational activities
A client with NCD shows wandering behavior due to confusion. Therefore,
keeping the client on a structured schedule of recreational activities will help
minimize confusion and reduce wandering behavior.
2) Which diagnostic test is performed to evaluate the progression of Alzheimer's
disease (AD) in a client?
A) EEG
B) MRI
C) CT scan
D) PET scan -- Correct Answer ✔✔ PET Scan
PET scanning is used to determine the metabolic activity of the brain and also the
progression of AD.
3) Which characteristics does the nurse observe in a client with dementia pugilistica?
Select all that apply
A) depression
B) nonimpulsivity
C) emotional liability
, D) motor speech disorder
E) lack of voluntary coordination of muscle movement -- Correct Answer
✔✔ A. depression
C. emotional liability
D. motor speech disorder
E. lack of voluntary coordination of muscle movement
Depression is a characteristic symptom of pseudodementia. It is not a
characteristic symptom for dementia pugilistica, which mostly involves
disturbances in motor coordination or speech impairment.
client with dementia pugilistica avoids confronting feelings. Therefore, the nurse
observes emotional liability in the client.
Dementia pugilistica is caused by traumatic head injury, which may impair the
speech of a client due to brain atrophy. Therefore, the nurse observes motor
speech disorder in the client.
Dementia pugilistica is caused by traumatic head injury, which may affect the
voluntary coordination of muscle movement due to brain atrophy. Therefore, the
nurse observes a lack of voluntary coordination of muscle movement in the
client.
4) After assessing a client's behaviors, the nurse concludes that the client is in stage 4
of Alzheimer's disease (AD). Which behavior of the client supports the nurse's
conclusion?
A) The client has difficulty recalling names or words.
B) The client is unable to recognize family members.
C) The client is disoriented to his or her surroundings.
D) The client denies the existence of the problems by covering up
memory loss. -- Correct Answer ✔✔ D. the client denies the existence
of the problems by covering up memory loss
In stage 4 of AD, the client has moderate cognitive decline. Therefore, the client
denies the existence of the problems by covering up memory loss.
5) The nurse is teaching a group of student nurses about the metabolic disorders that
precipitate delirium or neurocognitive disorder (NCD) in a client. Which
conditions does the nurse include in the teaching plan? Select all that apply.
A) Hypoxia
B) hypercarbia
ACCURATE ANSWERS
1) Which intervention should the nurse implement while caring for a client with
neurocognitive disorder (NCD) and diagnosed with wandering behavior?
A) Storing frequently used items out of the client's reach
B) Teaching the client to hold on to a hand-railing
C) .Maintaining a low level of stimuli in the environment
D) Keeping the client on a structured schedule of recreational activities --
Correct Answer ✔✔ D. keeping the client on a structured schedule of
recreational activities
A client with NCD shows wandering behavior due to confusion. Therefore,
keeping the client on a structured schedule of recreational activities will help
minimize confusion and reduce wandering behavior.
2) Which diagnostic test is performed to evaluate the progression of Alzheimer's
disease (AD) in a client?
A) EEG
B) MRI
C) CT scan
D) PET scan -- Correct Answer ✔✔ PET Scan
PET scanning is used to determine the metabolic activity of the brain and also the
progression of AD.
3) Which characteristics does the nurse observe in a client with dementia pugilistica?
Select all that apply
A) depression
B) nonimpulsivity
C) emotional liability
, D) motor speech disorder
E) lack of voluntary coordination of muscle movement -- Correct Answer
✔✔ A. depression
C. emotional liability
D. motor speech disorder
E. lack of voluntary coordination of muscle movement
Depression is a characteristic symptom of pseudodementia. It is not a
characteristic symptom for dementia pugilistica, which mostly involves
disturbances in motor coordination or speech impairment.
client with dementia pugilistica avoids confronting feelings. Therefore, the nurse
observes emotional liability in the client.
Dementia pugilistica is caused by traumatic head injury, which may impair the
speech of a client due to brain atrophy. Therefore, the nurse observes motor
speech disorder in the client.
Dementia pugilistica is caused by traumatic head injury, which may affect the
voluntary coordination of muscle movement due to brain atrophy. Therefore, the
nurse observes a lack of voluntary coordination of muscle movement in the
client.
4) After assessing a client's behaviors, the nurse concludes that the client is in stage 4
of Alzheimer's disease (AD). Which behavior of the client supports the nurse's
conclusion?
A) The client has difficulty recalling names or words.
B) The client is unable to recognize family members.
C) The client is disoriented to his or her surroundings.
D) The client denies the existence of the problems by covering up
memory loss. -- Correct Answer ✔✔ D. the client denies the existence
of the problems by covering up memory loss
In stage 4 of AD, the client has moderate cognitive decline. Therefore, the client
denies the existence of the problems by covering up memory loss.
5) The nurse is teaching a group of student nurses about the metabolic disorders that
precipitate delirium or neurocognitive disorder (NCD) in a client. Which
conditions does the nurse include in the teaching plan? Select all that apply.
A) Hypoxia
B) hypercarbia
