NCLEX Alzheimer's & delirium & Misc
Fundamentals Exam Questions with
correct Answers 2025/2026 A+ Graded
100% Verified
Which mental change is associated with aging?
A. Confusion
B. Gradual decline in cognitive skills
C. Depression
D. Inappropriate behavior - ANS-B. Gradual decline in cognitive skills
An elderly patient has acute confusion after undergoing abdominal surgery. The patient most
likely has:
A. Delirium
B. Anxiety
C. Dementia
D. Depression - ANS-A. Delirium
A patient with dementia wanders throughout the skilled nursing facility. A nursing intervention for
wandering may include:
A. Administering a sedative
B. Maintaining a regular activity program
C. Locking the patient's room form the outside
D. Keeping a staff member with the patient when wandering - ANS-B. Maintaining a regular
activity program
The nurse is planning an instruction for an 84 yr old man relative to a significant change in his
diet for diabetes. The nurse will plan her teaching around the idea that the elderly.
a. need to have their family to hear the instruction
b. cannot learn complex information or skills
c. need more time to learn because of slower processing skills
d. are fixed in their ideas and reject information that does not agree with them. - ANS-c. need
more time to learn because of slower processing skills
, The nurse clarifies to a family of a resident with Alzheimer's that dementia differs from confusion
and delirium in that dementia is:
a. usually rapid in onset
b. permanent
c. caused by depression
d. effectively treatable - ANS-b. permanent
The nurse in a long-term care facility emphasizes to the family of a resident recently admitted
that one of the purposes of the creative behavioral therapies is to:
a. entertain the residents who have become bored
b. stimulate an avid interest in music or art
c. keep the residents out of their rooms
d. slow the rate of deterioration - ANS-d. slow the rate of deterioration
When the nurse plans to use reminiscence as a psychosocial approach to managing confusion
with cognitively impaired patients, the nurse should.
a. use plants, pictures, and animals to encourage interactions in the group
b. use meory aids such as tv, radio, clock, and calendar
c. encourage individual and group sharing of information about previous life experience.
d. increase socialization roles in the group, such as serving each other refreshments. - ANS-c.
encourage individual and group sharing of information about previous life experience.
A home health nurse working with an elderly patient assesses an early indication that this
patient is developing Alzheimer's disease. This early indication would be:
a. wandering behavior
b. agitation
c. difficulty learning new things
d. deteriorating speech - ANS-c. difficulty learning new things
The nurse adds to the plan of care for a cognitively impaired resident who has begun to wander
night and day throughout the long-term care facility. An appropriate intervention to add to the
plan of care for the resident with wandering behavior would be to:
a. place the resident on a locked unit to prevent long-range wandering
b. obtain an order for wrist restraints or a vest restraint
c. apply a bracelet that alarms as the resident approaches an outside door.
d. discuss with the physician the need for stronger medication. - ANS-c. apply a bracelet that
alarms as the resident approaches an outside door.
Fundamentals Exam Questions with
correct Answers 2025/2026 A+ Graded
100% Verified
Which mental change is associated with aging?
A. Confusion
B. Gradual decline in cognitive skills
C. Depression
D. Inappropriate behavior - ANS-B. Gradual decline in cognitive skills
An elderly patient has acute confusion after undergoing abdominal surgery. The patient most
likely has:
A. Delirium
B. Anxiety
C. Dementia
D. Depression - ANS-A. Delirium
A patient with dementia wanders throughout the skilled nursing facility. A nursing intervention for
wandering may include:
A. Administering a sedative
B. Maintaining a regular activity program
C. Locking the patient's room form the outside
D. Keeping a staff member with the patient when wandering - ANS-B. Maintaining a regular
activity program
The nurse is planning an instruction for an 84 yr old man relative to a significant change in his
diet for diabetes. The nurse will plan her teaching around the idea that the elderly.
a. need to have their family to hear the instruction
b. cannot learn complex information or skills
c. need more time to learn because of slower processing skills
d. are fixed in their ideas and reject information that does not agree with them. - ANS-c. need
more time to learn because of slower processing skills
, The nurse clarifies to a family of a resident with Alzheimer's that dementia differs from confusion
and delirium in that dementia is:
a. usually rapid in onset
b. permanent
c. caused by depression
d. effectively treatable - ANS-b. permanent
The nurse in a long-term care facility emphasizes to the family of a resident recently admitted
that one of the purposes of the creative behavioral therapies is to:
a. entertain the residents who have become bored
b. stimulate an avid interest in music or art
c. keep the residents out of their rooms
d. slow the rate of deterioration - ANS-d. slow the rate of deterioration
When the nurse plans to use reminiscence as a psychosocial approach to managing confusion
with cognitively impaired patients, the nurse should.
a. use plants, pictures, and animals to encourage interactions in the group
b. use meory aids such as tv, radio, clock, and calendar
c. encourage individual and group sharing of information about previous life experience.
d. increase socialization roles in the group, such as serving each other refreshments. - ANS-c.
encourage individual and group sharing of information about previous life experience.
A home health nurse working with an elderly patient assesses an early indication that this
patient is developing Alzheimer's disease. This early indication would be:
a. wandering behavior
b. agitation
c. difficulty learning new things
d. deteriorating speech - ANS-c. difficulty learning new things
The nurse adds to the plan of care for a cognitively impaired resident who has begun to wander
night and day throughout the long-term care facility. An appropriate intervention to add to the
plan of care for the resident with wandering behavior would be to:
a. place the resident on a locked unit to prevent long-range wandering
b. obtain an order for wrist restraints or a vest restraint
c. apply a bracelet that alarms as the resident approaches an outside door.
d. discuss with the physician the need for stronger medication. - ANS-c. apply a bracelet that
alarms as the resident approaches an outside door.
