Page 1 of 33
“COGNITION TEST “ LATEST 2025 EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Cognition Test
Which term would the nurse use to document observing the characteristic gait
associated with Parkinson disease?
With a SHUFFLING gait the steps are short and dragging; this is seen with basal
ganglia defects.
A client is diagnosed with Parkinson disease and receives a prescription for
levodopa therapy. Which mechanism of action would the nurse identify for this
medication?
Restores the dopamine levels in the brain
A client with Parkinsonism takes an anticholinergic medication for morning
stiffness and tremors in the right arm. During a visit to the clinic, the client
complained of some numbness in the left hand. Which intervention would the
nurse implement for this client?
Numbness, a sensory deficit, is inconsistent with Parkinsonism; further medical
evaluation is necessary. Numbness, even in the absence of other problems, may be
indicative of an impending "brain attack" or CVA
Which findings would support a client's diagnosis of Parkinson disease?
Select all that apply. One, some, or all responses may be correct.
NON-INTENTIONAL TREMORS associated with Parkinson disease result from
degeneration of the dopaminergic pathways and excess cholinergic activity in the
feedback circuit. A MASKLIKE FACIAL EXPRESSION results from nigral and basal
ganglia depletion of dopamine, an inhibitory neurotransmitter. COGWHEEL
RIGIDITY is increased resistance to passive motion and is a classic sign of
Parkinson disease.
When assisting a client with Parkinson disease to ambulate, which instruction
would the nurse provide the client?
Avoid leaning forward
Which need would be essential in clients who have dementia?
To have sameness and consistency in the environment
, Page 2 of 33
Which nursing intervention would be helpful in meeting the needs of an older
adult with Alzheimer disease?
Simplifying the environment as much as possible by limiting the need for decisions
Which intervention would the nurse include in the plan of care for a client with
moderate Alzheimer disease?
Maintain a daily routine of living
Donepezil. (Cholinesterase inhibitor)
-It does not cure dementia. However, it treats some of the symptoms of Alzheimer's
disease, Parkinson's disease or dementia with Lewy bodies.
-Reduces behavioral symptoms, particularly mood disturbances and delusions
-Client should get regular liver function tests and report light stools and jaundice to
the primary health care provider
Take w meals to avoid side effects?
Side effects: constipation, insomnia, nausea, vomiting
A client with a diagnosis of dementia of the Alzheimer type has been taking
donepezil 10 mg/day for 3 months. The client's partner calls the clinic and
reports that the client has increasing restlessness and agitation accompanied
by nausea. Which advice would the nurse give the partner?
!!Bring the partner to the clinic for testing and a physical examination!!
Many people with dementia experience physical problems such as urinary tract
infections but cannot adequately verbalize what is happening. They may just become
more restless and agitated. Because the client has been taking this dose for 3
months, the problems probably are not being caused by the medication
Which goal would the nurse add to the plan of care for a forgetful, disoriented
client who has dementia?
Rechannel the client's energies into more appropriate behaviors.
Which nursing action has the highest priority for a client with delirium?
Creating a calm and safe environment
Which approach would the nurse use for a client with Alzheimer disease who
expresses fear and anxiety upon admission to a long-term care facility?
!!Reassuring the client with the presence of 1 or 2 staff members!!
Which action would the nurse take when caring for an older adult with a
history of recent memory loss?
!!Employ electronic devices that provide alerts.!!
Which finding would indicate that a client needs to be evaluated by the health
care provider for Alzheimer disease
Forgets home address
A therapeutic milieu is
a structured environment that creates a safe, secure place for people who are in
therapy
, Page 3 of 33
Which characteristic of a therapeutic milieu would the nurse consider
important for a confused older adult with socially aggressive behavior?
Sets limits
Which intervention will the nurse include in a care plan for a client with
dementia who wanders?
Assess and treat pain.
Avoid loud music, television, and glaring lights.
Have family members monitor client activity when possible.
Which ability would the nurse expect of a client in the middle stages of
Alzheimer disease to be able to do?
Recall events from the past
Which approach would the nurse take for a client with Alzheimer disease who
is fearful and anxious about being admitted?
!!Reassuring the client with the presence of same staff members!!
(DO NOT PUT "EXPLORE REASONS FOR CLIENTS CONCERNS") (fukk the
clients concerns)
Which action would the nurse take for an older client with Alzheimer disease
who sleeps very little and becomes more disoriented from sleep deprivation?
Leave a dim light on in the client's room at night.
Which action would the nurse take for an older client with Alzheimer disease
who has laid out several outfits on the bed to wear to a recreational session
but is still wearing nightclothes?
Help the client select appropriate attire and offer to help the client get dressed
Which nursing intervention would the nurse implement for a forgetful,
disoriented client who has Alzheimer disease?
Managing the client's unsafe behaviors
Donepezil is prescribed for a client who has mild dementia of the Alzheimer
type. Which information would the nurse include when discussing this
medication with the client and family?
Blood tests that reflect liver function will be performed routinely
constipation treatment
fluids, high-fiber foods, and exercise should be recommended to help keep the stools
soft
To best address the functional and behavioral changes associated with a
client's early Alzheimer disease, which action would the nurse encourage the
daughter to do?
!!Post a schedule of the client's daily activities.!!
The nurse is preparing discharge instructions for a client who has begun to
demonstrate signs of early Alzheimer dementia and lives alone, with adult
children living nearby. According to the prescribed medication regimen, the
, Page 4 of 33
client is to take medications six times throughout the day. Which nursing
intervention is correct to assist the client with taking the medication?
Contact the primary health care provider and discuss the possibility of simplifying the
medication regimen
Which characteristic about confusion would the nurse keep in mind when an
older client with Alzheimer disease is admitted to a long-term care facility?
Occurs with a transfer to new surroundings
Which action would the nurse take for an older resident in a nursing home with
Alzheimer disease who hoards leftover food and other seemingly valueless
articles and stuffs them into pockets "so the others won't steal them"?
Give the resident a small bag in which to place selected personal articles and food
Which technique would the nurse use for a client with dementia who seems
anxious, frequently paces about, and exhibits deteriorating hygiene?
Directing staff members to reinforce reality as needed
Which action would the nurse take for a daughter who states that she gives
sleeping pills to her live-in mother who has dementia to stop wandering at
night?
Explore hiring a home health aide to stay with the client at night
Which intervention would the nurse include when developing a plan of care for
an older client with dementia?
Provide consistency in carrying out nursing activities for the client
Neurocognitive disorder due to Lewy bodies is
Characterized with short-term memory loss, unpredictable cognitive shifts, and sleep
disturbances.
Thus talking about recent days would be ineffective. Memories of remote events
(e.g., married life, working years, young adulthood) usually remains fairly intact.
Which topic addressed by a new nurse when talking with a client who has
neurocognitive disorder due to Lewy bodies would cause the charge nurse to
follow-up?
Recent days
An older client with Alzheimer type dementia, consistently sleeps in a semi-
Fowler position in bed. Which area of the client's body would the nurse
consider a high risk for developing a pressure injury?
Sacrum
Which initial nursing intervention would the nurse take for an older adult with
delirium who begins acting out while in the dayroom?
Giving the client one simple direction at a time in a firm, low-pitched voice
Rivastigmine is a cholinesterase inhibitor
provides a modest short-term cognitive benefit for some people with mild to
moderate Alzheimer dementia. It works by increasing acetylcholine at cholinergic
synapses. It is NOT approved for people with SEVERE disease
Which actions will the nurse take to support cognitive ability in clients who
have Alzheimer disease?
“COGNITION TEST “ LATEST 2025 EXAM
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Cognition Test
Which term would the nurse use to document observing the characteristic gait
associated with Parkinson disease?
With a SHUFFLING gait the steps are short and dragging; this is seen with basal
ganglia defects.
A client is diagnosed with Parkinson disease and receives a prescription for
levodopa therapy. Which mechanism of action would the nurse identify for this
medication?
Restores the dopamine levels in the brain
A client with Parkinsonism takes an anticholinergic medication for morning
stiffness and tremors in the right arm. During a visit to the clinic, the client
complained of some numbness in the left hand. Which intervention would the
nurse implement for this client?
Numbness, a sensory deficit, is inconsistent with Parkinsonism; further medical
evaluation is necessary. Numbness, even in the absence of other problems, may be
indicative of an impending "brain attack" or CVA
Which findings would support a client's diagnosis of Parkinson disease?
Select all that apply. One, some, or all responses may be correct.
NON-INTENTIONAL TREMORS associated with Parkinson disease result from
degeneration of the dopaminergic pathways and excess cholinergic activity in the
feedback circuit. A MASKLIKE FACIAL EXPRESSION results from nigral and basal
ganglia depletion of dopamine, an inhibitory neurotransmitter. COGWHEEL
RIGIDITY is increased resistance to passive motion and is a classic sign of
Parkinson disease.
When assisting a client with Parkinson disease to ambulate, which instruction
would the nurse provide the client?
Avoid leaning forward
Which need would be essential in clients who have dementia?
To have sameness and consistency in the environment
, Page 2 of 33
Which nursing intervention would be helpful in meeting the needs of an older
adult with Alzheimer disease?
Simplifying the environment as much as possible by limiting the need for decisions
Which intervention would the nurse include in the plan of care for a client with
moderate Alzheimer disease?
Maintain a daily routine of living
Donepezil. (Cholinesterase inhibitor)
-It does not cure dementia. However, it treats some of the symptoms of Alzheimer's
disease, Parkinson's disease or dementia with Lewy bodies.
-Reduces behavioral symptoms, particularly mood disturbances and delusions
-Client should get regular liver function tests and report light stools and jaundice to
the primary health care provider
Take w meals to avoid side effects?
Side effects: constipation, insomnia, nausea, vomiting
A client with a diagnosis of dementia of the Alzheimer type has been taking
donepezil 10 mg/day for 3 months. The client's partner calls the clinic and
reports that the client has increasing restlessness and agitation accompanied
by nausea. Which advice would the nurse give the partner?
!!Bring the partner to the clinic for testing and a physical examination!!
Many people with dementia experience physical problems such as urinary tract
infections but cannot adequately verbalize what is happening. They may just become
more restless and agitated. Because the client has been taking this dose for 3
months, the problems probably are not being caused by the medication
Which goal would the nurse add to the plan of care for a forgetful, disoriented
client who has dementia?
Rechannel the client's energies into more appropriate behaviors.
Which nursing action has the highest priority for a client with delirium?
Creating a calm and safe environment
Which approach would the nurse use for a client with Alzheimer disease who
expresses fear and anxiety upon admission to a long-term care facility?
!!Reassuring the client with the presence of 1 or 2 staff members!!
Which action would the nurse take when caring for an older adult with a
history of recent memory loss?
!!Employ electronic devices that provide alerts.!!
Which finding would indicate that a client needs to be evaluated by the health
care provider for Alzheimer disease
Forgets home address
A therapeutic milieu is
a structured environment that creates a safe, secure place for people who are in
therapy
, Page 3 of 33
Which characteristic of a therapeutic milieu would the nurse consider
important for a confused older adult with socially aggressive behavior?
Sets limits
Which intervention will the nurse include in a care plan for a client with
dementia who wanders?
Assess and treat pain.
Avoid loud music, television, and glaring lights.
Have family members monitor client activity when possible.
Which ability would the nurse expect of a client in the middle stages of
Alzheimer disease to be able to do?
Recall events from the past
Which approach would the nurse take for a client with Alzheimer disease who
is fearful and anxious about being admitted?
!!Reassuring the client with the presence of same staff members!!
(DO NOT PUT "EXPLORE REASONS FOR CLIENTS CONCERNS") (fukk the
clients concerns)
Which action would the nurse take for an older client with Alzheimer disease
who sleeps very little and becomes more disoriented from sleep deprivation?
Leave a dim light on in the client's room at night.
Which action would the nurse take for an older client with Alzheimer disease
who has laid out several outfits on the bed to wear to a recreational session
but is still wearing nightclothes?
Help the client select appropriate attire and offer to help the client get dressed
Which nursing intervention would the nurse implement for a forgetful,
disoriented client who has Alzheimer disease?
Managing the client's unsafe behaviors
Donepezil is prescribed for a client who has mild dementia of the Alzheimer
type. Which information would the nurse include when discussing this
medication with the client and family?
Blood tests that reflect liver function will be performed routinely
constipation treatment
fluids, high-fiber foods, and exercise should be recommended to help keep the stools
soft
To best address the functional and behavioral changes associated with a
client's early Alzheimer disease, which action would the nurse encourage the
daughter to do?
!!Post a schedule of the client's daily activities.!!
The nurse is preparing discharge instructions for a client who has begun to
demonstrate signs of early Alzheimer dementia and lives alone, with adult
children living nearby. According to the prescribed medication regimen, the
, Page 4 of 33
client is to take medications six times throughout the day. Which nursing
intervention is correct to assist the client with taking the medication?
Contact the primary health care provider and discuss the possibility of simplifying the
medication regimen
Which characteristic about confusion would the nurse keep in mind when an
older client with Alzheimer disease is admitted to a long-term care facility?
Occurs with a transfer to new surroundings
Which action would the nurse take for an older resident in a nursing home with
Alzheimer disease who hoards leftover food and other seemingly valueless
articles and stuffs them into pockets "so the others won't steal them"?
Give the resident a small bag in which to place selected personal articles and food
Which technique would the nurse use for a client with dementia who seems
anxious, frequently paces about, and exhibits deteriorating hygiene?
Directing staff members to reinforce reality as needed
Which action would the nurse take for a daughter who states that she gives
sleeping pills to her live-in mother who has dementia to stop wandering at
night?
Explore hiring a home health aide to stay with the client at night
Which intervention would the nurse include when developing a plan of care for
an older client with dementia?
Provide consistency in carrying out nursing activities for the client
Neurocognitive disorder due to Lewy bodies is
Characterized with short-term memory loss, unpredictable cognitive shifts, and sleep
disturbances.
Thus talking about recent days would be ineffective. Memories of remote events
(e.g., married life, working years, young adulthood) usually remains fairly intact.
Which topic addressed by a new nurse when talking with a client who has
neurocognitive disorder due to Lewy bodies would cause the charge nurse to
follow-up?
Recent days
An older client with Alzheimer type dementia, consistently sleeps in a semi-
Fowler position in bed. Which area of the client's body would the nurse
consider a high risk for developing a pressure injury?
Sacrum
Which initial nursing intervention would the nurse take for an older adult with
delirium who begins acting out while in the dayroom?
Giving the client one simple direction at a time in a firm, low-pitched voice
Rivastigmine is a cholinesterase inhibitor
provides a modest short-term cognitive benefit for some people with mild to
moderate Alzheimer dementia. It works by increasing acetylcholine at cholinergic
synapses. It is NOT approved for people with SEVERE disease
Which actions will the nurse take to support cognitive ability in clients who
have Alzheimer disease?
