1
DEMENTIA & ALZHEIMER’S DISEASE NURSING
EXAM 2026-28 JUST RELEASED LATEST VERSION
Exam Structure
• Total Questions: 100
• Question Type: Multiple Choice (Single Best Answer)
• Content Areas Covered:
o Types of dementia: Alzheimer’s disease, vascular dementia, Lewy body dementia, frontotemporal
dementia
o Pathophysiology and risk factors
o Early, middle, and late stages of Alzheimer’s disease
o Cognitive, behavioral, and functional changes
o Nursing assessment: MMSE, cognitive tests, functional assessment
o Safety, fall prevention, and wandering management
o Medication management (cholinesterase inhibitors, memantine)
o Psychosocial support, caregiver education, and end-of-life care
Introduction
This exam evaluates a nurse’s knowledge and clinical judgment in caring for patients with dementia and
Alzheimer’s disease. Nurses are expected to assess cognitive and functional decline, manage behavioral
symptoms, ensure patient safety, provide medication and psychosocial support, and educate caregivers.
The exam emphasizes critical thinking, prioritization, and NCLEX-style clinical scenarios.
Exam Format
• Each question presents a clinical scenario or knowledge-based question.
• Four answer options (A–D), with one best answer.
• After each question:
o Correct Answer is provided.
o Rationale explains why the answer is correct and why other options are incorrect.
,2
Question 1
A patient presents with progressive memory loss, difficulty
performing ADLs, and disorientation to time. What type of
dementia is most likely?
A. Alzheimer’s disease
B. Vascular dementia
C. Lewy body dementia
D. Frontotemporal dementia
Answer: A
Rationale:
Alzheimer’s disease is characterized by gradual, progressive
memory loss and functional decline, typically beginning with
short-term memory deficits.
Question 2
Which is a common early sign of Alzheimer’s disease?
A. Short-term memory loss
B. Hallucinations
C. Urinary incontinence
D. Severe agitation
Answer: A
,3
Rationale:
Short-term memory loss is an early symptom; hallucinations,
incontinence, and severe agitation usually occur in later stages.
Question 3
Which cognitive assessment is commonly used to evaluate
dementia?
A. Mini-Mental State Examination (MMSE)
B. Glasgow Coma Scale
C. APGAR score
D. Braden Scale
Answer: A
Rationale:
MMSE assesses orientation, memory, attention, language, and
visual-spatial skills, making it a standard tool for dementia
evaluation.
Question 4
A patient with Alzheimer’s disease becomes agitated in the late
afternoon. Which nursing intervention is most appropriate?
A. Reduce environmental stimuli and provide calm reassurance
B. Administer high-dose sedatives immediately
, 4
C. Restrict patient to bed
D. Encourage strenuous activity
Answer: A
Rationale:
Sundowning is common; reducing stimuli and providing
reassurance helps manage agitation safely.
Question 5
Which medication is commonly prescribed for mild-to-
moderate Alzheimer’s disease?
A. Donepezil (cholinesterase inhibitor)
B. Furosemide
C. Metformin
D. Ibuprofen
Answer: A
Rationale:
Cholinesterase inhibitors (e.g., donepezil) improve cognitive
function by enhancing cholinergic neurotransmission.
Question 6
Which behavioral symptom is common in middle-stage
Alzheimer’s disease?
DEMENTIA & ALZHEIMER’S DISEASE NURSING
EXAM 2026-28 JUST RELEASED LATEST VERSION
Exam Structure
• Total Questions: 100
• Question Type: Multiple Choice (Single Best Answer)
• Content Areas Covered:
o Types of dementia: Alzheimer’s disease, vascular dementia, Lewy body dementia, frontotemporal
dementia
o Pathophysiology and risk factors
o Early, middle, and late stages of Alzheimer’s disease
o Cognitive, behavioral, and functional changes
o Nursing assessment: MMSE, cognitive tests, functional assessment
o Safety, fall prevention, and wandering management
o Medication management (cholinesterase inhibitors, memantine)
o Psychosocial support, caregiver education, and end-of-life care
Introduction
This exam evaluates a nurse’s knowledge and clinical judgment in caring for patients with dementia and
Alzheimer’s disease. Nurses are expected to assess cognitive and functional decline, manage behavioral
symptoms, ensure patient safety, provide medication and psychosocial support, and educate caregivers.
The exam emphasizes critical thinking, prioritization, and NCLEX-style clinical scenarios.
Exam Format
• Each question presents a clinical scenario or knowledge-based question.
• Four answer options (A–D), with one best answer.
• After each question:
o Correct Answer is provided.
o Rationale explains why the answer is correct and why other options are incorrect.
,2
Question 1
A patient presents with progressive memory loss, difficulty
performing ADLs, and disorientation to time. What type of
dementia is most likely?
A. Alzheimer’s disease
B. Vascular dementia
C. Lewy body dementia
D. Frontotemporal dementia
Answer: A
Rationale:
Alzheimer’s disease is characterized by gradual, progressive
memory loss and functional decline, typically beginning with
short-term memory deficits.
Question 2
Which is a common early sign of Alzheimer’s disease?
A. Short-term memory loss
B. Hallucinations
C. Urinary incontinence
D. Severe agitation
Answer: A
,3
Rationale:
Short-term memory loss is an early symptom; hallucinations,
incontinence, and severe agitation usually occur in later stages.
Question 3
Which cognitive assessment is commonly used to evaluate
dementia?
A. Mini-Mental State Examination (MMSE)
B. Glasgow Coma Scale
C. APGAR score
D. Braden Scale
Answer: A
Rationale:
MMSE assesses orientation, memory, attention, language, and
visual-spatial skills, making it a standard tool for dementia
evaluation.
Question 4
A patient with Alzheimer’s disease becomes agitated in the late
afternoon. Which nursing intervention is most appropriate?
A. Reduce environmental stimuli and provide calm reassurance
B. Administer high-dose sedatives immediately
, 4
C. Restrict patient to bed
D. Encourage strenuous activity
Answer: A
Rationale:
Sundowning is common; reducing stimuli and providing
reassurance helps manage agitation safely.
Question 5
Which medication is commonly prescribed for mild-to-
moderate Alzheimer’s disease?
A. Donepezil (cholinesterase inhibitor)
B. Furosemide
C. Metformin
D. Ibuprofen
Answer: A
Rationale:
Cholinesterase inhibitors (e.g., donepezil) improve cognitive
function by enhancing cholinergic neurotransmission.
Question 6
Which behavioral symptom is common in middle-stage
Alzheimer’s disease?
