1
NURSING MANAGEMENT ALZHEIMERS DISEASE, DEMENTIA,
AND DELIRIUM MY NURSING 2026 LATEST EXAM QS & AS
MULTIPLE CHOICE
1. A patient who is hospitalized with pneumonia is disoriented and confused 2 days
after admission. Which information obtained by the nurse about the patient
indicates that the patient is experiencing delirium rather than dementia?
a
. The patient was oriented and alert when admitted.
b
. The patients speech is fragmented and incoherent.
c
. The patient is disoriented to place and time but oriented to person.
d
. The patient has a history of increasing confusion over several years.
ANS: A
The onset of delirium occurs acutely. The degree of disorientation does not differentiate
between delirium and dementia. Increasing confusion for several years is consistent
with dementia. Fragmented and incoherent speech may occur with either delirium or
dementia. DIF: Cognitive Level: Comprehension REF: 1521
,2
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. When developing a plan of care for a hospitalized patient with moderate dementia,
which intervention will the nurse include?
a
. Provide complete personal hygiene care for the patient.
b
. Remind the patient frequently about being in the hospital.
c
. Reposition the patient frequently to avoid skin breakdown.
d
. Place suction at the bedside to decrease the risk for aspiration.
ANS: B
The patient with moderate dementia will have problems with short- and long-term
memory and will need reminding about the hospitalization. The other interventions would
be used for a patient with severe dementia, who would have difficulty with swallowing,
self-care, and immobility.
DIF: Cognitive Level: Application REF: 1522 TOP: Nursing Process:
Planning MSC: NCLEX: Physiological Integrity
3. When administering a mental status examination to a patient with delirium, the nurse
should
a
. medicate the patient first to reduce any anxiety.
b
. give the examination when the patient is well-rested.
c
. reorient the patient as needed during the examination.
, 3
d choose a place without distracting environmental stimuli.
NURSING MANAGEMENT ALZHEIMERS DISEASE, DEMENTIA,
AND DELIRIUM MY NURSING 2026 LATEST EXAM QS & AS
MULTIPLE CHOICE
1. A patient who is hospitalized with pneumonia is disoriented and confused 2 days
after admission. Which information obtained by the nurse about the patient
indicates that the patient is experiencing delirium rather than dementia?
a
. The patient was oriented and alert when admitted.
b
. The patients speech is fragmented and incoherent.
c
. The patient is disoriented to place and time but oriented to person.
d
. The patient has a history of increasing confusion over several years.
ANS: A
The onset of delirium occurs acutely. The degree of disorientation does not differentiate
between delirium and dementia. Increasing confusion for several years is consistent
with dementia. Fragmented and incoherent speech may occur with either delirium or
dementia. DIF: Cognitive Level: Comprehension REF: 1521
,2
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. When developing a plan of care for a hospitalized patient with moderate dementia,
which intervention will the nurse include?
a
. Provide complete personal hygiene care for the patient.
b
. Remind the patient frequently about being in the hospital.
c
. Reposition the patient frequently to avoid skin breakdown.
d
. Place suction at the bedside to decrease the risk for aspiration.
ANS: B
The patient with moderate dementia will have problems with short- and long-term
memory and will need reminding about the hospitalization. The other interventions would
be used for a patient with severe dementia, who would have difficulty with swallowing,
self-care, and immobility.
DIF: Cognitive Level: Application REF: 1522 TOP: Nursing Process:
Planning MSC: NCLEX: Physiological Integrity
3. When administering a mental status examination to a patient with delirium, the nurse
should
a
. medicate the patient first to reduce any anxiety.
b
. give the examination when the patient is well-rested.
c
. reorient the patient as needed during the examination.
, 3
d choose a place without distracting environmental stimuli.
