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NR341 COMPLEX ADULT HEALTH ACTUAL
EXAM 1 PREP 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY A GRADED WITH
EXPERT FEEDBACK |NEW AND REVISED
A nurse is caring for a client who is cognitively impaired. Which of the
following rooms will provide a therapeutic environment for this client?
A. A room adjacent to the nursing station
B. A room without a window
C. A room with dim lighting
D. A room containing personal belongings - ANSWER- D
(A room that contains several of the clients personal belongings
assists in maintaining personal identity and provides a therapeutic
environment)
The family of an older adult client brings him to the emergency
department after finding him wandering outside. During the initial
assessment, the nurse notes that the client flinches when she palpates his
abdomen yet response to questions only by nodding and smiling. Which
of the following factors should the nurse identify as a likely explanation
for the clients behavior?
A. he is hard of hearing
B. pain
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C. confusion
D. language barrier - ANSWER- C
(since the client was manifesting signs of confusion before coming to
the emergency department and currently seems unable to
understand or respond to speech, the nurse should determine that
the client has confusion)
A nurse is performing a mental status examination (MSE) on a client
who has a new diagnosis of dementia. Which of the following
components should the nurse include? (Select all that apply.)
A. grooming
B. long-term memory
C. support systems
D. affect
E. presence of pain - ANSWER- A, B, D
(Grooming is included in an MSE which consists of appearance,
behavior, speech, mood, disorders of the form of thought, perceptual
disturbances, cognition, and ideas of harming self or others. Long-
term memory is included in an MSE which consists of appearance,
behavior, speech, and mood, disorders of the form of thought,
perceptual disturbances, cognition, and ideas of harming self or
others. Support systems are not included in an MSE which consists
of appearance, behavior, speech, mood, disorders of the form of
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thought, perceptual disturbances, cognition, and ideas of harming
self or others. Affect is included in an MSE which consists of
appearance, behavior, speech, and mood, disorders of the form of
thought, perceptual disturbances, cognition, and ideas of harming
self or others. The presence of pain is not included in an MSE which
consists of appearance, behavior, speech, mood, disorders of the
form of thought, perceptual disturbances, cognition, and ideas of
harming self or others.)
A nurse is caring for a client who has late stage Alzheimer's disease and
is hospitalized for treatment of pneumonia. During the night shift, the
client is found climbing into the bed of another client who becomes
upset and frightened. Which of the following actions should the nurse
take?
A. assist the client to the correct room.
B. place the client in restraints.
C. re-orient the client to time and place.
D. move the client to a room at the end of the hall. - ANSWER- A
(assisting the client to the correct room protects both clients. It helps
re-orient the client who is unable to find her own room, and it
prevents the other client from an invasion of her personal space.)
A nurse in a long-term care facility is caring for a client who has late
stage Alzheimer's disease. Which of the following actions should the
nurse include in the plan of care?
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A. post a written schedule of daily activities.
B. use an overhead loudspeaker to announce events.
C. provide a consistent daily routine.
D. allow the client to choose free time activities. - ANSWER- C
(A consistent daily routine is appropriate for the care of a client who
has Alzheimer's disease.)
A nurse is monitoring a client who is post operative and unable to
respond to questions. Which of the following nonverbal behaviors
should the nurse identify as an indication that the client has pain? (Select
all that apply.)
A. Restlessness
B. Grimacing
C. Moaning
D. Clenching
E. Drowsiness - ANSWER- A, B, D
(Restlessness is correct. Clients who have uncontrolled pain often
become restless and anxious in response to the discomfort.
NR341 COMPLEX ADULT HEALTH ACTUAL
EXAM 1 PREP 2026 ALL QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES ALREADY A GRADED WITH
EXPERT FEEDBACK |NEW AND REVISED
A nurse is caring for a client who is cognitively impaired. Which of the
following rooms will provide a therapeutic environment for this client?
A. A room adjacent to the nursing station
B. A room without a window
C. A room with dim lighting
D. A room containing personal belongings - ANSWER- D
(A room that contains several of the clients personal belongings
assists in maintaining personal identity and provides a therapeutic
environment)
The family of an older adult client brings him to the emergency
department after finding him wandering outside. During the initial
assessment, the nurse notes that the client flinches when she palpates his
abdomen yet response to questions only by nodding and smiling. Which
of the following factors should the nurse identify as a likely explanation
for the clients behavior?
A. he is hard of hearing
B. pain
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C. confusion
D. language barrier - ANSWER- C
(since the client was manifesting signs of confusion before coming to
the emergency department and currently seems unable to
understand or respond to speech, the nurse should determine that
the client has confusion)
A nurse is performing a mental status examination (MSE) on a client
who has a new diagnosis of dementia. Which of the following
components should the nurse include? (Select all that apply.)
A. grooming
B. long-term memory
C. support systems
D. affect
E. presence of pain - ANSWER- A, B, D
(Grooming is included in an MSE which consists of appearance,
behavior, speech, mood, disorders of the form of thought, perceptual
disturbances, cognition, and ideas of harming self or others. Long-
term memory is included in an MSE which consists of appearance,
behavior, speech, and mood, disorders of the form of thought,
perceptual disturbances, cognition, and ideas of harming self or
others. Support systems are not included in an MSE which consists
of appearance, behavior, speech, mood, disorders of the form of
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thought, perceptual disturbances, cognition, and ideas of harming
self or others. Affect is included in an MSE which consists of
appearance, behavior, speech, and mood, disorders of the form of
thought, perceptual disturbances, cognition, and ideas of harming
self or others. The presence of pain is not included in an MSE which
consists of appearance, behavior, speech, mood, disorders of the
form of thought, perceptual disturbances, cognition, and ideas of
harming self or others.)
A nurse is caring for a client who has late stage Alzheimer's disease and
is hospitalized for treatment of pneumonia. During the night shift, the
client is found climbing into the bed of another client who becomes
upset and frightened. Which of the following actions should the nurse
take?
A. assist the client to the correct room.
B. place the client in restraints.
C. re-orient the client to time and place.
D. move the client to a room at the end of the hall. - ANSWER- A
(assisting the client to the correct room protects both clients. It helps
re-orient the client who is unable to find her own room, and it
prevents the other client from an invasion of her personal space.)
A nurse in a long-term care facility is caring for a client who has late
stage Alzheimer's disease. Which of the following actions should the
nurse include in the plan of care?
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A. post a written schedule of daily activities.
B. use an overhead loudspeaker to announce events.
C. provide a consistent daily routine.
D. allow the client to choose free time activities. - ANSWER- C
(A consistent daily routine is appropriate for the care of a client who
has Alzheimer's disease.)
A nurse is monitoring a client who is post operative and unable to
respond to questions. Which of the following nonverbal behaviors
should the nurse identify as an indication that the client has pain? (Select
all that apply.)
A. Restlessness
B. Grimacing
C. Moaning
D. Clenching
E. Drowsiness - ANSWER- A, B, D
(Restlessness is correct. Clients who have uncontrolled pain often
become restless and anxious in response to the discomfort.
