FINAL EXAM NU 664 SET 1 2026
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
ADVANCED PRACTICE NURSING, PRIMARY
CARE, CLINICAL DECISION-MAKING,
EVIDENCE BASED PRACTICE AND FINAL
EXAM STUDY GUIDE GRADE A+ STUDY
RESOURCE
With Mild neurocognitive Disorder - CORRECT ANSWER -The cognitive
deficits do not interfere w/independence in everyday activities (i.e. paying
bills) but require greater effort
The cognitive deficits do not occur exclusively in the context of delirium or
better explained by another mental health d/o.
Mild neurocognitive Disorder Specifiers - CORRECT ANSWER -a. Without
behavioral disturbances
b. With behavioral disturbances
Major and Minor Neurocognitive Disorders Due to Alzheimer's Diagnosis
Criteria - CORRECT ANSWER -1. Criteria for major or mild neurocognitive
disorder is met
,2. Insidious onset and gradual progression in one or more cognitive
domains
Specifiers of Major neurocognitive disorder, probable Alzheimer's -
CORRECT ANSWER -i. Evidence of Alzheimer's genetic mutation via testing
or family history and;
ii. Decline in memory and learning and at least one other cognitive domain
and;
iii. Steadily progressive, gradual decline in cognition, w/o extended
plateaus and;
iv. No evidence of other causative factor
Specifier of Mild neurocognitive disorder, probable Alzheimer's - CORRECT
ANSWER -i. Evidence of Alzheimer's genetic mutation via testing or family
history
i. Decline in memory and learning and at least one other cognitive domain
and;
ii. Steadily progressive, gradual decline in cognition, w/o extended plateaus
and;
iii. No evidence of other causative factor
Genetic mutation of apolipoprotein E4 - CORRECT ANSWER -increases risk
of Alzheimer's
Assessment tools of Major and Minor Neurocognitive Disorders Due to
Alzheimer's - CORRECT ANSWER -Mini-Cog, Memory impairment screen,
mini-mental status exam, general practitioner assessment of cognition,
activities of daily living, functional activities questionnaire.
, Medication used in Major and Minor Neurocognitive Disorders Due to
Alzheimer's - CORRECT ANSWER -a. Cholinesterease inhibitors (Aricept,
Exelon, razadyne)
i. Binds to acetylcholinesterase
b. Memantine- cognitive symptoms
- Binds NMDA, slows calcium influx
Differential for Major and Minor Neurocognitive Disorders Due to
Alzheimer's - CORRECT ANSWER -includes other neurogenerative diseases
or MDD
Major or Mild Neurocognitive Disorders with lewy bodies diagnostic
criteria - CORRECT ANSWER -1. Criteria for major or mild neurocognitive
disorder is met
2. Insidious onset and gradual progression
3. Meets criteria for either probably or possible neurocognitive disorder
w/lewy bodies
Core diagnostic features of Major or Mild Neurocognitive Disorders with
lewy bodies - CORRECT ANSWER -i. Fluctuating cognition w/pronounced
variations in attention and alertness
ii. Recurrent visual hallucinations that are well formed and detailed
iii. Spontaneous features of parkinsonism, w/onset subsequent to
development of cognitive deficits
COMPREHENSIVE PRACTICE QUESTIONS
AND VERIFIED CORRECT ANSWERS
ADVANCED PRACTICE NURSING, PRIMARY
CARE, CLINICAL DECISION-MAKING,
EVIDENCE BASED PRACTICE AND FINAL
EXAM STUDY GUIDE GRADE A+ STUDY
RESOURCE
With Mild neurocognitive Disorder - CORRECT ANSWER -The cognitive
deficits do not interfere w/independence in everyday activities (i.e. paying
bills) but require greater effort
The cognitive deficits do not occur exclusively in the context of delirium or
better explained by another mental health d/o.
Mild neurocognitive Disorder Specifiers - CORRECT ANSWER -a. Without
behavioral disturbances
b. With behavioral disturbances
Major and Minor Neurocognitive Disorders Due to Alzheimer's Diagnosis
Criteria - CORRECT ANSWER -1. Criteria for major or mild neurocognitive
disorder is met
,2. Insidious onset and gradual progression in one or more cognitive
domains
Specifiers of Major neurocognitive disorder, probable Alzheimer's -
CORRECT ANSWER -i. Evidence of Alzheimer's genetic mutation via testing
or family history and;
ii. Decline in memory and learning and at least one other cognitive domain
and;
iii. Steadily progressive, gradual decline in cognition, w/o extended
plateaus and;
iv. No evidence of other causative factor
Specifier of Mild neurocognitive disorder, probable Alzheimer's - CORRECT
ANSWER -i. Evidence of Alzheimer's genetic mutation via testing or family
history
i. Decline in memory and learning and at least one other cognitive domain
and;
ii. Steadily progressive, gradual decline in cognition, w/o extended plateaus
and;
iii. No evidence of other causative factor
Genetic mutation of apolipoprotein E4 - CORRECT ANSWER -increases risk
of Alzheimer's
Assessment tools of Major and Minor Neurocognitive Disorders Due to
Alzheimer's - CORRECT ANSWER -Mini-Cog, Memory impairment screen,
mini-mental status exam, general practitioner assessment of cognition,
activities of daily living, functional activities questionnaire.
, Medication used in Major and Minor Neurocognitive Disorders Due to
Alzheimer's - CORRECT ANSWER -a. Cholinesterease inhibitors (Aricept,
Exelon, razadyne)
i. Binds to acetylcholinesterase
b. Memantine- cognitive symptoms
- Binds NMDA, slows calcium influx
Differential for Major and Minor Neurocognitive Disorders Due to
Alzheimer's - CORRECT ANSWER -includes other neurogenerative diseases
or MDD
Major or Mild Neurocognitive Disorders with lewy bodies diagnostic
criteria - CORRECT ANSWER -1. Criteria for major or mild neurocognitive
disorder is met
2. Insidious onset and gradual progression
3. Meets criteria for either probably or possible neurocognitive disorder
w/lewy bodies
Core diagnostic features of Major or Mild Neurocognitive Disorders with
lewy bodies - CORRECT ANSWER -i. Fluctuating cognition w/pronounced
variations in attention and alertness
ii. Recurrent visual hallucinations that are well formed and detailed
iii. Spontaneous features of parkinsonism, w/onset subsequent to
development of cognitive deficits
