NURS 317 FINAL EXAM
NURS 317 FINAL EXAM PRACTICE QUESTIONS AND ANSWERS GRADED A+
Which patient is exhibiting signs of delirium?
A. A patient at home unable to solve a puzzle
B. A patient in the ICU acting erratic and drowsy
C. A patient in an assisted living facility having difficulty speaking. - correct answer B. Acting erratic and
drowsy
b/c of erratic lucidity & somnolence (drowsiness), also they show disturbance in behavior, orientation,
perception
seen mostly in ICU psychosis
A patient with dementia has cognitive deficits manifested by which conditions?
A. Amnesia, aphagia, apraxia, agnosia
B. Amnesia, aphasia, apraxia, analgesia
C. Amnesia, aphasia, apraxia, agnosia
,NURS 317 FINAL EXAM
D. Amnesia, abstract thinking, apraxia, aphasia - correct answer C. Amnesia, aphasia, apraxia, agnosia
the 4 A's
sometimes abstract thinking
A patient showing signs of agnosia and apraxia would most look like:
A. Have difficulty remembering what they were going to do
B. Have difficulty speaking and swallowing
C. Have difficulty knowing what utensils to use to eat and have difficulty speaking
D. Have difficulty knowing what utensils to use to eat and unable to easily pick up the utensils - correct
answer D. Have difficulty knowing what utensils to use to eat and unable to easily pick up the utensils
B/C
Agnosia --> inability to recognize things
Apraxia --> difficulty with motor movements
Depression in older adults can be seen with all of the following EXCEPT:
A. Sleeping in until noon
B. Anxiety & irritability
,NURS 317 FINAL EXAM
C. Unexplained aches & pains
D. Neglecting personal care - correct answer A. Sleeping in until noon
Although wanting to remain in bed can be a sign of depression, the other 3 are more prevalent in older
adults
All of the following brain changes are seen in the development of Alzheimers EXCEPT:
A. Amyloid plaques & neurofibrillary tangles
B. Dysfunction & gliosis of neuronal cells in the frontal and temporal lobes
C. Reduction in neurotransmitters like acetylcholine
D. Reduction in brain size & weight - correct answer B. Dysfunction & gliosis of neuronal cells in the
frontal and temporal lobes
This is specific to fronto-temporal dementia, the rest are for Alzheimer's
What would you expect from a patient who is in the moderate stage of Alzheimers?
A. MMSE score > 21
B. Having difficulty meal planning and managing their finances
C. Needing 24 hour care and full assistance with ADL's
, NURS 317 FINAL EXAM
D. Experiencing incontinence with a MMSE score of 14 - correct answer D. Experiencing incontinence
with a MMSE score of 14
Moderate stage includes:
- MMSE score of 10-20
- increased confusion
- ADL difficulty
- incontinence around 14 MMSE
- needs help with IADL's
- behavior problems are more evident
- need close observation to maintain safety
A 72 year old patient has a MMSE score of 9, has become unbalanced when walking, and cannot
recognize her children's faces. Which stage of Alzheimer's is she in?
A. Severe
B. Moderate
C. Mild
D. Early - correct answer A. Severe
Severe stage includes:
- MMSE score of < 9
- difficulty recognizing family or familiar faces
- gait disturbance
- needs 24 hour care and ADL help
NURS 317 FINAL EXAM PRACTICE QUESTIONS AND ANSWERS GRADED A+
Which patient is exhibiting signs of delirium?
A. A patient at home unable to solve a puzzle
B. A patient in the ICU acting erratic and drowsy
C. A patient in an assisted living facility having difficulty speaking. - correct answer B. Acting erratic and
drowsy
b/c of erratic lucidity & somnolence (drowsiness), also they show disturbance in behavior, orientation,
perception
seen mostly in ICU psychosis
A patient with dementia has cognitive deficits manifested by which conditions?
A. Amnesia, aphagia, apraxia, agnosia
B. Amnesia, aphasia, apraxia, analgesia
C. Amnesia, aphasia, apraxia, agnosia
,NURS 317 FINAL EXAM
D. Amnesia, abstract thinking, apraxia, aphasia - correct answer C. Amnesia, aphasia, apraxia, agnosia
the 4 A's
sometimes abstract thinking
A patient showing signs of agnosia and apraxia would most look like:
A. Have difficulty remembering what they were going to do
B. Have difficulty speaking and swallowing
C. Have difficulty knowing what utensils to use to eat and have difficulty speaking
D. Have difficulty knowing what utensils to use to eat and unable to easily pick up the utensils - correct
answer D. Have difficulty knowing what utensils to use to eat and unable to easily pick up the utensils
B/C
Agnosia --> inability to recognize things
Apraxia --> difficulty with motor movements
Depression in older adults can be seen with all of the following EXCEPT:
A. Sleeping in until noon
B. Anxiety & irritability
,NURS 317 FINAL EXAM
C. Unexplained aches & pains
D. Neglecting personal care - correct answer A. Sleeping in until noon
Although wanting to remain in bed can be a sign of depression, the other 3 are more prevalent in older
adults
All of the following brain changes are seen in the development of Alzheimers EXCEPT:
A. Amyloid plaques & neurofibrillary tangles
B. Dysfunction & gliosis of neuronal cells in the frontal and temporal lobes
C. Reduction in neurotransmitters like acetylcholine
D. Reduction in brain size & weight - correct answer B. Dysfunction & gliosis of neuronal cells in the
frontal and temporal lobes
This is specific to fronto-temporal dementia, the rest are for Alzheimer's
What would you expect from a patient who is in the moderate stage of Alzheimers?
A. MMSE score > 21
B. Having difficulty meal planning and managing their finances
C. Needing 24 hour care and full assistance with ADL's
, NURS 317 FINAL EXAM
D. Experiencing incontinence with a MMSE score of 14 - correct answer D. Experiencing incontinence
with a MMSE score of 14
Moderate stage includes:
- MMSE score of 10-20
- increased confusion
- ADL difficulty
- incontinence around 14 MMSE
- needs help with IADL's
- behavior problems are more evident
- need close observation to maintain safety
A 72 year old patient has a MMSE score of 9, has become unbalanced when walking, and cannot
recognize her children's faces. Which stage of Alzheimer's is she in?
A. Severe
B. Moderate
C. Mild
D. Early - correct answer A. Severe
Severe stage includes:
- MMSE score of < 9
- difficulty recognizing family or familiar faces
- gait disturbance
- needs 24 hour care and ADL help
