NURS 317 FINAL EXAM PRACTICE QUESTIONS | COMPLETE NURSING
STUDY GUIDE & EXAM REVIEW 2026/2027
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. - ANS ✔✔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
D. Amnesia, abstract thinking, apraxia, aphasia - ANS ✔✔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 - ANS
✔✔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
C. Unexplained aches & pains
D. Neglecting personal care - ANS ✔✔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 - ANS ✔✔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
D. Experiencing incontinence with a MMSE score of 14 - ANS ✔✔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 - ANS ✔✔A. Severe
Severe stage includes:
- MMSE score of < 9
- difficulty recognizing family or familiar faces
- gait disturbance
- needs 24 hour care and ADL help
What is the term used to describe the energy that flows through medians in the body?
A. Blood flow
B. Orgasm
C. Qi
D. Drugz - ANS ✔✔C. Qi
It can get stuck and requires acupuncture or acupressure to release the "stuck" qi.
Proper flow = health & wellness
Imbalance = disease
Each median corresponds to an organ or group of organs
A non-pharmacologic technique that emphasizes BEING rather than DOING and focuses on one thing in
the present moment is called?
A. Qi
B. Meditation
C. Guided Imagery
D. Cultivating mindfulness - ANS ✔✔B. Meditation
Focuses on one specific thing intentionally & non-judgmentally
its about the PROCESS not the GOAL, its about BEING rather than DOING
A nurse would expect a patient who is delirius to have what kind of onset?
STUDY GUIDE & EXAM REVIEW 2026/2027
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. - ANS ✔✔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
D. Amnesia, abstract thinking, apraxia, aphasia - ANS ✔✔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 - ANS
✔✔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
C. Unexplained aches & pains
D. Neglecting personal care - ANS ✔✔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 - ANS ✔✔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
D. Experiencing incontinence with a MMSE score of 14 - ANS ✔✔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 - ANS ✔✔A. Severe
Severe stage includes:
- MMSE score of < 9
- difficulty recognizing family or familiar faces
- gait disturbance
- needs 24 hour care and ADL help
What is the term used to describe the energy that flows through medians in the body?
A. Blood flow
B. Orgasm
C. Qi
D. Drugz - ANS ✔✔C. Qi
It can get stuck and requires acupuncture or acupressure to release the "stuck" qi.
Proper flow = health & wellness
Imbalance = disease
Each median corresponds to an organ or group of organs
A non-pharmacologic technique that emphasizes BEING rather than DOING and focuses on one thing in
the present moment is called?
A. Qi
B. Meditation
C. Guided Imagery
D. Cultivating mindfulness - ANS ✔✔B. Meditation
Focuses on one specific thing intentionally & non-judgmentally
its about the PROCESS not the GOAL, its about BEING rather than DOING
A nurse would expect a patient who is delirius to have what kind of onset?
