NUR 257 FINAL EXAM 2026/2027 | PARKLAND
COLLEGE NURSING STUDY GUIDE, EXAM REVIEW &
PRACTICE QUESTIONS
Chronic, progressive, irreversible cognitive decline. - Correct answer ✔✔ Dementia
Slow onset (months-years). - Correct answer ✔✔ Onset of Dementia
Attention usually intact until late stages. - Correct answer ✔✔ Attention in Dementia
Safety, routine, reorientation early on, validation in late stages, support caregivers. - Correct
answer ✔✔ Nursing care for Dementia
Forgetfulness, difficulty with complex tasks. - Correct answer ✔✔ Stages of Dementia - Mild
Wandering, personality changes, impaired ADLs. - Correct answer ✔✔ Stages of Dementia -
Moderate
Total care, loss of speech, swallowing issues. - Correct answer ✔✔ Stages of Dementia - Severe
Acute, reversible, medical emergency. - Correct answer ✔✔ Delirium
Rapid onset (hours-days). - Correct answer ✔✔ Onset of Delirium
Fluctuating LOC, impaired attention. - Correct answer ✔✔ Symptoms of Delirium
, Infection, meds, dehydration, hypoxia. - Correct answer ✔✔ Causes of Delirium
Treat cause, ensure safety, frequent reorientation, reduce stimuli. - Correct answer ✔✔ Nursing
care for Delirium
Not normal aging. - Correct answer ✔✔ Depression
Gradual onset but can mimic dementia ('pseudodementia'). - Correct answer ✔✔ Onset of
Depression
Screen (PHQ9), encourage activity, medication adherence, suicide assessment. - Correct answer
✔✔ Nursing care for Depression
Orthostatic hypotension, polypharmacy, poor vision, environmental hazards, weakness, gait
issues. - Correct answer ✔✔ Fall risk factors
Nonslip footwear, clear pathways, adequate lighting, assistive devices. - Correct answer ✔✔
Nursing priorities for fall risk
Increased risk of drug-drug interactions, confusion, falls. - Correct answer ✔✔ Polypharmacy
Guideline developed to identify potentially inappropriate medications for older adults. - Correct
answer ✔✔ Beers Criteria
Age-related bone loss → fractures. - Correct answer ✔✔ Osteoporosis
Calcium, vitamin D, weight-bearing exercise, fall prevention. - Correct answer ✔✔ Prevention of
Osteoporosis
COLLEGE NURSING STUDY GUIDE, EXAM REVIEW &
PRACTICE QUESTIONS
Chronic, progressive, irreversible cognitive decline. - Correct answer ✔✔ Dementia
Slow onset (months-years). - Correct answer ✔✔ Onset of Dementia
Attention usually intact until late stages. - Correct answer ✔✔ Attention in Dementia
Safety, routine, reorientation early on, validation in late stages, support caregivers. - Correct
answer ✔✔ Nursing care for Dementia
Forgetfulness, difficulty with complex tasks. - Correct answer ✔✔ Stages of Dementia - Mild
Wandering, personality changes, impaired ADLs. - Correct answer ✔✔ Stages of Dementia -
Moderate
Total care, loss of speech, swallowing issues. - Correct answer ✔✔ Stages of Dementia - Severe
Acute, reversible, medical emergency. - Correct answer ✔✔ Delirium
Rapid onset (hours-days). - Correct answer ✔✔ Onset of Delirium
Fluctuating LOC, impaired attention. - Correct answer ✔✔ Symptoms of Delirium
, Infection, meds, dehydration, hypoxia. - Correct answer ✔✔ Causes of Delirium
Treat cause, ensure safety, frequent reorientation, reduce stimuli. - Correct answer ✔✔ Nursing
care for Delirium
Not normal aging. - Correct answer ✔✔ Depression
Gradual onset but can mimic dementia ('pseudodementia'). - Correct answer ✔✔ Onset of
Depression
Screen (PHQ9), encourage activity, medication adherence, suicide assessment. - Correct answer
✔✔ Nursing care for Depression
Orthostatic hypotension, polypharmacy, poor vision, environmental hazards, weakness, gait
issues. - Correct answer ✔✔ Fall risk factors
Nonslip footwear, clear pathways, adequate lighting, assistive devices. - Correct answer ✔✔
Nursing priorities for fall risk
Increased risk of drug-drug interactions, confusion, falls. - Correct answer ✔✔ Polypharmacy
Guideline developed to identify potentially inappropriate medications for older adults. - Correct
answer ✔✔ Beers Criteria
Age-related bone loss → fractures. - Correct answer ✔✔ Osteoporosis
Calcium, vitamin D, weight-bearing exercise, fall prevention. - Correct answer ✔✔ Prevention of
Osteoporosis
