Maryville NURS 623 Exam 4 2026/2027
Practice Questions & Detailed Answers
What is important to note when a patient has traumatic injury - correct answer-If
taking Blood Thinners
Define delirium - correct answer-Underlying acute cause, abrupt onset, hours to
days, reversible, hallucinations, incoherent speech, confusion
Define Dementia - correct answer-Various causes, gradual change with mental
status, months to years, progressive to irreversible (speech, memory, mood,
judgment)
An older adult with delirium would present with what type of behaviors? - correct
answer-Agitation and restlessness
At the onset of alzheimers, what category of medications should be initiated? -
correct answer-Cholinesterase inhibitors
what factors contribute to a patient being high risk for falls? - correct answer-
History of falls
medications
vision impairment
,heart rate/rhythm abnormalities
footwear issues
home environment
gait/mobility issues
poor reflexes
What is the primary reason people have long term effects after a Stroke - correct
answer-living at home and calling PCP instead of 911 leads to prolonged stroke
symptoms and long term effects
S/S of an Absense Seizure - correct answer-Blank stare (upward rotation of eye)
Red Flags of back/neck pain - correct answer-Incontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
Trauma
IV drug abuse
Intense local pain
No comfy Position
Diagnosing of Alzheimer's - correct answer-Impaired ability to learn new info
along with a disturbance in language, function, or perception
, S/S of Alzheimer's - correct answer-*C/O memory problems
* ↑ cognitive difficulty
* ↑ slow response to cognitive challenge
*Word-finding difficulty
* ↑ difficulty with simple tasks
cardinal features of Parkinson's (TRAP)? - correct answer-*T-remor at rest (or pill
rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of? - correct answer-
Parkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the
most concern? - correct answer-It's the worst headache I've ever had
the headache from a subdural hematoma is of venous origin, typically resulting
from ahead injury that is usually mild and easily forgotten by the patient. - correct
answer-Temporal arteritis
s/s of temporal (giant cell) arteritis - correct answer-* unilateral HA (temporal
artery, orbital)
* jaw claudication (pain with chewing)
* temporary blindness
Practice Questions & Detailed Answers
What is important to note when a patient has traumatic injury - correct answer-If
taking Blood Thinners
Define delirium - correct answer-Underlying acute cause, abrupt onset, hours to
days, reversible, hallucinations, incoherent speech, confusion
Define Dementia - correct answer-Various causes, gradual change with mental
status, months to years, progressive to irreversible (speech, memory, mood,
judgment)
An older adult with delirium would present with what type of behaviors? - correct
answer-Agitation and restlessness
At the onset of alzheimers, what category of medications should be initiated? -
correct answer-Cholinesterase inhibitors
what factors contribute to a patient being high risk for falls? - correct answer-
History of falls
medications
vision impairment
,heart rate/rhythm abnormalities
footwear issues
home environment
gait/mobility issues
poor reflexes
What is the primary reason people have long term effects after a Stroke - correct
answer-living at home and calling PCP instead of 911 leads to prolonged stroke
symptoms and long term effects
S/S of an Absense Seizure - correct answer-Blank stare (upward rotation of eye)
Red Flags of back/neck pain - correct answer-Incontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
Trauma
IV drug abuse
Intense local pain
No comfy Position
Diagnosing of Alzheimer's - correct answer-Impaired ability to learn new info
along with a disturbance in language, function, or perception
, S/S of Alzheimer's - correct answer-*C/O memory problems
* ↑ cognitive difficulty
* ↑ slow response to cognitive challenge
*Word-finding difficulty
* ↑ difficulty with simple tasks
cardinal features of Parkinson's (TRAP)? - correct answer-*T-remor at rest (or pill
rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of? - correct answer-
Parkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the
most concern? - correct answer-It's the worst headache I've ever had
the headache from a subdural hematoma is of venous origin, typically resulting
from ahead injury that is usually mild and easily forgotten by the patient. - correct
answer-Temporal arteritis
s/s of temporal (giant cell) arteritis - correct answer-* unilateral HA (temporal
artery, orbital)
* jaw claudication (pain with chewing)
* temporary blindness
