NURS 1200 Exam 1-NCLEX Questions
With Complete Solutions.
The spouse of a client with Alzheimer disease does not understand why the client developed the
disorder because no one else in the family has the health problem. Which response by the nurse is
appropriate?
A) Alzheimer disease develops because of smoking and alcohol intake
B) Someone in your family must not have been correctly diagnosed with the disorder
C) There are genetic and environmental factors in the development of Alzheimer disease
D) Alzheimer disease does not have the same course in every individual - Answer C) There are genetic
and environmental factors in the development of Alzheimer disease
**Researchers are not sure why most cases of Alzheimer disease (AD) arise, although a variety of genetic
and environmental factors appear to be involved. Alzheimer disease is not directly linked to smoking and
alcohol intake. It is inappropriate to assume that other family members had the disorder but were
misdiagnosed. Alzheimer disease has a predictable course with distinct phases or stages.
A nurse is caring for a client with Alzheimer disease (AD) who has receptive aphasia. Which area of the
brain is likely damaged from AD?
A) Temporal lobe
B) Limbic system
C) Frontal Lobe
D) Occipital lobe - Answer A) Temporal lobe
**Damage to the client's temporal lobe causes receptive aphasia. Damage to the limbic system
manifests as loss of memory, fluctuating emotions, depression, and difficulty learning new things.
Damage to the frontal lobe manifests as problems with intentional movement, fluctuating emotions, and
loss of the ability to walk. Frontal lobe damage causes loss of the ability to talk and the ability to swallow.
Damage to the occipital lobe results in loss of reading comprehension and hallucinations.
A nurse is providing a series of educational workshops for caregivers of clients enrolled in an Alzheimer
day treatment program. Which would be appropriate topics for this group? Select all that apply.
A) Support service information
B) Caregiver stress relief
C) Methods for curing the disease
, D) Safety Precautions
E) Understanding dementia behaviors - Answer A, B, D, E
**It is important for caregivers to learn about expected behavioral changes. Caregivers need ways to
help relieve stress, such as talking to friends or family, exercising, meditating, or praying. Top unmet
needs of caregivers include keeping care recipients safe at home. It is also important to find other local
support services. Although there is no known cure for Alzheimer's, there are options for its
management.
The nurse plans a class about Alzheimer's disease for a caregiver support group. Which should the nurse
include when teaching this class of caregivers? Select all that apply.
A) Chronic inflammation of the brain may be a cause of the disease
B)Alzheimer disease accounts for about 70% of all dementias
C) Memory difficulties are an early symptom of the disease
D) Glutamatergic inhibitors are the most common class of drugs for treating Alzheimer disease
E) Depression and aggressive behavior are common with the disease - Answer A, B, C, E
**Memory difficulties are an early symptom of Alzheimer disease. It is suspected that chronic
inflammation and excess free radicals may cause neuron damage, which contributes to the disease.
Depression and aggressive behavior are common symptoms of the disease. Alzheimer disease accounts
for about 70% of all dementias. The acetylcholinesterase inhibitors, not the glutamatergic inhibitors, are
the most widely used class of drugs for treating the disease.
The client's family says, "We don't understand what is happening to Dad. He becomes very agitated in
the evenings, cussing like a sailor." When responding to the family, which phenomenon will the nurse
include?
A) Psychosis
B) Sundown syndrome
C) Delirium
D) Anxiety - Answer B) Sundown syndrome
**Sundown syndrome, or sundowning, is understood as confused behavior when the environmental
stimulation is low. It is seen in clients with delirium and dementia who are institutionalized. The client
can become increasingly agitated, disoriented, or even aggressive/paranoid or impulsive and emotional
later in the day and at night. Delirium is a rapid-onset type of confusion. Anxiety does not come and go;
it is a state of mind. Psychosis is a mental disorder, and this client is not exhibiting signs of psychosis.
With Complete Solutions.
The spouse of a client with Alzheimer disease does not understand why the client developed the
disorder because no one else in the family has the health problem. Which response by the nurse is
appropriate?
A) Alzheimer disease develops because of smoking and alcohol intake
B) Someone in your family must not have been correctly diagnosed with the disorder
C) There are genetic and environmental factors in the development of Alzheimer disease
D) Alzheimer disease does not have the same course in every individual - Answer C) There are genetic
and environmental factors in the development of Alzheimer disease
**Researchers are not sure why most cases of Alzheimer disease (AD) arise, although a variety of genetic
and environmental factors appear to be involved. Alzheimer disease is not directly linked to smoking and
alcohol intake. It is inappropriate to assume that other family members had the disorder but were
misdiagnosed. Alzheimer disease has a predictable course with distinct phases or stages.
A nurse is caring for a client with Alzheimer disease (AD) who has receptive aphasia. Which area of the
brain is likely damaged from AD?
A) Temporal lobe
B) Limbic system
C) Frontal Lobe
D) Occipital lobe - Answer A) Temporal lobe
**Damage to the client's temporal lobe causes receptive aphasia. Damage to the limbic system
manifests as loss of memory, fluctuating emotions, depression, and difficulty learning new things.
Damage to the frontal lobe manifests as problems with intentional movement, fluctuating emotions, and
loss of the ability to walk. Frontal lobe damage causes loss of the ability to talk and the ability to swallow.
Damage to the occipital lobe results in loss of reading comprehension and hallucinations.
A nurse is providing a series of educational workshops for caregivers of clients enrolled in an Alzheimer
day treatment program. Which would be appropriate topics for this group? Select all that apply.
A) Support service information
B) Caregiver stress relief
C) Methods for curing the disease
, D) Safety Precautions
E) Understanding dementia behaviors - Answer A, B, D, E
**It is important for caregivers to learn about expected behavioral changes. Caregivers need ways to
help relieve stress, such as talking to friends or family, exercising, meditating, or praying. Top unmet
needs of caregivers include keeping care recipients safe at home. It is also important to find other local
support services. Although there is no known cure for Alzheimer's, there are options for its
management.
The nurse plans a class about Alzheimer's disease for a caregiver support group. Which should the nurse
include when teaching this class of caregivers? Select all that apply.
A) Chronic inflammation of the brain may be a cause of the disease
B)Alzheimer disease accounts for about 70% of all dementias
C) Memory difficulties are an early symptom of the disease
D) Glutamatergic inhibitors are the most common class of drugs for treating Alzheimer disease
E) Depression and aggressive behavior are common with the disease - Answer A, B, C, E
**Memory difficulties are an early symptom of Alzheimer disease. It is suspected that chronic
inflammation and excess free radicals may cause neuron damage, which contributes to the disease.
Depression and aggressive behavior are common symptoms of the disease. Alzheimer disease accounts
for about 70% of all dementias. The acetylcholinesterase inhibitors, not the glutamatergic inhibitors, are
the most widely used class of drugs for treating the disease.
The client's family says, "We don't understand what is happening to Dad. He becomes very agitated in
the evenings, cussing like a sailor." When responding to the family, which phenomenon will the nurse
include?
A) Psychosis
B) Sundown syndrome
C) Delirium
D) Anxiety - Answer B) Sundown syndrome
**Sundown syndrome, or sundowning, is understood as confused behavior when the environmental
stimulation is low. It is seen in clients with delirium and dementia who are institutionalized. The client
can become increasingly agitated, disoriented, or even aggressive/paranoid or impulsive and emotional
later in the day and at night. Delirium is a rapid-onset type of confusion. Anxiety does not come and go;
it is a state of mind. Psychosis is a mental disorder, and this client is not exhibiting signs of psychosis.
