NUR 104 EXAM EXCELSIOR COLLEGE
2025/2026 WITH ALL 114 QUESTIONS AND
CORRECT ANSWERS GRADED A
1. The Nurse Is Gathering Data From A Client Suspected Of Early Dementia.
Which Finding Shows Impairment In Abstract Thinking And Reasoning?
A. The Client Can't Repeat A Sentence.
B. The Client Has Difficulty Calculating Simple Problems.
C. The Client Doesn't Know The Name Of The President Of The United States.
D. The Client Can't Find Similarities And Differences Between Related Words Or
Objects.
D. The Client Can't Find Similarities And Differences Between Related Words Or
Objects.
2. A Nurse Is Caring For A Client Diagnosed With Depression. Which Short-
Term Goal Should The Nurse Focus On For A Client Who Makes Statements
About Not Deserving Things?
A. Identify Distorted Thoughts.
B. Describe Self-Care Patterns.
C. Discuss Family Relationships.
D. Explore Communications Skills.
A. Identify Distorted Thoughts.
3. Which Nursing Intervention Would Help A Client Diagnosed With
Alzheimer's Disease (Ad) Perform Activities Of Daily Living?
A. Urge The Client To Perform All Basic Care Without Help
B. Tell The Client That Morning Care Must Be Done By 9 A.M.
C. Give The Client A Written List Of Activities He's Expected To Do
D. Provide Ample Time For The Client To Complete Basic Tasks
D. Provide Ample Time For The Client To Complete Basic Tasks
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, 4. A Charge Nurse Asks Another Nurse To Care For A Client Who Has Been
Diagnosed With Creutzfeldt-Jakob Disease. The Other Nurse Has Had Little
Experience Caring For Clients With This Disorder And Is Anxious. How
Should The Nurse Approach This Assignment?
A. Refuse The Assignment Because The Nurse Isn't Qualified To Care For This Kind
Of Client.
B. Refuse The Assignment Because It's Out Of The Scope Of Practice.
C. Accept The Assignment, But Explain The Nurse Will Need Support To Gain
Experience.
D. Refuse The Assignment And Tell The Charge Nurse That Doing So Is In The
Client's Best Interests.
C. Accept The Assignment, But Explain The Nurse Will Need Support To Gain
Experience.
5. The Nurse Is Collecting Data For A Client Diagnosed With A Dementia
Disorder. Which Factor Is Most Important For The Nurse To Determine When
Collecting Data For This Diagnosis?
A. Prognosis
B. Genetic Information
C. Degree Of Impairment
D. Implications For Treatment
C. Degree Of Impairment
6. A Client Exhibits Signs Of Dementia. Which Condition, That Can Cause A
Dementia Similar To Alzheimer's Disease (Ad), Is Reversible?
A. Multiple Sclerosis
B. Electrolyte Imbalance
C. Multiple Small Brain Infarctions
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,D. Human Immunodeficiency Virus Infection (Hiv)
B. Electrolyte Imbalance
7. While Shopping, A Nurse Meets A Neighbor Who Asks About A Friend
Receiving Treatment At The Nurse's Clinic. What Is The Nurse's Most
Appropriate Response?
A. "I'm Sorry, I Can't Disclose Client Information."
B. "It Might Be Best If You Discuss This With The Client Directly."
C. "You Should Probably Try To Call Your Friend For An Update."
D. "I Can Only Say Your Friend Is Stable And Seems To Be Doing Well."
A. "I'm Sorry, I Can't Disclose Client Information."
8. A Man Found Wandering In A Local Park Is Unable To State Who Or Where
He Is Or Where He Lives. He Is Brought To The Emergency Department,
Where His Identification Is Eventually Discovered. The Client's Wife States
That He Was Diagnosed With Alzheimer's Disease 3 Years Ago And Has
Had Increasing Memory Loss. She Tells The Nurse She Is Worried About How
She'll Continue To Care For Him. Which Response By The Nurse Would Be
Most Helpful?
A. "Because Of The Nature Of Your Husband's Disease, You Should Start Looking
Into Nursing Homes For Him."
B. "What Aspect Of Caring For Your Husband Is Causing You The Greatest
Concern?"
C. "You May Benefit From A Support Group Called Mates Of Alzheimer's Disease
Clients."
D. "Do You Have Any Children Or Friends Who Could Give You A Break From His
Care Every Now And Then?"
B. "What Aspect Of Caring For Your Husband Is Causing You The Greatest
Concern?"
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, 9. A Nurse Is Caring For An Older Adult Client Who Exhibits Signs Of
Dementia. When Assisting With The Development Of The Client’s Plan Of
Care, The Nurse Incorporates Understanding That Which Condition Is The
Most Common Cause Of Dementia?
A. Delirium
B. Unhealthy Diet
C. Excessive Drug Use
D. Alzheimer’s Disease
D. Alzheimer's Disease
10. The Nurse Is Caring For A Client Who Has Been Diagnosed With Delirium.
Which Of The Following Is Characteristic Of Delirium?
A. Acute Onset And Lasts About 1 Month
B. Slowly Evolving Onset And Lasts About 1 Week
C. Slowly Evolving Onset And Lasts About 1 Month
D. Acute Onset And Lasts Hours To A Number Of Days
D. Acute Onset And Lasts Hours To A Number Of Days
11. A Nurse Is Caring For A Client Who States, “I Can’t Keep Living Like This. I
Just Want To End It All.” What Is The Nurse’s Best Response?
A. “Do You Plan To Harm Yourself?”
B. “Do You Always Feel This Way?”
C. “Are You Depressed?”
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2025/2026 WITH ALL 114 QUESTIONS AND
CORRECT ANSWERS GRADED A
1. The Nurse Is Gathering Data From A Client Suspected Of Early Dementia.
Which Finding Shows Impairment In Abstract Thinking And Reasoning?
A. The Client Can't Repeat A Sentence.
B. The Client Has Difficulty Calculating Simple Problems.
C. The Client Doesn't Know The Name Of The President Of The United States.
D. The Client Can't Find Similarities And Differences Between Related Words Or
Objects.
D. The Client Can't Find Similarities And Differences Between Related Words Or
Objects.
2. A Nurse Is Caring For A Client Diagnosed With Depression. Which Short-
Term Goal Should The Nurse Focus On For A Client Who Makes Statements
About Not Deserving Things?
A. Identify Distorted Thoughts.
B. Describe Self-Care Patterns.
C. Discuss Family Relationships.
D. Explore Communications Skills.
A. Identify Distorted Thoughts.
3. Which Nursing Intervention Would Help A Client Diagnosed With
Alzheimer's Disease (Ad) Perform Activities Of Daily Living?
A. Urge The Client To Perform All Basic Care Without Help
B. Tell The Client That Morning Care Must Be Done By 9 A.M.
C. Give The Client A Written List Of Activities He's Expected To Do
D. Provide Ample Time For The Client To Complete Basic Tasks
D. Provide Ample Time For The Client To Complete Basic Tasks
1|Page
, 4. A Charge Nurse Asks Another Nurse To Care For A Client Who Has Been
Diagnosed With Creutzfeldt-Jakob Disease. The Other Nurse Has Had Little
Experience Caring For Clients With This Disorder And Is Anxious. How
Should The Nurse Approach This Assignment?
A. Refuse The Assignment Because The Nurse Isn't Qualified To Care For This Kind
Of Client.
B. Refuse The Assignment Because It's Out Of The Scope Of Practice.
C. Accept The Assignment, But Explain The Nurse Will Need Support To Gain
Experience.
D. Refuse The Assignment And Tell The Charge Nurse That Doing So Is In The
Client's Best Interests.
C. Accept The Assignment, But Explain The Nurse Will Need Support To Gain
Experience.
5. The Nurse Is Collecting Data For A Client Diagnosed With A Dementia
Disorder. Which Factor Is Most Important For The Nurse To Determine When
Collecting Data For This Diagnosis?
A. Prognosis
B. Genetic Information
C. Degree Of Impairment
D. Implications For Treatment
C. Degree Of Impairment
6. A Client Exhibits Signs Of Dementia. Which Condition, That Can Cause A
Dementia Similar To Alzheimer's Disease (Ad), Is Reversible?
A. Multiple Sclerosis
B. Electrolyte Imbalance
C. Multiple Small Brain Infarctions
2|Page
,D. Human Immunodeficiency Virus Infection (Hiv)
B. Electrolyte Imbalance
7. While Shopping, A Nurse Meets A Neighbor Who Asks About A Friend
Receiving Treatment At The Nurse's Clinic. What Is The Nurse's Most
Appropriate Response?
A. "I'm Sorry, I Can't Disclose Client Information."
B. "It Might Be Best If You Discuss This With The Client Directly."
C. "You Should Probably Try To Call Your Friend For An Update."
D. "I Can Only Say Your Friend Is Stable And Seems To Be Doing Well."
A. "I'm Sorry, I Can't Disclose Client Information."
8. A Man Found Wandering In A Local Park Is Unable To State Who Or Where
He Is Or Where He Lives. He Is Brought To The Emergency Department,
Where His Identification Is Eventually Discovered. The Client's Wife States
That He Was Diagnosed With Alzheimer's Disease 3 Years Ago And Has
Had Increasing Memory Loss. She Tells The Nurse She Is Worried About How
She'll Continue To Care For Him. Which Response By The Nurse Would Be
Most Helpful?
A. "Because Of The Nature Of Your Husband's Disease, You Should Start Looking
Into Nursing Homes For Him."
B. "What Aspect Of Caring For Your Husband Is Causing You The Greatest
Concern?"
C. "You May Benefit From A Support Group Called Mates Of Alzheimer's Disease
Clients."
D. "Do You Have Any Children Or Friends Who Could Give You A Break From His
Care Every Now And Then?"
B. "What Aspect Of Caring For Your Husband Is Causing You The Greatest
Concern?"
3|Page
, 9. A Nurse Is Caring For An Older Adult Client Who Exhibits Signs Of
Dementia. When Assisting With The Development Of The Client’s Plan Of
Care, The Nurse Incorporates Understanding That Which Condition Is The
Most Common Cause Of Dementia?
A. Delirium
B. Unhealthy Diet
C. Excessive Drug Use
D. Alzheimer’s Disease
D. Alzheimer's Disease
10. The Nurse Is Caring For A Client Who Has Been Diagnosed With Delirium.
Which Of The Following Is Characteristic Of Delirium?
A. Acute Onset And Lasts About 1 Month
B. Slowly Evolving Onset And Lasts About 1 Week
C. Slowly Evolving Onset And Lasts About 1 Month
D. Acute Onset And Lasts Hours To A Number Of Days
D. Acute Onset And Lasts Hours To A Number Of Days
11. A Nurse Is Caring For A Client Who States, “I Can’t Keep Living Like This. I
Just Want To End It All.” What Is The Nurse’s Best Response?
A. “Do You Plan To Harm Yourself?”
B. “Do You Always Feel This Way?”
C. “Are You Depressed?”
4|Page
