Questions & Answers (Rasmussen) 100%
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SECTION 1: NEUROLOGICAL DISORDERS –
ALZHEIMER'S DISEASE & DEMENTIA
1. A nurse is caring for a client with Alzheimer's disease who is in the
moderate stage. Which finding is MOST consistent with this stage of
the disease?
A) Complete dependence on ADLs and loss of verbal skills
B) Disorientation to time, place, and event with difficulty handling finances
C) Forgetting names and misplacing household objects
D) Loss of mobility and development of tremors
*B) Disorientation to time, place, and event with difficulty handling
finances *
Rationale: In the moderate stage of Alzheimer's disease, clients demonstrate
disorientation to time, place, and events, along with difficulty handling
money or finances. They may also be depressed or agitated and have
visuospatial deficits. The mild stage includes forgetting names and misplacing
objects (Option C). The severe stage includes complete ADL dependence, loss
of mobility, and verbal skills (Option A). Reference: NUR 2755 MDC IV
Module 1; Alzheimer's Association Guidelines .
2. The nurse is providing safety education to the family of a client with
Alzheimer's disease. Which instruction is MOST important?
,A) "Encourage the client to drive independently to maintain autonomy."
B) "Remove throw rugs and dangerous objects from the environment."
C) "Keep the environment unstructured to promote flexibility."
D) "Allow the client to use the stove unattended."
*B) "Remove throw rugs and dangerous objects from the
environment."
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NUR 2755 MDC IV Exam 1 – (2026) Actual
Questions & Answers (Rasmussen)
SECTION 1: DEMENTIA AND ALZHEIMER'S DISEASE
1. A nurse is caring for a client with Alzheimer's disease who is in the
moderate stage. Which finding is MOST consistent with this stage of
the disease?
A) Complete dependence on ADLs and loss of verbal skills
B) Disorientation to time, place, and event with difficulty handling finances
C) Forgetting names and misplacing household objects
D) Loss of mobility and development of tremors
*B) Disorientation to time, place, and event with difficulty handling
finances *
,Rationale: In the moderate stage of Alzheimer's disease, clients demonstrate
disorientation to time, place, and events, along with difficulty handling
money or finances. They may also be depressed or agitated and have
visuospatial deficits. The mild stage includes forgetting names and misplacing
objects (Option C). The severe stage includes complete ADL dependence, loss
of mobility, and verbal skills (Option A) .
2. The nurse is providing safety education to the family of a client with
Alzheimer's disease. Which instruction is MOST important?
A) "Encourage the client to drive independently to maintain autonomy."
B) "Remove throw rugs and dangerous objects from the environment."
C) "Keep the environment unstructured to promote flexibility."
D) "Allow the client to use the stove unattended."
*B) "Remove throw rugs and dangerous objects from the
environment." *
Rationale: Safety is the priority for clients with Alzheimer's disease. The nurse
should instruct the family to remove throw rugs and dangerous objects to
prevent falls and injury. Clients with Alzheimer's should not drive (Option A)
due to safety risks. A structured, consistent environment (Option C) reduces
confusion. Stoves should not be used unattended (Option D) due to fire risk .
3. A client with Alzheimer's disease is wandering into other clients'
rooms. What is the nurse's best initial intervention?
, A) Apply physical restraints
B) Redirect the client to a safe, supervised activity
C) Administer a sedative medication
D) Lock the client in their room
*B) Redirect the client to a safe, supervised activity *
Rationale: The nurse should first redirect the client to a safe, supervised
activity such as a walk or structured task. Restraints (Option A) and sedation
(Option C) are last resorts. Locking the client in their room (Option D) is a
form of false imprisonment. Validation and redirection are the least restrictive
and most therapeutic interventions .
4. A client with Alzheimer's disease has progressed to the late stage.
Which finding would the nurse expect?
A) Independent in all ADLs
B) Loss of facial recognition and mobility
C) Episodes of wandering and incontinence
D) Difficulty managing finances and disorientation
*B) Loss of facial recognition and mobility *
Rationale: In the late stage, clients are dependent in all ADLs, incapacitated,
and experience loss of facial recognition and mobility. Wandering and
incontinence are characteristic of the middle stage. Difficulty managing
finances and disorientation are characteristic of the moderate stage .