,NUR 2755 Exam 1 Multidimensional Care IV Questions And Answers
2026/2027 Rasmussen
Q1.
Which characteristic is most consistent with Alzheimer disease?
A) Chronic, progressive cognitive decline
B) Sudden onset with complete recovery
C) Reversible loss of consciousness
D) Isolated motor weakness
Correct Answer: A) Chronic, progressive cognitive decline
Rationale: Alzheimer disease is a progressive neurodegenerative disorder
characterized by worsening cognitive and functional impairment.
Q2.
A client with early Alzheimer disease asks the same question
repeatedly. Which nursing response is most appropriate?
A) “I have already answered that question.”
B) “You need to remember what I told you.”
C) Calmly provide the information again and maintain a consistent routine.
D) Tell the client to stop asking questions.
Correct Answer: C) Calmly provide the information again and maintain a
consistent routine.
Rationale: Repetition, calm communication, and predictable routines can
reduce anxiety and support clients with dementia.
Q3.
Which intervention is most appropriate for maintaining safety in a
client with moderate Alzheimer disease?
A) Remove environmental hazards and maintain a predictable environment
B) Frequently rearrange furniture
C) Encourage unsupervised wandering
D) Restrict all activity
Correct Answer: A) Remove environmental hazards and maintain a
predictable environment
Rationale: A familiar, safe environment reduces falls, wandering-related
injury, and confusion.
Q4.
A client with dementia says, “I need to go home because my mother
is waiting for me.” Which response demonstrates validation
, therapy?
A) “Your mother died years ago.”
B) “You are confused. You need to stay here.”
C) “You miss your mother and want to be with her.”
D) “You need to remember that this is your home now.”
Correct Answer: C) “You miss your mother and want to be with her.”
Rationale: Validation acknowledges the client's feelings and perceived
reality rather than directly confronting or correcting the belief.
Q5.
Which intervention is most appropriate for a client with Alzheimer
disease who becomes increasingly confused in the evening?
A) Maintain a consistent routine and reduce environmental stimulation
B) Move the client to a new room every evening
C) Encourage prolonged daytime sleeping
D) Turn on bright lights throughout the night
Correct Answer: A) Maintain a consistent routine and reduce environmental
stimulation
Rationale: Consistency and reduced stimulation can help decrease evening
confusion and agitation.
Q6.
Which issue is especially important for caregivers of clients with
progressive dementia?
A) Caregiver stress and exhaustion
B) Increased muscle strength
C) Improved independent medication management
D) Reduced need for supervision
Correct Answer: A) Caregiver stress and exhaustion
Rationale: Dementia caregiving can be physically and emotionally
demanding. Support and respite resources can reduce caregiver burden.
Q7.
Which statement about Alzheimer disease is accurate?
A) It is usually rapidly reversible.
B) It is a progressive degenerative disorder.
C) It affects only motor function.
D) It has no effect on activities of daily living.
2026/2027 Rasmussen
Q1.
Which characteristic is most consistent with Alzheimer disease?
A) Chronic, progressive cognitive decline
B) Sudden onset with complete recovery
C) Reversible loss of consciousness
D) Isolated motor weakness
Correct Answer: A) Chronic, progressive cognitive decline
Rationale: Alzheimer disease is a progressive neurodegenerative disorder
characterized by worsening cognitive and functional impairment.
Q2.
A client with early Alzheimer disease asks the same question
repeatedly. Which nursing response is most appropriate?
A) “I have already answered that question.”
B) “You need to remember what I told you.”
C) Calmly provide the information again and maintain a consistent routine.
D) Tell the client to stop asking questions.
Correct Answer: C) Calmly provide the information again and maintain a
consistent routine.
Rationale: Repetition, calm communication, and predictable routines can
reduce anxiety and support clients with dementia.
Q3.
Which intervention is most appropriate for maintaining safety in a
client with moderate Alzheimer disease?
A) Remove environmental hazards and maintain a predictable environment
B) Frequently rearrange furniture
C) Encourage unsupervised wandering
D) Restrict all activity
Correct Answer: A) Remove environmental hazards and maintain a
predictable environment
Rationale: A familiar, safe environment reduces falls, wandering-related
injury, and confusion.
Q4.
A client with dementia says, “I need to go home because my mother
is waiting for me.” Which response demonstrates validation
, therapy?
A) “Your mother died years ago.”
B) “You are confused. You need to stay here.”
C) “You miss your mother and want to be with her.”
D) “You need to remember that this is your home now.”
Correct Answer: C) “You miss your mother and want to be with her.”
Rationale: Validation acknowledges the client's feelings and perceived
reality rather than directly confronting or correcting the belief.
Q5.
Which intervention is most appropriate for a client with Alzheimer
disease who becomes increasingly confused in the evening?
A) Maintain a consistent routine and reduce environmental stimulation
B) Move the client to a new room every evening
C) Encourage prolonged daytime sleeping
D) Turn on bright lights throughout the night
Correct Answer: A) Maintain a consistent routine and reduce environmental
stimulation
Rationale: Consistency and reduced stimulation can help decrease evening
confusion and agitation.
Q6.
Which issue is especially important for caregivers of clients with
progressive dementia?
A) Caregiver stress and exhaustion
B) Increased muscle strength
C) Improved independent medication management
D) Reduced need for supervision
Correct Answer: A) Caregiver stress and exhaustion
Rationale: Dementia caregiving can be physically and emotionally
demanding. Support and respite resources can reduce caregiver burden.
Q7.
Which statement about Alzheimer disease is accurate?
A) It is usually rapidly reversible.
B) It is a progressive degenerative disorder.
C) It affects only motor function.
D) It has no effect on activities of daily living.
