• NURS 5461 Exam 09/13/2026
NURS 5461 Quiz UPDATED ACTUAL Exam
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. Which of the following is a priority nursing intervention for the management of delirium?
A) Giving the client low-dose oxygenation and maintaining his or her fluid and electrolyte balance
B) Reducing noise and placing familiar objects in the client's environment
C) Giving the client a clock, a watch, and calendars to provide the client with temporal orientation
D) Providing psychological support through cognitive and social stimulation - Correct Answer :Ans: A
P 1
, • NURS 5461 Exam 09/13/2026
Priority questions address physiologic integrity. The client needs to be stabilized before the other interventions
can be implemented
2. A nurse is conducting a class at a senior citizens' center on factors that protect against dementia. Which of the
following statements by an older adult in the class indicates a need for further teaching by the nurse?
A) "No healthy lifestyle is going to ward off dementia."
B) "Eating food high in omega-3 fatty acids will help preserve my thinking processes."
C) "Engaging in social activities will help prevent dementia."
D) "Engaging in an organized exercise program will help prevent symptoms of dementia." - Correct Answer
:Ans: A
Engaging in regular exercise has a positive effect on preventing cognitive decline. Omega-3 fatty acids are
nutritional interventions that help preserve cognition. There is evidence that engaging in stimulating and
meaningful activities also has a positive effect on preventing cognitive decline. Adopting a healthy lifestyle may
help ward off dementia just as it does other diseases
3. A nurse teaches a client and care partner about cholinesterase inhibitors. Which of the following statements
should the nurse include in the teaching?
A) "Rivastigmine (Exelon) has a high chance of interacting with other medications."
B) "Nausea, vomiting, diarrhea, and loss of appetite can be prevented or reduced by starting with a low dose."
C) "Rivastigmine is only for treatment of mild Alzheimer's disease and will be discontinued as the disease
progresses."
D) "You should have a 'drug holiday' monthly to improve the medication's functioning." - Correct Answer :Ans:
B
P 2
, • NURS 5461 Exam 09/13/2026
When administering medications to older adults, it is imperative to start with lower doses and increase the doses
slowly. Exelon is less likely to interact with other drugs and may be safer and better tolerated in people. It will
continue and other medications may be added. The effectiveness of cholinesterase inhibitors is diminished
significantly if it is stopped and then restarted
4. Which of the following are examples of appropriate communication techniques for dealing effectively with
people with dementia?
A) Ask open-ended questions so the person feels he or she can make choices.
B) For people in the later stages of Alzheimer disease, talk as you would to a child.
C) Maintain good eye contact and use a relaxed and smiling approach.
D) When the person forgets something, remind him or her not to forget next time - Correct Answer :Ans: C
To facilitate communication with people who have dementia, the nurse uses a relaxed and smiling approach. The
nurse should avoid infantilization of the older adult and not emphasize the person's memory or cognitive deficits
5. A nurse develops a plan to addressing dementia-related behaviors in an older adult with dementia. Which of
the following interventions should be included in this plan? (Select all that apply.)
A) Maintain a clutter-free environment.
B) Implement regular rest periods.
C) Place pictures of familiar people in very visible places.
D) Lay out clothing in the order in which the items are to be donned.
P 3
, • NURS 5461 Exam 09/13/2026
E) Test the client's memory with each conversation - Correct Answer :Ans: A, B, C, D
Implement regular rest periods to compensate for fatigue and loss of reserve energy. Use simple pictures and
place pictures of familiar individuals in visible areas. Keep the environment free of clutter and place dangerous
substances in an inaccessible area. Avoid persistent testing of memory
6. An 80-year-old client was referred to a neurologist after several months of worsening cognitive deficits and
has subsequently been diagnosed with Alzheimer disease. Which statement by the nurse to the client's family
demonstrates appropriate use of terminology?
A) "It's very difficult and stressful when a loved one becomes senile."
B) "Even though your parent is demented, we will do all we can to promote his quality of life."
C) "This form of organic brain syndrome is a common health problem in the ninth decade of life."
D) "We always try our best to foster wellness in persons who have dementia." - Correct Answer :Ans: D
Nurses can use phrases such as "a person with dementia" or a "person with a dementing illness" to accurately
refer to the medical syndrome of impaired cognitive function while avoiding pejorative connotations associated
with describing older adults as "demented." The terms "senile" and "organic brain syndrome" are no longer in
use.
7. A client was diagnosed 3 years ago with a cognitive impairment, a condition that worsened over the next
several months and which culminated in his recent death. An autopsy revealed numerous infarcted brain regions
resulting from vessel occlusions. This client most likely suffered from which type of dementia?
A) Alzheimer disease
B) Vascular dementia
C) Lewy body dementia
D) Frontotemporal degeneration - Correct Answer :Ans: B
P 4
NURS 5461 Quiz UPDATED ACTUAL Exam
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. Which of the following is a priority nursing intervention for the management of delirium?
A) Giving the client low-dose oxygenation and maintaining his or her fluid and electrolyte balance
B) Reducing noise and placing familiar objects in the client's environment
C) Giving the client a clock, a watch, and calendars to provide the client with temporal orientation
D) Providing psychological support through cognitive and social stimulation - Correct Answer :Ans: A
P 1
, • NURS 5461 Exam 09/13/2026
Priority questions address physiologic integrity. The client needs to be stabilized before the other interventions
can be implemented
2. A nurse is conducting a class at a senior citizens' center on factors that protect against dementia. Which of the
following statements by an older adult in the class indicates a need for further teaching by the nurse?
A) "No healthy lifestyle is going to ward off dementia."
B) "Eating food high in omega-3 fatty acids will help preserve my thinking processes."
C) "Engaging in social activities will help prevent dementia."
D) "Engaging in an organized exercise program will help prevent symptoms of dementia." - Correct Answer
:Ans: A
Engaging in regular exercise has a positive effect on preventing cognitive decline. Omega-3 fatty acids are
nutritional interventions that help preserve cognition. There is evidence that engaging in stimulating and
meaningful activities also has a positive effect on preventing cognitive decline. Adopting a healthy lifestyle may
help ward off dementia just as it does other diseases
3. A nurse teaches a client and care partner about cholinesterase inhibitors. Which of the following statements
should the nurse include in the teaching?
A) "Rivastigmine (Exelon) has a high chance of interacting with other medications."
B) "Nausea, vomiting, diarrhea, and loss of appetite can be prevented or reduced by starting with a low dose."
C) "Rivastigmine is only for treatment of mild Alzheimer's disease and will be discontinued as the disease
progresses."
D) "You should have a 'drug holiday' monthly to improve the medication's functioning." - Correct Answer :Ans:
B
P 2
, • NURS 5461 Exam 09/13/2026
When administering medications to older adults, it is imperative to start with lower doses and increase the doses
slowly. Exelon is less likely to interact with other drugs and may be safer and better tolerated in people. It will
continue and other medications may be added. The effectiveness of cholinesterase inhibitors is diminished
significantly if it is stopped and then restarted
4. Which of the following are examples of appropriate communication techniques for dealing effectively with
people with dementia?
A) Ask open-ended questions so the person feels he or she can make choices.
B) For people in the later stages of Alzheimer disease, talk as you would to a child.
C) Maintain good eye contact and use a relaxed and smiling approach.
D) When the person forgets something, remind him or her not to forget next time - Correct Answer :Ans: C
To facilitate communication with people who have dementia, the nurse uses a relaxed and smiling approach. The
nurse should avoid infantilization of the older adult and not emphasize the person's memory or cognitive deficits
5. A nurse develops a plan to addressing dementia-related behaviors in an older adult with dementia. Which of
the following interventions should be included in this plan? (Select all that apply.)
A) Maintain a clutter-free environment.
B) Implement regular rest periods.
C) Place pictures of familiar people in very visible places.
D) Lay out clothing in the order in which the items are to be donned.
P 3
, • NURS 5461 Exam 09/13/2026
E) Test the client's memory with each conversation - Correct Answer :Ans: A, B, C, D
Implement regular rest periods to compensate for fatigue and loss of reserve energy. Use simple pictures and
place pictures of familiar individuals in visible areas. Keep the environment free of clutter and place dangerous
substances in an inaccessible area. Avoid persistent testing of memory
6. An 80-year-old client was referred to a neurologist after several months of worsening cognitive deficits and
has subsequently been diagnosed with Alzheimer disease. Which statement by the nurse to the client's family
demonstrates appropriate use of terminology?
A) "It's very difficult and stressful when a loved one becomes senile."
B) "Even though your parent is demented, we will do all we can to promote his quality of life."
C) "This form of organic brain syndrome is a common health problem in the ninth decade of life."
D) "We always try our best to foster wellness in persons who have dementia." - Correct Answer :Ans: D
Nurses can use phrases such as "a person with dementia" or a "person with a dementing illness" to accurately
refer to the medical syndrome of impaired cognitive function while avoiding pejorative connotations associated
with describing older adults as "demented." The terms "senile" and "organic brain syndrome" are no longer in
use.
7. A client was diagnosed 3 years ago with a cognitive impairment, a condition that worsened over the next
several months and which culminated in his recent death. An autopsy revealed numerous infarcted brain regions
resulting from vessel occlusions. This client most likely suffered from which type of dementia?
A) Alzheimer disease
B) Vascular dementia
C) Lewy body dementia
D) Frontotemporal degeneration - Correct Answer :Ans: B
P 4
