,NSG-300 Foundations of Nursing — INSTANT
PDF DOWNLOAD — Verified NSG-300 Exam 4 |
Grand Canyon University | Q & A | 2026/2027
Edition
1. A nurse is assessing an older adult patient for cognitive changes. Which statement about
cognitive aging is most accurate?
A. Forgetfulness is an expected consequence of aging.
B. Disorientation and poor judgment are normal signs of aging.
C. Structural brain changes include reduced number of brain cells and altered neurotransmitter
levels.
D. Loss of ability to calculate is a normal part of aging.
Correct Answer: C
Rationale: Normal age-related cognitive changes include reduced number of brain cells, reduced
deposition of lipofuscin and amyloid in cells, and changes in neurotransmitter levels.
Forgetfulness, disorientation, poor judgment, and loss of ability to calculate are NOT normal
signs of aging and should be investigated.
2. A nurse is assessing a patient using the Mini-Mental State Examination (MMSE-2). What is the
primary purpose of this tool?
,A. To diagnose Alzheimer's disease
B. To assess cognitive function and mental status
C. To evaluate physical mobility
D. To assess nutritional status
Correct Answer: B
Rationale: The MMSE-2 is a standardized assessment tool for determining a patient's mental
status and cognitive function. It assesses orientation, registration, attention, calculation, recall,
and language. It does not diagnose Alzheimer's disease; it screens for cognitive impairment.
3. A nurse is using the Mini-Cog assessment tool. Which components are included in this
assessment?
A. Blood pressure and heart rate
B. Three-word recall and clock drawing test
C. Pain scale and mobility assessment
D. Nutritional history and weight
Correct Answer: B
Rationale: The Mini-Cog combines a three-word recall test and a clock drawing test to assess
cognitive function. It is a brief, validated screening tool for cognitive impairment. It does not
include vital signs or nutritional assessment.
, 4. A nurse is assessing a patient with new-onset confusion. Which condition should the nurse
suspect first?
A. Dementia
B. Delirium
C. Depression
D. Normal aging
Correct Answer: B
Rationale: Delirium is a medical emergency characterized by acute onset of confusion,
fluctuating attention, and disorientation. It is usually reversible and requires prompt assessment
and intervention. New-onset confusion should always be investigated as possible delirium.
5. A nurse is reviewing the differences between delirium and dementia. Which finding is
characteristic of delirium?
A. Gradual onset over months to years
B. Stable cognitive function
C. Fluctuating level of consciousness
D. No change in attention
Correct Answer: C
PDF DOWNLOAD — Verified NSG-300 Exam 4 |
Grand Canyon University | Q & A | 2026/2027
Edition
1. A nurse is assessing an older adult patient for cognitive changes. Which statement about
cognitive aging is most accurate?
A. Forgetfulness is an expected consequence of aging.
B. Disorientation and poor judgment are normal signs of aging.
C. Structural brain changes include reduced number of brain cells and altered neurotransmitter
levels.
D. Loss of ability to calculate is a normal part of aging.
Correct Answer: C
Rationale: Normal age-related cognitive changes include reduced number of brain cells, reduced
deposition of lipofuscin and amyloid in cells, and changes in neurotransmitter levels.
Forgetfulness, disorientation, poor judgment, and loss of ability to calculate are NOT normal
signs of aging and should be investigated.
2. A nurse is assessing a patient using the Mini-Mental State Examination (MMSE-2). What is the
primary purpose of this tool?
,A. To diagnose Alzheimer's disease
B. To assess cognitive function and mental status
C. To evaluate physical mobility
D. To assess nutritional status
Correct Answer: B
Rationale: The MMSE-2 is a standardized assessment tool for determining a patient's mental
status and cognitive function. It assesses orientation, registration, attention, calculation, recall,
and language. It does not diagnose Alzheimer's disease; it screens for cognitive impairment.
3. A nurse is using the Mini-Cog assessment tool. Which components are included in this
assessment?
A. Blood pressure and heart rate
B. Three-word recall and clock drawing test
C. Pain scale and mobility assessment
D. Nutritional history and weight
Correct Answer: B
Rationale: The Mini-Cog combines a three-word recall test and a clock drawing test to assess
cognitive function. It is a brief, validated screening tool for cognitive impairment. It does not
include vital signs or nutritional assessment.
, 4. A nurse is assessing a patient with new-onset confusion. Which condition should the nurse
suspect first?
A. Dementia
B. Delirium
C. Depression
D. Normal aging
Correct Answer: B
Rationale: Delirium is a medical emergency characterized by acute onset of confusion,
fluctuating attention, and disorientation. It is usually reversible and requires prompt assessment
and intervention. New-onset confusion should always be investigated as possible delirium.
5. A nurse is reviewing the differences between delirium and dementia. Which finding is
characteristic of delirium?
A. Gradual onset over months to years
B. Stable cognitive function
C. Fluctuating level of consciousness
D. No change in attention
Correct Answer: C
