NURS 5432 FAMILY I FINAL EXAM (UTA) MODULE 7-10 EXAM 2026/2027
PRACTICE QUESTIONS AND STUDY GUIDE APPROVED EXAM ACCURATE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
1. A 78-year-old patient presents for an annual wellness examination and
reports taking eight prescription medications, three over-the-counter
products, and several herbal supplements. The patient has recently
experienced dizziness and two falls. Which intervention should the family
nurse practitioner prioritize during this visit?
A. Add a medication to treat the dizziness before reviewing the medication
list
B. Reconcile all prescription, over-the-counter, and complementary
medications and assess for drug interactions and adverse effects
C. Recommend stopping every medication immediately
D. Assume the falls are an unavoidable consequence of aging
Answer: B
2. An 82-year-old patient has gradually progressive memory impairment,
difficulty managing finances, and increasing difficulty preparing meals.
There is no acute change in attention or level of consciousness. Which
diagnosis is most consistent with this presentation?
A. Delirium
B. Major depressive disorder
C. Major neurocognitive disorder
D. Acute psychosis
Answer: C
3. A 76-year-old patient develops abrupt confusion, fluctuating attention,
visual hallucinations, and disorientation over 24 hours during treatment for
a urinary tract infection. Which condition should the FNP suspect?
A. Delirium
B. Alzheimer disease
C. Normal aging
pg. 1
, D. Chronic dementia
Answer: A
4. An older adult with progressive memory impairment is being evaluated for
possible Alzheimer disease. Which approach is most appropriate before
attributing the symptoms solely to dementia?
A. Assume the symptoms are caused by normal aging
B. Diagnose Alzheimer disease solely from one abnormal screening score
C. Start dementia medication before performing an evaluation
D. Assess for reversible contributors such as medication effects, thyroid
disease, vitamin B12 deficiency, depression, and metabolic abnormalities
Answer: D
5. A patient with Alzheimer disease has progressive difficulty remembering
recently learned information, followed later by impaired language and
executive function. Which pathophysiologic process is most characteristic?
A. Progressive neurodegeneration involving abnormal amyloid and tau
pathology
B. Acute cerebral infection in every case
C. Isolated peripheral nerve demyelination
D. Excessive dopamine activity in the basal ganglia
Answer: A
6. A patient with suspected dementia has fluctuating cognition, recurrent
visual hallucinations, parkinsonian features, and marked sensitivity to
antipsychotic medications. Which diagnosis should be considered?
A. Alzheimer disease
B. Frontotemporal dementia
C. Lewy body dementia
D. Vascular dementia
Answer: C
7. A 72-year-old patient has progressive personality changes, socially
inappropriate behavior, loss of empathy, and language impairment
occurring earlier than prominent memory loss. Which disorder is most
pg. 2
, consistent with this presentation?
A. Delirium
B. Frontotemporal dementia
C. Alzheimer disease
D. Normal aging
Answer: B
8. An older adult has stepwise cognitive decline following several
cerebrovascular events and has a history of longstanding hypertension and
diabetes. Which diagnosis is most consistent with this pattern?
A. Vascular neurocognitive disorder
B. Lewy body dementia
C. Huntington disease
D. Acute delirium
Answer: A
9. An older patient reports memory problems but has preserved orientation,
intact activities of daily living, and prominent sadness, insomnia, and low
motivation. Which condition should be carefully considered as a contributor
to the cognitive complaints?
A. Parkinson disease
B. Delirium
C. Depression
D. Normal-pressure hydrocephalus
Answer: C
10. A patient with dementia becomes increasingly dependent on family
members for medication administration and financial management. Which
counseling point is most appropriate for the family?
A. Avoid discussing future care planning until severe dementia develops
B. Encourage advance care planning while the patient can still participate in
decisions
C. Allow the patient to manage all finances regardless of safety concerns
pg. 3
, D. Avoid identifying a healthcare decision-maker
Answer: B
11. An 80-year-old patient with dementia repeatedly wanders from the home.
Which intervention is most appropriate as part of a safety plan?
A. Use physical restraints continuously
B. Increase sedative medications without assessment
C. Remove all supervision because wandering is harmless
D. Identify triggers, use identification strategies, secure hazardous areas,
and establish a structured supervision plan
Answer: D
12. A patient with Alzheimer disease is prescribed donepezil. Which adverse
effect should the FNP discuss with the patient and family?
A. Bradycardia and gastrointestinal symptoms
B. Severe hyperglycemia in every patient
C. Permanent hypertension
D. Complete urinary retention
Answer: A
13. A patient taking an acetylcholinesterase inhibitor develops syncope and a
resting heart rate of 48 beats/minute. Which concern should be addressed?
A. Medication-associated bradycardia
B. Hyperthyroidism
C. Acute hypercalcemia
D. Iron deficiency
Answer: A
14. An 84-year-old patient has decreased appetite, unintentional weight loss,
weakness, and difficulty shopping for and preparing meals. Which
assessment is most appropriate?
A. Assess nutritional status, oral health, swallowing, medications,
depression, functional ability, and food access
B. Tell the patient weight loss is expected with aging
C. Recommend fasting between meals
pg. 4
PRACTICE QUESTIONS AND STUDY GUIDE APPROVED EXAM ACCURATE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
1. A 78-year-old patient presents for an annual wellness examination and
reports taking eight prescription medications, three over-the-counter
products, and several herbal supplements. The patient has recently
experienced dizziness and two falls. Which intervention should the family
nurse practitioner prioritize during this visit?
A. Add a medication to treat the dizziness before reviewing the medication
list
B. Reconcile all prescription, over-the-counter, and complementary
medications and assess for drug interactions and adverse effects
C. Recommend stopping every medication immediately
D. Assume the falls are an unavoidable consequence of aging
Answer: B
2. An 82-year-old patient has gradually progressive memory impairment,
difficulty managing finances, and increasing difficulty preparing meals.
There is no acute change in attention or level of consciousness. Which
diagnosis is most consistent with this presentation?
A. Delirium
B. Major depressive disorder
C. Major neurocognitive disorder
D. Acute psychosis
Answer: C
3. A 76-year-old patient develops abrupt confusion, fluctuating attention,
visual hallucinations, and disorientation over 24 hours during treatment for
a urinary tract infection. Which condition should the FNP suspect?
A. Delirium
B. Alzheimer disease
C. Normal aging
pg. 1
, D. Chronic dementia
Answer: A
4. An older adult with progressive memory impairment is being evaluated for
possible Alzheimer disease. Which approach is most appropriate before
attributing the symptoms solely to dementia?
A. Assume the symptoms are caused by normal aging
B. Diagnose Alzheimer disease solely from one abnormal screening score
C. Start dementia medication before performing an evaluation
D. Assess for reversible contributors such as medication effects, thyroid
disease, vitamin B12 deficiency, depression, and metabolic abnormalities
Answer: D
5. A patient with Alzheimer disease has progressive difficulty remembering
recently learned information, followed later by impaired language and
executive function. Which pathophysiologic process is most characteristic?
A. Progressive neurodegeneration involving abnormal amyloid and tau
pathology
B. Acute cerebral infection in every case
C. Isolated peripheral nerve demyelination
D. Excessive dopamine activity in the basal ganglia
Answer: A
6. A patient with suspected dementia has fluctuating cognition, recurrent
visual hallucinations, parkinsonian features, and marked sensitivity to
antipsychotic medications. Which diagnosis should be considered?
A. Alzheimer disease
B. Frontotemporal dementia
C. Lewy body dementia
D. Vascular dementia
Answer: C
7. A 72-year-old patient has progressive personality changes, socially
inappropriate behavior, loss of empathy, and language impairment
occurring earlier than prominent memory loss. Which disorder is most
pg. 2
, consistent with this presentation?
A. Delirium
B. Frontotemporal dementia
C. Alzheimer disease
D. Normal aging
Answer: B
8. An older adult has stepwise cognitive decline following several
cerebrovascular events and has a history of longstanding hypertension and
diabetes. Which diagnosis is most consistent with this pattern?
A. Vascular neurocognitive disorder
B. Lewy body dementia
C. Huntington disease
D. Acute delirium
Answer: A
9. An older patient reports memory problems but has preserved orientation,
intact activities of daily living, and prominent sadness, insomnia, and low
motivation. Which condition should be carefully considered as a contributor
to the cognitive complaints?
A. Parkinson disease
B. Delirium
C. Depression
D. Normal-pressure hydrocephalus
Answer: C
10. A patient with dementia becomes increasingly dependent on family
members for medication administration and financial management. Which
counseling point is most appropriate for the family?
A. Avoid discussing future care planning until severe dementia develops
B. Encourage advance care planning while the patient can still participate in
decisions
C. Allow the patient to manage all finances regardless of safety concerns
pg. 3
, D. Avoid identifying a healthcare decision-maker
Answer: B
11. An 80-year-old patient with dementia repeatedly wanders from the home.
Which intervention is most appropriate as part of a safety plan?
A. Use physical restraints continuously
B. Increase sedative medications without assessment
C. Remove all supervision because wandering is harmless
D. Identify triggers, use identification strategies, secure hazardous areas,
and establish a structured supervision plan
Answer: D
12. A patient with Alzheimer disease is prescribed donepezil. Which adverse
effect should the FNP discuss with the patient and family?
A. Bradycardia and gastrointestinal symptoms
B. Severe hyperglycemia in every patient
C. Permanent hypertension
D. Complete urinary retention
Answer: A
13. A patient taking an acetylcholinesterase inhibitor develops syncope and a
resting heart rate of 48 beats/minute. Which concern should be addressed?
A. Medication-associated bradycardia
B. Hyperthyroidism
C. Acute hypercalcemia
D. Iron deficiency
Answer: A
14. An 84-year-old patient has decreased appetite, unintentional weight loss,
weakness, and difficulty shopping for and preparing meals. Which
assessment is most appropriate?
A. Assess nutritional status, oral health, swallowing, medications,
depression, functional ability, and food access
B. Tell the patient weight loss is expected with aging
C. Recommend fasting between meals
pg. 4
