NRG260 MIDTERM PRACTICE TEST 2026 | ADULT HEALTH I
NURSING EXAM STUDY GUIDE & REVIEW (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
Delirium, Dementia, and Cognitive Disorders
Frailty, Aging, and Functional Decline
Fluid, Electrolyte, and Acid-Base Balance
Diabetes Mellitus and Endocrine Disorders
Pain Management and Musculoskeletal Disorders
End-of-Life Care and Palliative Care
Perioperative and Postoperative Nursing
Cardiovascular and Respiratory Concepts
Gastrointestinal and Renal Disorders
Ethical, Legal, and Professional Standards
Introduction
This comprehensive practice examination evaluates nursing
students' mastery of adult health concepts and clinical
judgment essential for safe, evidence-based practice. The
examination integrates multiple-choice and scenario-based
,questions designed to test critical thinking, prioritization,
and decision-making in real-world clinical situations.
Content aligns with the NRG260 Adult Health I course
framework, emphasizing the nursing process,
pathophysiology, pharmacology, and professional
standards. This resource supports exam readiness by
reinforcing core knowledge, applied reasoning, and the
ability to recognize and respond to changes in patient status
across diverse adult healthcare settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing an older adult who was admitted 2
days ago with a urinary tract infection. The patient is
confused, has difficulty sustaining attention, and is
agitated at night. Which condition should the nurse
suspect?
A. Dementia
B. Delirium
C. Depression
D. Psychosis
🟢B
,🔴 RATIONALE: Delirium is characterized by sudden onset
of confusion, impaired attention, fluctuating course, and is
often precipitated by an underlying medical condition such
as a UTI. Dementia has a gradual, progressive onset.
2. Which assessment finding is most consistent with
dementia rather than delirium?
A. Acute onset over hours
B. Fluctuating level of consciousness
C. Gradual progressive memory loss
D. Impaired attention with hallucinations
🟢C
🔴 RATIONALE: Dementia is characterized by gradual,
progressive cognitive decline over months to years, with
normal attention span until late stages and no sudden
changes in level of consciousness.
3. A nurse is caring for a patient with dementia who
becomes increasingly agitated in the late afternoon and
evening. Which term describes this behavior?
, A. Delirium
B. Sundowning
C. Psychosis
D. Depression
🟢B
🔴 RATIONALE: Sundowning refers to increased agitation
and confusion occurring in the late afternoon and evening,
commonly seen in patients with dementia.
4. Which intervention is the priority for a patient
experiencing acute delirium?
A. Administering an antipsychotic medication
B. Treating the underlying cause
C. Applying physical restraints
D. Placing the patient in a dark, quiet room
🟢B
🔴 RATIONALE: The priority in treating delirium is to identify
and treat the underlying cause (e.g., infection, dehydration,
medication side effects). Antipsychotics are used cautiously
and restraints are a last resort.
NURSING EXAM STUDY GUIDE & REVIEW (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains
Delirium, Dementia, and Cognitive Disorders
Frailty, Aging, and Functional Decline
Fluid, Electrolyte, and Acid-Base Balance
Diabetes Mellitus and Endocrine Disorders
Pain Management and Musculoskeletal Disorders
End-of-Life Care and Palliative Care
Perioperative and Postoperative Nursing
Cardiovascular and Respiratory Concepts
Gastrointestinal and Renal Disorders
Ethical, Legal, and Professional Standards
Introduction
This comprehensive practice examination evaluates nursing
students' mastery of adult health concepts and clinical
judgment essential for safe, evidence-based practice. The
examination integrates multiple-choice and scenario-based
,questions designed to test critical thinking, prioritization,
and decision-making in real-world clinical situations.
Content aligns with the NRG260 Adult Health I course
framework, emphasizing the nursing process,
pathophysiology, pharmacology, and professional
standards. This resource supports exam readiness by
reinforcing core knowledge, applied reasoning, and the
ability to recognize and respond to changes in patient status
across diverse adult healthcare settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing an older adult who was admitted 2
days ago with a urinary tract infection. The patient is
confused, has difficulty sustaining attention, and is
agitated at night. Which condition should the nurse
suspect?
A. Dementia
B. Delirium
C. Depression
D. Psychosis
🟢B
,🔴 RATIONALE: Delirium is characterized by sudden onset
of confusion, impaired attention, fluctuating course, and is
often precipitated by an underlying medical condition such
as a UTI. Dementia has a gradual, progressive onset.
2. Which assessment finding is most consistent with
dementia rather than delirium?
A. Acute onset over hours
B. Fluctuating level of consciousness
C. Gradual progressive memory loss
D. Impaired attention with hallucinations
🟢C
🔴 RATIONALE: Dementia is characterized by gradual,
progressive cognitive decline over months to years, with
normal attention span until late stages and no sudden
changes in level of consciousness.
3. A nurse is caring for a patient with dementia who
becomes increasingly agitated in the late afternoon and
evening. Which term describes this behavior?
, A. Delirium
B. Sundowning
C. Psychosis
D. Depression
🟢B
🔴 RATIONALE: Sundowning refers to increased agitation
and confusion occurring in the late afternoon and evening,
commonly seen in patients with dementia.
4. Which intervention is the priority for a patient
experiencing acute delirium?
A. Administering an antipsychotic medication
B. Treating the underlying cause
C. Applying physical restraints
D. Placing the patient in a dark, quiet room
🟢B
🔴 RATIONALE: The priority in treating delirium is to identify
and treat the underlying cause (e.g., infection, dehydration,
medication side effects). Antipsychotics are used cautiously
and restraints are a last resort.
