NURS 345 Final Exam 4 Questions
And 100% Correct Answers 2025-2026
Updated.
The nurse will be alert for which cognitive alterations when caring for a 40-year-old patient
admitted to the emergency department with a high blood alcohol level?
SATA:
- Delirium
- Slurred speech
- Expressive aphasia
- Ringing in the ears
- Exogenous depression - Answer - Delirium
- Slurred speech
- Exogenous depression
The nurse notes the presence of which alterations when admitting a 30-year-old patient with
suspected meningitis?
- Hypoglycemia
- Light sensitivity
- Aphasia
- Motor deficits - Answer - Light sensitivity
Which sensory deficit poses the greatest danger to the safety of an 80-year-old patient with
Alzheimer's disease?
- Anosomia
- Loss of taste
- Isolation
- Vertigo - Answer - Vertigo
The nurse is aware that a patient kept in strict isolation after a bone marrow transplant is at
increased risk of developing which cognitive alteration?
- Dementia
,The nurse recognizes that a patient with peripheral neuropathy is at increased risk for which
sensory alteration?
- Hearing loss
- Ringing in the ears
- Sensory deprivation
- Injury - Answer - Injury
The nurse recognizes which sensory alteration in a 79-year-old patient who has lost interest in
eating and has lost five pounds over the past month? SATA:
- Depression
- Anosmia
- Presbycusis
- Presbyopia
- Sensory deprivation - Answer - Depression
- Anosmia
- Sensory deprivation
A 28-year-old patient who suffered a head injury is alert and oriented but does not respond to
questions in a timely manner. The nurse suspects which hearing alteration?
- Meniere's disease
- Conductive hearing loss
- Sensorineural hearing loss
- Presbycusis - Answer - Sensorineural hearing loss
The nurse can expect which sensory alterations in a patient with Meniere's disease?
SATA:
- Hearing loss
- Vertigo
- Light sensitization
- Noise confusion
- Cognitive deprivation - Answer - Hearing loss
- Vertigo
,- Decreased consciousness
- Anosmia
- Combativeness - Answer - Decreased consciousness
A nurse caring for older patients expects to encounter which age-related sensory impairments?
SATA:
- Presbyopia
- Presbycusis
- Hallucinations
- Decreased taste
- Sensorineural hearing loss - Answer - Presbyopia
- Presbycusis
- Decreased taste
The nurse knows that a patient with long-term diabetes mellitus is at high risk for which
alteration?
SATA:
- Peripheral neuropathy
- Presbyopia
- Meniere's disease
- Depression
- Retinopathy - Answer - Peripheral neuropathy
- Retinopathy
Which cognitive or sensory factors should a nursing student consider when caring for a patient
who is blind? SATA:
- Eating assistance
- Safety needs
- Pain management
- Activities of daily living (ADLs)
- Verbal communication - Answer - Eating assistance
- Safety needs
, - The priority diagnoses are the ones that can be resolved the quickest and easiest.
- The priority nursing diagnosis is one that directly correlates with the medical diagnosis.
- The diagnosis that will cause harm or a potential threat to the patient, if not addressed, is the
priority diagnosis.
- The diagnosis that is most important to the patient is the priority diagnosis. - Answer - The
diagnosis that will cause harm or a potential threat to the patient, if not addressed, is the
priority diagnosis.
The nurse collects assessment data for a newly admitted patient, which includes: respirations
deep, unlabored; warm and dry skin. The patient tends to wander off and does not remember
doing so. The patient also shows inability to remember his name, the date, or the year. Hospital
records indicate that the patient had a previous stroke. What should the nurse develop as an
appropriately written nursing diagnosis for this patient?
- Acute Confusion related to cerebral hypoxia secondary to a clot in the cerebral artery, as
evidenced by not oriented to person and confused about place and time
- Chronic Confusion related to alterations in brain function, as evidenced by wandering and
inability to remember his name
- Social Isolation related to alterations in mental status secondary to dementia, as evidenced by
a flat affect
- Impaired Verbal Communication related to weakness on the right side of the body, as
evidenced by t - Answer - Chronic Confusion related to alterations in brain function, as
evidenced by wandering and inability to remember his name
An older adult patient is brought to the emergency department (ED) by a family member who
reports that the patient is recently confused. Assessment data reveals that the patient is alert,
but does not know the current month or their location. The patient is also speaking in short
sentences. When the patient is asked questions regarding the past medical history the reply is,
"I don't know." Which nursing diagnoses are appropriate for this patient? SATA:
- Chronic Confusion related to hypoxia, as evidenced by the patient being unable to state the
current month or their location
- Increased Risk for Falls with risk factors of central nervous system changes, lack of awareness
of surroundings, and confusion
- Impaired Verbal Communication related to shortness of breath, as evidenced by short
sentences
- Acute Confusion related to central nervous system changes as evidenced by the inability to tell
nurse the current month - Answer - Increased Risk for Falls with risk factors of central nervous
system changes, lack of awareness of surroundings, and confusion
- Acute Confusion related to central nervous system changes as evidenced by the inability to tell
And 100% Correct Answers 2025-2026
Updated.
The nurse will be alert for which cognitive alterations when caring for a 40-year-old patient
admitted to the emergency department with a high blood alcohol level?
SATA:
- Delirium
- Slurred speech
- Expressive aphasia
- Ringing in the ears
- Exogenous depression - Answer - Delirium
- Slurred speech
- Exogenous depression
The nurse notes the presence of which alterations when admitting a 30-year-old patient with
suspected meningitis?
- Hypoglycemia
- Light sensitivity
- Aphasia
- Motor deficits - Answer - Light sensitivity
Which sensory deficit poses the greatest danger to the safety of an 80-year-old patient with
Alzheimer's disease?
- Anosomia
- Loss of taste
- Isolation
- Vertigo - Answer - Vertigo
The nurse is aware that a patient kept in strict isolation after a bone marrow transplant is at
increased risk of developing which cognitive alteration?
- Dementia
,The nurse recognizes that a patient with peripheral neuropathy is at increased risk for which
sensory alteration?
- Hearing loss
- Ringing in the ears
- Sensory deprivation
- Injury - Answer - Injury
The nurse recognizes which sensory alteration in a 79-year-old patient who has lost interest in
eating and has lost five pounds over the past month? SATA:
- Depression
- Anosmia
- Presbycusis
- Presbyopia
- Sensory deprivation - Answer - Depression
- Anosmia
- Sensory deprivation
A 28-year-old patient who suffered a head injury is alert and oriented but does not respond to
questions in a timely manner. The nurse suspects which hearing alteration?
- Meniere's disease
- Conductive hearing loss
- Sensorineural hearing loss
- Presbycusis - Answer - Sensorineural hearing loss
The nurse can expect which sensory alterations in a patient with Meniere's disease?
SATA:
- Hearing loss
- Vertigo
- Light sensitization
- Noise confusion
- Cognitive deprivation - Answer - Hearing loss
- Vertigo
,- Decreased consciousness
- Anosmia
- Combativeness - Answer - Decreased consciousness
A nurse caring for older patients expects to encounter which age-related sensory impairments?
SATA:
- Presbyopia
- Presbycusis
- Hallucinations
- Decreased taste
- Sensorineural hearing loss - Answer - Presbyopia
- Presbycusis
- Decreased taste
The nurse knows that a patient with long-term diabetes mellitus is at high risk for which
alteration?
SATA:
- Peripheral neuropathy
- Presbyopia
- Meniere's disease
- Depression
- Retinopathy - Answer - Peripheral neuropathy
- Retinopathy
Which cognitive or sensory factors should a nursing student consider when caring for a patient
who is blind? SATA:
- Eating assistance
- Safety needs
- Pain management
- Activities of daily living (ADLs)
- Verbal communication - Answer - Eating assistance
- Safety needs
, - The priority diagnoses are the ones that can be resolved the quickest and easiest.
- The priority nursing diagnosis is one that directly correlates with the medical diagnosis.
- The diagnosis that will cause harm or a potential threat to the patient, if not addressed, is the
priority diagnosis.
- The diagnosis that is most important to the patient is the priority diagnosis. - Answer - The
diagnosis that will cause harm or a potential threat to the patient, if not addressed, is the
priority diagnosis.
The nurse collects assessment data for a newly admitted patient, which includes: respirations
deep, unlabored; warm and dry skin. The patient tends to wander off and does not remember
doing so. The patient also shows inability to remember his name, the date, or the year. Hospital
records indicate that the patient had a previous stroke. What should the nurse develop as an
appropriately written nursing diagnosis for this patient?
- Acute Confusion related to cerebral hypoxia secondary to a clot in the cerebral artery, as
evidenced by not oriented to person and confused about place and time
- Chronic Confusion related to alterations in brain function, as evidenced by wandering and
inability to remember his name
- Social Isolation related to alterations in mental status secondary to dementia, as evidenced by
a flat affect
- Impaired Verbal Communication related to weakness on the right side of the body, as
evidenced by t - Answer - Chronic Confusion related to alterations in brain function, as
evidenced by wandering and inability to remember his name
An older adult patient is brought to the emergency department (ED) by a family member who
reports that the patient is recently confused. Assessment data reveals that the patient is alert,
but does not know the current month or their location. The patient is also speaking in short
sentences. When the patient is asked questions regarding the past medical history the reply is,
"I don't know." Which nursing diagnoses are appropriate for this patient? SATA:
- Chronic Confusion related to hypoxia, as evidenced by the patient being unable to state the
current month or their location
- Increased Risk for Falls with risk factors of central nervous system changes, lack of awareness
of surroundings, and confusion
- Impaired Verbal Communication related to shortness of breath, as evidenced by short
sentences
- Acute Confusion related to central nervous system changes as evidenced by the inability to tell
nurse the current month - Answer - Increased Risk for Falls with risk factors of central nervous
system changes, lack of awareness of surroundings, and confusion
- Acute Confusion related to central nervous system changes as evidenced by the inability to tell
