MODULE 2 QUIZ
Module 2 Study guide | NCLEX-Style Questions on
Cognition 2025 | Comprehensive Questions & Answers |
Grade A | 100% Correct -The Ultimate-One Guide for Yr.
(2026/2027)
1. A nurse is assessing a client using the Glasgow Coma Scale. Which of the following
components are assessed?
A. Eye opening, verbal response, and motor response
B. Orientation, memory, and reasoning
C. Reflexes, muscle tone, and coordination
D. Judgment, perception, and comprehension
2. A 2-year-old child is at a well-child visit. The nurse expects the child to be in which of
Piaget’s cognitive development stages?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
3. Which of the following is a characteristic of cognitive development in preschool-aged
children?
A. Understanding cause-and-effect relationships
B. Making judgments based on visual appearances
C. Thinking in abstract and hypothetical terms
D. Developing object permanence
4. A school-age child who understands rules of grammar, can classify objects, and solve
problems using logic is in which of Piaget’s stages?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
,A.
5. A nurse is caring for an older adult experiencing sundowning syndrome. Which
intervention is most appropriate?
A. Keep the home environment dimly lit in the evening
B. Encourage long daytime naps
C. Reduce stimulation and maintain a structured routine
D. Administer a sedative to help the client sleep
6. The family of a client with Alzheimer's disease asks how they can manage their loved
one's wandering. Which response by the nurse is most appropriate?
"Lock all doors and windows to prevent them from leaving."
B. "Allow them to wander freely to minimize agitation."
C. "Provide a structured daily routine and ensure a safe environment."
D. "Give them frequent sedatives to calm them down."
7. What is the primary difference between delirium and dementia?
A. Delirium is progressive, while dementia is reversible
B. Delirium has an acute onset, while dementia progresses over time
C. Dementia is caused by an infection, while delirium is genetic
D. Both delirium and dementia are irreversible
8. A nurse is evaluating a client with dementia. Which finding is characteristic of
moderate-stage Alzheimer’s disease?
A. Difficulty remembering names and misplacing objects
B. Inability to recognize family members
C. Loss of ability to perform activities of daily living (ADLs)
D. Personality changes and wandering behavior
9. Which nursing intervention is appropriate for a client experiencing delirium?
A. Encourage sensory overload to increase awareness
B. Reorient the client frequently using clocks and calendars
C. Use restraints to prevent agitation
D. Minimize social interactions to reduce confusion
10. A client with Alzheimer's disease is in the severe stage. Which symptom should the
nurse anticipate?
A. Difficulty with complex tasks like paying bills
B. Memory loss but independence in ADLs
C. Progressive difficulty swallowing and immobility
D. Occasional forgetfulness but ability to recall important life events
, A.
11. A client diagnosed with vascular dementia is being educated on prevention strategies.
Which factor is most important to manage?
A. Blood pressure control
B. Alcohol consumption
C. Sedentary lifestyle
D. Daily stress levels
12. A nurse is caring for an 85-year-old client who recently had surgery and is now
experiencing confusion and agitation. What is the nurse’s priority action?
Administer a prescribed antipsychotic medication
B. Assess for possible infection or medication side effects
C. Use restraints to prevent self-harm
D. Limit fluid intake to prevent nocturia
13. Which of the following best describes Piaget’s formal operational stage?
A. Using logic to make decisions and thinking abstractly
B. Making judgments based solely on visual appearances
C. Imitating activities and engaging in pretend play
D. Developing object permanence
14. The nurse is educating the family of a client with Alzheimer's disease about disease
progression. Which statement is accurate?
A. "The client will experience rapid improvement with medication."
B. "Memory loss typically progresses in a stepwise fashion."
C. "Most clients retain the ability to perform ADLs independently." -D. "The disease is
progressive and currently has no cure."
15. A nurse is assessing a client using the Mini-Mental State Examination (MMSE). Which
of the following tasks might the nurse ask the client to complete?
/A. Identify three objects and recall them later
B. Stand on one leg and maintain balance
C. Walk in a straight line
D. Demonstrate range of motion exercises
16. Which of the following is an early sign of Alzheimer’s disease?
A. Inability to communicate or swallow
Module 2 Study guide | NCLEX-Style Questions on
Cognition 2025 | Comprehensive Questions & Answers |
Grade A | 100% Correct -The Ultimate-One Guide for Yr.
(2026/2027)
1. A nurse is assessing a client using the Glasgow Coma Scale. Which of the following
components are assessed?
A. Eye opening, verbal response, and motor response
B. Orientation, memory, and reasoning
C. Reflexes, muscle tone, and coordination
D. Judgment, perception, and comprehension
2. A 2-year-old child is at a well-child visit. The nurse expects the child to be in which of
Piaget’s cognitive development stages?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
3. Which of the following is a characteristic of cognitive development in preschool-aged
children?
A. Understanding cause-and-effect relationships
B. Making judgments based on visual appearances
C. Thinking in abstract and hypothetical terms
D. Developing object permanence
4. A school-age child who understands rules of grammar, can classify objects, and solve
problems using logic is in which of Piaget’s stages?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
,A.
5. A nurse is caring for an older adult experiencing sundowning syndrome. Which
intervention is most appropriate?
A. Keep the home environment dimly lit in the evening
B. Encourage long daytime naps
C. Reduce stimulation and maintain a structured routine
D. Administer a sedative to help the client sleep
6. The family of a client with Alzheimer's disease asks how they can manage their loved
one's wandering. Which response by the nurse is most appropriate?
"Lock all doors and windows to prevent them from leaving."
B. "Allow them to wander freely to minimize agitation."
C. "Provide a structured daily routine and ensure a safe environment."
D. "Give them frequent sedatives to calm them down."
7. What is the primary difference between delirium and dementia?
A. Delirium is progressive, while dementia is reversible
B. Delirium has an acute onset, while dementia progresses over time
C. Dementia is caused by an infection, while delirium is genetic
D. Both delirium and dementia are irreversible
8. A nurse is evaluating a client with dementia. Which finding is characteristic of
moderate-stage Alzheimer’s disease?
A. Difficulty remembering names and misplacing objects
B. Inability to recognize family members
C. Loss of ability to perform activities of daily living (ADLs)
D. Personality changes and wandering behavior
9. Which nursing intervention is appropriate for a client experiencing delirium?
A. Encourage sensory overload to increase awareness
B. Reorient the client frequently using clocks and calendars
C. Use restraints to prevent agitation
D. Minimize social interactions to reduce confusion
10. A client with Alzheimer's disease is in the severe stage. Which symptom should the
nurse anticipate?
A. Difficulty with complex tasks like paying bills
B. Memory loss but independence in ADLs
C. Progressive difficulty swallowing and immobility
D. Occasional forgetfulness but ability to recall important life events
, A.
11. A client diagnosed with vascular dementia is being educated on prevention strategies.
Which factor is most important to manage?
A. Blood pressure control
B. Alcohol consumption
C. Sedentary lifestyle
D. Daily stress levels
12. A nurse is caring for an 85-year-old client who recently had surgery and is now
experiencing confusion and agitation. What is the nurse’s priority action?
Administer a prescribed antipsychotic medication
B. Assess for possible infection or medication side effects
C. Use restraints to prevent self-harm
D. Limit fluid intake to prevent nocturia
13. Which of the following best describes Piaget’s formal operational stage?
A. Using logic to make decisions and thinking abstractly
B. Making judgments based solely on visual appearances
C. Imitating activities and engaging in pretend play
D. Developing object permanence
14. The nurse is educating the family of a client with Alzheimer's disease about disease
progression. Which statement is accurate?
A. "The client will experience rapid improvement with medication."
B. "Memory loss typically progresses in a stepwise fashion."
C. "Most clients retain the ability to perform ADLs independently." -D. "The disease is
progressive and currently has no cure."
15. A nurse is assessing a client using the Mini-Mental State Examination (MMSE). Which
of the following tasks might the nurse ask the client to complete?
/A. Identify three objects and recall them later
B. Stand on one leg and maintain balance
C. Walk in a straight line
D. Demonstrate range of motion exercises
16. Which of the following is an early sign of Alzheimer’s disease?
A. Inability to communicate or swallow
