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NR341 Complex Adult Health Exam 1 Textbook Questions with Rationales EXAM QUESTIONS AND VERIFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED &DETAILED ANSWERS!!

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NR341 Complex Adult Health Exam 1 Textbook Questions with Rationales EXAM QUESTIONS AND VERIFIED SOLUTIONS |2026| Exam Questions & Answers Test || ELABORATED &DETAILED ANSWERS!!

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7/7/26, 4:36 PM NR341 Complex Adult Health Exam 1 Textbook Questions with Rationales EXAM QUESTIONS AND VERIFIED SOLUTIONS |2026| …




NR341 Complex Adult Health Exam 1 Textbook
Questions with Rationales EXAM QUESTIONS
AND VERIFIED SOLUTIONS |2026| Exam
Questions & Answers Test || ELABORATED
&DETAILED ANSWERS!!

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Terms in this set (123)



A nurse is caring for a group of older B.
adult clients. Which of the following
manifestations indicates one of the
clients is experiencing delirium? (Delirium is characterized by a change in cognition
A. A client wants to know the current that occurs over a short period of time. It results
time while there is a clock on the from a secondary physiological condition (e.g.,
wall. infection, surgery, prolonged hospitalization,
B. A client attempts to climb out of hypoxia, fever, medications) and is a transient
bed and repeatedly states she must disorder. Although delirium can occur with any age,
get home. it is more common in older adults. It frequently
C. A client requests extra blankets progresses in the evening hours and is sometimes
when the thermostat in the room called "sundown syndrome." Delirium is
indicates 25.6 Degrees C (78 F). characterized by alterations in memory, agitation,
D. A client refuses to get out of bed restlessness, illusions, or hallucinations. A client
and has no motivation to attend to who becomes acutely confused and agitated may
daily hygiene. be showing manifestations of delirium.)




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A community health nurse is D.
providing teaching to the family of a
client who has primary dementia.
Which of the following (Dementia usually appears first as forgetfulness.
manifestations should the nurse tell Other manifestations may be apparent only upon
the family to expect? neurologic examination or cognitive testing. Loss
A. Decreased auditory and visual of functioning progresses slowly from impaired
acuity. language skills and difficulty with ordinary daily
B. Decreased display of emotion. activities to severe memory loss and complete
C. Personality traits that are opposite disorientation with withdrawal from social
of original traits. interaction.)
D. Forgetfulness gradually
progressing to disorientation.


A nurse is caring for a client who has A, C, E.
dementia. When performing a
Mental Status Examination (MSE) the
nurse should include which of the (Evaluating the client's ability to perform
following data? (Select all that calculations is an included component of an MSE.
apply.) Determining the client's level of consciousness is
A. Ability to perform calculations not a component of an MSE. Identifying the client's
B. Level of consciousness ability to recall a list of objects or words is an
C. Recall ability included component of an MSE. Evaluating long-
D. Long-term memory term memory is not a component of an MSE.
E. Level of orientation Determining the client's level of orientation is an
included component of an MSE.)




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A nurse is caring for a client who has C.
dementia due to Alzheimer's disease
and was admitted to a long-term
care facility following the death of (Alzheimer's disease is a progressive cognitive
her partner of 40 years. The client disorder. Dementia due to Alzheimer's disease
states, " I want to go home; my means that the client is experiencing the later
husband is waiting for me to cook stages of the illness with moderately severe to
dinner. "Which of the following severe cognitive decline. By asking the client to talk
responses by the nurse is about what she likes to cook for dinner, the nurse is
appropriate? demonstrating validation therapy by asking the
A. " this is where you live now." client to talk about the areas that concerned her.
B. " this is a safer place for you to The nurse could continue the conversation by
live." discussing how much the client misses her home
C. "Tell me what you like to cook for and partner. Validation therapy helps clients who
dinner." have cognitive disorders discuss their feelings
D. "Your family said there is no one to about past events and people.)
care for you at home."


A nurse on a long-term care unit is D
creating a plan of care for a client
who has Alzheimer's disease. Which
of the following interventions should (The nurse should plan to talk the client through
the nurse include in the plan? tasks one step at a time to minimize confusion and
A. rotate assignment of daily promote independence, which will decrease the
caregivers. client's anxiety level.)
B. provide an activity schedule that
changes from day to day.
C. limit time for the client to perform
activities.
D. talk the client through tasks one
step at a time.




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A nurse is caring for a client who is D
cognitively impaired. Which of the
following rooms will provide a
therapeutic environment for this (A room that contains several of the clients
client? personal belongings assists in maintaining personal
A. A room adjacent to the nursing identity and provides a therapeutic environment)
station
B. A room without a window
C. A room with dim lighting
D. A room containing personal
belongings


The family of an older adult client C
brings him to the emergency
department after finding him
wandering outside. During the initial (since the client was manifesting signs of confusion
assessment, the nurse notes that the before coming to the emergency department and
client flinches when she palpates his currently seems unable to understand or respond
abdomen yet response to questions to speech, the nurse should determine that the
only by nodding and smiling. Which client has confusion)
of the following factors should the
nurse identify as a likely explanation
for the clients behavior?
A. he is hard of hearing
B. pain
C. confusion
D. language barrier




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