ACC Cheat Sheet 2026

The 30 highest-yield ACC facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. Which of the following demonstrates a caregiver's understanding of promoting dignity while assisting with toileting for a person with dementia? → Establishing a regular toileting schedule and looking for non-verbal cues.
2. Which of the following is a common physical sign that an Alzheimer's patient may be approaching the end of life? → Decreased urine output and mottled skin
3. Which of the following drinks is MOST appropriate for encouraging hydration in an Alzheimer's patient who refuses plain water? → Diluted fruit juice or herbal tea
4. What is the BEST tool to help ensure an Alzheimer's patient takes the correct medication at the correct time? → Using a locked, automated pill dispenser with alarms
5. A person with Alzheimer's disease becomes increasingly agitated and confused in the late afternoon and early evening. This behavior is commonly referred to as: → Sundowning
6. Which of the following is a common medication side effect that caregivers should monitor in Alzheimer's patients taking cholinesterase inhibitors? → Nausea, vomiting, and diarrhea
7. To minimize the risk of falls for a person with Alzheimer's disease, which of the following is the MOST effective environmental modification? → Removing clutter, securing loose rugs, and improving lighting in walkways and stairwells.
8. Why is early detection important in Alzheimer's disease? → It helps with earlier interventions and support
9. Why should over-the-counter antihistamines (like diphenhydramine) be used cautiously in Alzheimer's patients? → They have anticholinergic effects that can worsen cognitive impairment and confusion
10. What is the first stage of Alzheimer's disease? → Mild cognitive impairment
11. When should a caregiver contact the hospice nurse about a patient's condition? → Whenever there is a significant change in the patient's condition or comfort level
12. How should a caregiver handle challenging behaviors in patients? → By remaining calm and offering reassurance
13. How can caregivers offer emotional support? → By offering empathy, validation, and comfort
14. What is one key aspect of the legal responsibilities of caregivers? → To follow legal and ethical guidelines in providing care
15. What mealtime strategy best supports safe eating for a patient with moderate Alzheimer's disease? → Minimize distractions and use simple, one-item plates
16. Why are individuals with Alzheimer's disease at increased risk for dehydration? → They often forget to drink and lose the sensation of thirst
17. What is informed consent? → The patient understands and agrees to the care provided
18. Which behavior might indicate an Alzheimer's patient is experiencing uncontrolled pain? → Increased agitation, grimacing, or moaning
19. Why should a caregiver avoid rushing an Alzheimer's patient during meals? → Rushing can cause choking and increase anxiety
20. What is the importance of promoting physical activity in caregiving? → It helps with overall health and well-being
21. Why is medication management particularly challenging for individuals with Alzheimer's disease? → They may forget to take medications or take them multiple times
22. Why is listening important in caregiving? → It ensures that the patient's needs are properly addressed
23. What is the primary goal of palliative care for Alzheimer's patients? → To provide comfort, relieve suffering, and improve quality of life
24. How does Alzheimer's disease typically affect a person's ability to communicate? → Difficulty speaking, repeating words, and understanding speech
25. What is a common sign that an Alzheimer's patient may be developing a urinary tract infection (UTI)? → Sudden increase in confusion or behavioral changes
26. How often should an Alzheimer's patient's medication list be reviewed by a healthcare provider? → At least every 6–12 months or with any significant health change
27. How should caregivers assess pain in late-stage Alzheimer's patients who can no longer verbally communicate? → Use behavioral observation tools such as facial grimacing, restlessness, and body tension
28. What is the role of a caregiver during a physician's appointment for an Alzheimer's patient? → Provide accurate behavioral and symptom observations and advocate for the patient
29. What is one of the key symptoms of the late stage of Alzheimer's? → Complete dependency for daily tasks
30. In the progression of Alzheimer's disease, which type of daily living activity is typically affected FIRST? → Instrumental Activities of Daily Living (IADLs)