Exam (elaborations)
ATI MED SURGE PROCTORED EXAM 2021 13 VERSIONS
- Course
- Institution
ATI MED SURGE PROCTORED EXAM 2021 13 VERSIONS
[Show more]
Content preview
ATI PN MED SURGE PROCTORED EXAM1. A nurse is teaching a health promotion class for older adults. In which order
will the nurse list the most common to least common conditions that can lead
to death in older adults?
1. Chronic obstructive lung disease
2. Cerebrovascular accidents
3. Heart disease
4. Cancer
a. 4, 1, 2, 3
b. 3, 4, 1, 2
c. 2, 3, 4, 1
d. 1, 2, 3, 4
ANS: B
Heart disease is the leading cause of death in older adults followed by cancer,
chronic lung disease, and stroke (cerebrovascular accidents).
13. A nurse is observing skin integrity of an older adult. Which finding will the
nurse document as a normal finding?
a. Oily skin
b. Faster nail growth
c. Decreased elasticity
d. Increased facial hair in men
ANS: C
Loss of skin elasticity is a common finding in the older adult. Other common
findings include pigmentation changes, glandular atrophy (oil, moisture, and
sweat glands), thinning hair (facial hair: decreased in men, increased in women),
slower nail growth, and atrophy of epidermal arterioles.
14. An older-adult patient in no acute distress reports being less able to
20
,taste and smell. What is the nurse’s best response to this information?
Notify the health care provider immediately to rule out cranial nerve
a. damage.
Schedule the patient for an appointment at a smell and taste disorders
b. clinic.
c. Perform testing on the vestibulocochlear nerve and a hearing test.
d. Explain to the patient that diminished senses are normal findings.
ANS: D
Diminished taste and smell senses are common findings in older adults.
Scheduling an appointment at a smell and taste disorders clinic, testing the
vestibulocochlear nerve, or an attempt to rule out cranial nerve damage is
unnecessary at this time as per the information provided.
15. A nurse is assessing an older adult for cognitive changes. Which symptom will
the nurse report as normal?
a. Disorientation
b. Poor judgment
c. Slower reaction time
d. Loss of language skills
ANS: C
Slower reaction time is a common change in the older adult. Symptoms of
cognitive impairment, such as disorientation, loss of language skills, loss of the
ability to calculate, and poor judgment are not normal aging changes and require
further investigation of underlying causes.
16. An older patient with dementia and confusion is admitted to the nursing
unit after hip replacement surgery. Which action will the nurse include in the plan
of care?
a. Keep a routine.
20
, b. Continue to reorient.
c. Allow several choices.
d. Socially isolate patient.
ANS: A
Patients with dementia need a routine. Continuing to reorient a patient with
dementia is nonproductive and not advised. Patients with dementia need limited
choices. Social interaction based on the patient’s abilities is to be promoted.
17. A nurse is helping an older-adult patient with instrumental activities of
daily living. The nurse will be assisting the patient with which activity?
a. Taking a bath
b. Getting dressed
c. Making a phone call
d. Going to the bathroom
ANS: C
Instrumental activities of daily living or IADLs (such as the ability to write a
check, shop, prepare meals, or make phone calls) and activities of daily living or
ADLs (such as bathing, dressing, and toileting) are essential to independent living.
18. A male older-adult patient expresses concern and anxiety about
decreased penile firmness during an erection. What is the nurse’s best
response?
Tell the patient that libido will always decrease, as well as the sexual
a. desires.
Tell the patient that touching should be avoided unless intercourse is
b. planned.
c. Tell the patient that heterosexuality will help maintain stronger libido.
d. Tell the patient that this change is expected in aging adults.
ANS: D
20
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSING2EXAM. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $21.39. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
50064 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now