ATI FINAL GERONTOLOGY
EXAM
VERSION 1
1. A nurse is caring for an older adult client who was admitted to a
long term care facility and requires total care. Which of the following is
an appropriate nursing action while providing mouth care?
Turn the client on his side before starting mouth care
2. A nurse is educating a group of assistive personnel about the
care of older adult clients. The nurse educator is including information
about the developmental tasks of older adults. Which of the following
should the nurse use as an example of a nursing action that best
meets the psychosocial tasks of older adults, according to Erikson?
-Providing the client’s opportunity to discuss their lives and losses
3. A nurse working in a community health center is completing an
assessment of an older adult female client. To which of the following
findings should the nurse give immediate action?
- Rales in the bases
4. An older adult client with a moderate hearing loss seeks medical
attention in the clinic The nurse can best meet the needs of the
hearing impaired client by doing which of the following?
Understanding that not all hearing impaired clients communicate the
same way
5. A nurse is educating a group of older adult clients regarding their
diet choices. Which of the following diet modifications should the
nurse recommend to the older adult clients?
adults have lost bone density and are prone to fractures; therefore, it
is appropriate to recommend a diet that is high in calcium.
6. A nurse is asked to speak to a group of healthy, older adult
clients about normal aging and sexual response. The nurse should
,include in the discussion techniques to help the clients adapt to which
of the following?
painful intercourse related to vaginal narrowing and decreased vaginal
secretions. The nurse should suggest the use of water-soluble
lubricants with intercourse to ameliorate the effects of these normal
changes.
7. A nurse in a long term care facility is caring for an older adult
client who has ben giving a cane t assist with ambulation. Which of
the following nursing actions puts the client at risk?
Placing the can on the side of the client's weak side
8. A nurse is caring for an 85 year old client. Which of the following
assessment findings should the nurse report to the provider
immediately?
-Cannot discriminate between hot and cold sensations below the knee
ation below the knee of
the leg can be a manifestation of poor circulation to that extremity.
9. A nurse is caring for an older adult client who is receiving
multiple medication. Which of the following is an appropriate
statement by the nurse?
-Receiving multiple medications can lead to drug interactions
10. A nurse is caring for an older adult client who is being admitted
to the hospital with abdominal pan. During the initial assessment, the
nurse notes that the client just nods and smiles in response to the
questions asked. Which of the following common developmental
concerns is the client exhibiting?
-
unusual for older adult clients to be hard of hearing. The nurse may
,not be receiving appropriate responses because the client is hard of
hearing. Hearing loss is not necessarily a normal physiological
change of older adults and should be further evaluated and treated.
11. A nurse is caring for an older adult client who is dying. The client
tells the nurse, "I just want to live one more month so I can see my
grandchild get married." The nurse should recognize that, according
to Kubler-Ross' stages of grief, the client is in which stage? -
Bargaining
12. A nurse in a long-term care facility recognizes that there is
potential for physical and psychological abuse of older adult residents.
Which of the following is the best nursing action?
Provide staff with education about the abuse of older adult clients and
ion that will give staff
members the information and skills that are necessary to prevent
abuse in this setting. The nurse should recognize that caring for older
adult clients can be stressful and frustrating at times. Giving staff
members training for stress-management skills addresses this aspect
of potential abuse.
13. A nurse is taking an older adult client's history. The client reports
being depressed and having difficulty sleeping for several months. In
evaluating the client's sleep disturbance, the nurse should be guided
by the knowledge of which of the following? -Anxiety and depression
frequently cause disturbed sleep patterns
14. A nurse is caring for a client who is in pain and is receiving a
transdermal patch. The nurse should understand that transdermal
medication should be applied to which of the following places on older
adult clients?
with age, therefore when caring for an older adult client, topical or
transdermal skin patches should be applied to the torso where
circulation is better.
15. A nurse is caring for an older adult client who is recovering from
a left sided cerebrovascular accident (CVA) and who has hemiparesis
, of the right arm and leg. Which of the following is the best place for
the nurse to arrange the items used for hygiene when setting up the
client's morning hygiene care supplies? -Within the client's reach on
the left side
16. A nurse is caring for an older adult client who came to the clinic
reporting insomnia. Which of the following questions should the nurse
ask to asses the quality of the client's sleep?
-Do you feel rested in the morning?
17. A nurse on a surgical unit reports that an older adult client is
having periods of agitation at night that include screaming out loudly
for help. The nurse manager suggest several interventions to
decrease this behavior. Which of the following interventions should
the nurse recognize is least appropriate for an older adult client?
-
screaming usually indicates that the client is afraid. Medication may
sedate the client, but it will not remove the fear. Sedative medication
should be used very sparingly in a postoperative older adult client who
may also be receiving pain medication.
18. A nurse in the ED is caring for an older adult client. Which of the
following behaviors should indicate to the nurse neglect of an older
adult client by a caregiving family member?
-the client hasn’t been taking necessary medications because the
prescriptions have not been filled by
occurs when the client’s needs is not being met by the caregiver
19. A nurse in a long-term care facility is caring for an older adult
client who has dementia. Which of the following assessment findings
should the nurse recognize is most likely t be seen in this client?
-
progressive impairment of brain function. Disorders that cause
dementia include conditions that impair the vascular or neurologic
structures of the brain. Agnosia, the inability to identify familiar objects
is a key finding in dementia.
20. A nurse is evaluating the plan of care for an older adult client that
will be discharged home with a home health aide. Currently, the client
has a home health aide 4 hr a day to assist with meal preparation and
hygiene care. Which of the following should be the nurse’s primary
consideration when making changes to the client’s plan of care? -
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