ATI: Gerontology Exam Questions And
Answers 100% Pass
A nurse is admitting an older adult client who fell at home and was unable to get up. The client
was not discovered until 3 days later by a family member. The client is admitted with a
fractured hip, malnutrition, and dehydration. Which of the following lab values, noted on
admission, should indicate to the nurse that the malnutrition is a long standing problem? -
answer✔Decreased albumin
Rationale: Decreased albumin is indicative of inadequate protein intake common with
prolonged malnutrition
A nurse is caring for an older adult client who has osteoarthritis of the right hip and lower
lumbar vertebrae. Which of the following client statements should indicate to the nurse that
further instruction is necessary? - answer✔"I will remain consistently active throughout the day
to prevent stiffness in my joints."
A nurse is orienting a newly hired home health assistant, and explaining the assistant's role in
helping client's with their ADLs. The nurse should explain that the most common reason older
adult clients have difficulty performing ADLs is which of the following? - answer✔Physical
disability
A nurse is caring for an older adult client who is on bedrest following development of deep vein
thrombosis (DVT). Which of the following food choices should the nurse recommend to the
client to help meet the goal of increased peristalsis? - answer✔Bran muffin
Rationale: Increased dietary fiber by adding foods like bran to diet, as well ass adequate fluid
intake promotes bowel regularity.
A nurse is preparing to admit an older adult client to the postsurgical unit. The nurse anticipates
that the client will most likely require supplemental oxygen. The nurse should understand that
hypoxemia occurs in older adult clients as a result of which of the following physiologic changes
normally associated with aging? - answer✔Decreased alveolar surface area
Rationale: Aging change is an increase in the size of the alveolar ducts and respiratory
bronchioles, leading to decreased alveolar surface area = less gas exchange = increased
hypoxemia risk
A nurse is obtaining a health history from a client admitted following a cerebrovascular accident
(CVA). The nurse notes that the client has a history of GERD. The nurse should understand that
this past medical history puts the client at increased risk of which of the following? -
answer✔Aspiration pneumonia
A nurse in a post-surgical unit is admitting an older adult client from the recovery department
following abdominal surgery for a bowel obstruction. Of which of the following information
regarding pain management should the nurse be aware? Older adult clients - answer✔are
sensitive to the analgesic effect of opiates.
A nurse is writing a plan of care for a client who had a cerebrovascular accident (CVA). Which of
the following should the nurse identify as a priority goal for a client following a CVA? -
answer✔Airway will remain clear as evidenced by clear breath sounds.
Rationale: CVA = high risk for airway obstruction and aspiration r/t loss of muscle control. Client
should be in side-lying position
A nurse is administering an antihistamine to an older adult client. Which of the following is an
appropriate nursing statement? - answer✔"Antihistamines should be used cautiously in clients
who have glaucoma."
Rationale: Most antihistamines have an anticholinergic effect. Glaucoma incidence is increased
in older adult clients.
A nurse is part of a committee that is developing age-appropriate care standards. Which of the
following should the nurse know is the focus for older adult clients, based on Erikson's
developmental tasks? - answer✔Integrity
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