ATI Med Surg Proctored Exam Practice Questions and Answers (latest Update 2024).

ATI PN MED SURGE PROCTORED EXAM
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1. A nurse is teaching a health promotion class for older adults. In which orderw
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ill the nurse list the most common to least common conditions that can leadto d
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eath in older adults?
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1. Chronic obstructive lung diseasek k k



2. Cerebrovascular accidents k



3. Heart disease k



4. Cancer
a. 4, 1, 2, 3
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b. 3, 4, 1, 2
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c. 2, 3, 4, 1
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d. 1, 2, 3, 4
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ANS: B k


Heart disease is the leading cause of death in older adults followed by cancer,chronic
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lung disease, and stroke (cerebrovascular accidents).
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13. A nurse is observing skin integrity of an older adult. Which finding will the
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nurse document as a normal finding?
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a. Oily skin k




b. Faster nail growth k k


c. Decreased elasticity k



d. Increased facial hair in men k k k k




ANS: C k


Loss of skin elasticity is a common finding in the older adult. Other common findin
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gs include pigmentation changes, glandular atrophy (oil, moisture, and sweat gland
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s), thinning hair (facial hair: decreased in men, increased in women),slower nail gro
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wth, and atrophy of epidermal arterioles.
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14. An older-adult patient in no acute distress reports being less able to
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,taste and smell. What is the nurse’s best response to this information?
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Notify the health care provider immediately to rule out cranial nerve
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a. damage.
Schedule the patient for an appointment at a smell and taste disorders
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b. clinic.
c. Perform testing on the vestibulocochlear nerve and a hearing test.
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d. Explain to the patient that diminished senses are normal findings.
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ANS: D k


Diminished taste and smell senses are common findings in older adults. Scheduling
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an appointment at a smell and taste disorders clinic, testing the vestibulocochlear ner
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ve, or an attempt to rule out cranial nerve damage is unnecessary at this time as per th
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e information provided.
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15. A nurse is assessing an older adult for cognitive changes. Which symptom willth
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e nurse report as normal?
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a. Disorientation
b. Poor judgment k




c. Slower reaction time k k


d. Loss of language skills k k k




ANS: C k


Slower reaction time is a common change in the older adult. Symptoms of cognitive i
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mpairment, such as disorientation, loss of language skills, loss of the ability to calcul
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ate, and poor judgment are not normal aging changes and requirefurther investigatio
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n of underlying causes.
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16. An older patient with dementia and confusion is admitted to the nursing
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unit after hip replacement surgery. Which action will the nurse include in the planof
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care?
a. Keep a routine. k k




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, b. Continue to reorient. k k


c. Allow several choices.
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d. Socially isolate patient. k k




ANS: A k


Patients with dementia need a routine. Continuing to reorient a patient with dementi
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a is nonproductive and not advised. Patients with dementia need limited choices. So
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cial interaction based on the patient’s abilities is to be promoted.
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17. A nurse is helping an older-adult patient with instrumental activities of
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daily living. The nurse will be assisting the patient with which activity?
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a. Taking a bath k k




b. Getting dressed k


c. Making a phone call k k k



d. Going to the bathroom
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ANS: C k


Instrumental activities of daily living or IADLs (such as the ability to write a check, s
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hop, prepare meals, or make phone calls) and activities of daily living or ADLs (such
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kas bathing, dressing, and toileting) are essential to independent living.
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18. A male older-adult patient expresses concern and anxiety about
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decreased penile firmness during an erection. What is the nurse’s best
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response?
Tell the patient that libido will always decrease, as well as the sexual
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a. desires.
k Tell the patient that touching should be avoided unless intercourse is
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b. planned.
c. Tell the patient that heterosexuality will help maintain stronger libido.
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d. Tell the patient that this change is expected in aging adults.
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ANS: D k




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