A.T.I Gerontology Final Questions Exams: Study Guide, Key Concepts, Practice Questions, Exams of Nursing

Download A.T.I Gerontology Final Questions Exams: Study Guide, Key Concepts, Practice Questions and more Exams Nursing in PDF only on Docsity!

ATI Gerontology Final Questions EXAMS FROM THE

BEST INSTITUTIONS ACROSS THE GLOBE

A nurse is teaching a patient on bedrest following a DVT to increase peristalsis. What high-fiber food choices should the nurse recommend? - - correct ans-Navy-bean soup A nurse is caring for a patient with anemia. Which food should the nurse recommend to increase iron? - - correct ans-Dried fruit A nurse is caring for an older adult client who has a new onset of type 2 diabetes mellitus. which of the following physiologic changes can contribute to the development of type 2 diabetes - - correct ans-decreased sensitivity to the circulating insulin a nurse is teaching a newly hired assistive personnel about her role in helping older adult clients with ADLS nurses should explain that which of the following is the most common factor that affects a clients performance of ADLs - - correct ans-chronic physical disability a nurse is planning care for a client who had a stroke. which of the following goals should the nurse identify as the priority for this client?" - - correct ans-the clients airway will remain clear as evidence by clear breath sounds a nurse is developing a plan of care for a client who had a recent stroke and has a history of GERD. For which of the following disorders should the nurse plan to monitor this client? - - correct ans-aspiration pneumonia a nurse is caring for an older adult client. which of the following physiologic changes associated with aging can affect medication dosage in this client - - correct ans-decreased gastric motility a nurse is conducting an admission assessment for an older client. which of the following actions should the nurse take to collect subjective data. - - correct ans-allow sufficient time for the client to respond to the questions

a nurse at a long term care facility is providing teaching to a group of adolescents who are new volunteers. The nurse should explain that older adult clients are most likely to exhibit a decrease in which of the following - - correct ans-short term memory a nurse is assessing an older adult client during an annual physical. which of the following client findings should the nurse report to the provider. - - correct ans-A fasting blood glucose level 160 mg/dL a nurse is caring for an older client who has gout and refuses to eat. the clients provider has approved the family to bring food from home. which of the following foods should the nurses recommend that the client not eat - - correct ans-lentil soup a nurse is caring for an older adult client who has pneumonia. which of the following physiologic changes associated with aging places the client at risk for pneumonia? - - correct ans-Decreased number of cilia a nurse in the clinic is assessing an older adult client for the second time in a week. the client reports a decreased energy level, insomnia, and anorexia. the clients diagnostic tests are within the expected reference ranges. for which of the following conditions should the nurse screen the client? - - correct ans-depression a nurse is providing teaching to an older adult client who has osteoarthritis of the right hip and lower lumbar vertebrae. which of the following statements by the client indicates an understanding of the teaching - - correct ans-To relieve pressure on my hip, I should use a cane while ambulating a nurse is admitting an older client who fell at home 3 days ago. the client has a fractured hip, malnutrition, and dehydration. the following laboratory values noted on admission should indicate to the nurse prolonged malnutrition. - - correct ans-Decreased albumin

a nurse is caring for an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. which of the following actions should the nurse take? - - correct ans-Place client's mattress on the floor a nurse is providing discharge instructions about calcium supplements to an older adult female client who has osteoporosis and a recent repair of a fracture in her right hip. which of the following instructions should the nurse include? - - correct ans-Take your calcium supplements with a large glass of water a nurse is teaching a group of healthy older adult clients about health screening after age 50 years. which of the following health screenings should the nurse recommend that the clients complete annually? - - correct ans-Visual Acuity a nurse is planning to administer diphenhydramine hydrochloride to an older adult client? which of the following actions should the nurse pan to take prior to administration? - - correct ans- Review the medical record for a history of glaucoma a nurse in a long term facility is promoting reminiscence among older adult clients. which of the following actions should the nurse take? - - correct ans-Initiate a daily story-telling hour a nurse is teaching a group of older adult female clients who are postmenopausal about dietary requirements. which of the following statements about the role of folic acid should the nurse make? - - correct ans-Adequate folic acid intake is associated with reduced risk for heart disease a nurse is participating on a committee that is developing age appropriate care standards for older adult clients. which of the following of Erikson's development tasks should the nurse recommend as the focus? - - correct ans-Integrity a nurse is assessing an older adult client for signs of dehydration. which of the followong findings should the nurse consider an expected part of the aging process? - - correct ans-Decreased creatinine clearance

For an admission assessment, what action should the nurse take to collect subjective data? - - correct ans-Allow patient enough time to respond to the questions For a patient that fell 3 days ago and presents with a fractured hip, malnutrition, and dehydration, what lab value represents malnutrition? - - correct ans-Decreased albumin An older patient with decreased energy level, insomnia, and anorexia and normal lab values would be screened for: - - correct ans-Depression An older patient has had abdominal surgery following an obstruction. What about pain management should the nurse consider when planning? - - correct ans-Older adults are sensitive to the effects of analgesic opiates To promote reminiscence in older adults in a long-term care facility ... - - correct ans-Initiate a daily story-telling hour When administering diphenhydramine hydrochloride, the action the nurse should take is to ... - - correct ans-Review the medical record for a history of glaucoma For a nurse that is developing age-appropriate standards of care for older adults, which of Erikson's developmental tasks should the nurse recommend as the focus? - - correct ans- Integrity A nurse is assessing an older adult who is homeless. What findings should the nurse associate with co-morbidity? - - correct ans-Dementia and tuberculosis A nurse is teaching an older adult who has osteoarthritis in right hip and low lumbar vertebrae. Which statement by the patient indicates an understanding? - - correct ans-To relieve pressure on my hip, I should use a cane while ambulating

A nurse who is caring for an older patient with pneumonia should associate ____ ____ ____ ____ with a physiologic change with aging and places the patient at risk for pneumonia. - - correct ans-Decreased number of cilia Which instructions should the nurse include regarding clients who are hearing impaired? - - correct ans-Maintain eye contact with clients A nurse is teaching a group of healthy older adults about health screenings after age 50. Which health screening should the nurse recommend that client's complete annually? - - correct ans- Visual Acuity A nurse caring for an older patient who has gout and refuses to eat and whose family has brought in food. What food should the nurse recommend the patient to not eat? - - correct ans- Lentil soup A nurse caring for a patient who had a stroke should identify THIS as a major priority for this patient: - - correct ans-The client's airway will remain clear, as evident by breath sounds A client has Alzheimer's, refuses to take medication, is oriented to time and place, and is able to perform ADLs with minimal supervision. What action should the nurse take? - - correct ans-Ask the patient to express her reasons for refusing the medication and document the event. The nurse is monitoring a patient who has had a stroke and has a history of GERD and look for ....

• • correct ans-Aspiration pneumonia What is the most common factor that affects a client's performance of ADLs? - - correct ans- Chronic physical disability A nurse is assessing an older patient during an annual physical. What finding should the nurse report to the provider? - - correct ans-A fasting blood glucose level 160 mg/dL

An older adult says to the nurse: "I am always forgetting things. I can't remember where I parked my car. Do you think I have Alzheimer's?" The correct therapeutic response by the nurse would be: - - correct ans-That must be very upsetting. Can you tell me more about your forgetfulness? A nurse has a patient with dementia. The patient becomes confused and agitated at night, and wanders the hallway at night. What action should the nurse take? - - correct ans-Place client's mattress on the floor A nurse is caring for a patient with anemia. Which food should the nurse recommend to increase iron? - - correct ans-Dried fruit At which time of the year should older adults receive the flu vaccine? - - correct ans-Every year in the fall What action should the nurse take when providing oral care to an unresponsive patient? - - correct ans-Turn the patient on his side before starting When a patient with Alzheimer's wanders the halls at night, the nurse should ... - - correct ans- Assign the client to a room closer to the nurse's station For a patient with dementia, which intervention should the nurse include in the plan? - - correct ans-Use photograph memories as triggers A nurse caring for a patient with aphasia post-stroke should ... - - correct ans-Present one idea in a sentence Which finding should the nurse identify as a benign, age-related skin change? - - correct ans- Liver spots

A nurse notices excoriations on an older patient's wrists and ankles. What should the nurse do first? - - correct ans-Interview the patient in private When using a CPM (continuous passive motion) device, the nurse should: - - correct ans-Line up the frame joints of CPM device with client's knees When teaching about osteoporosis, the nurse should recommend: - - correct ans-Brisk walking will help prevent bone loss Furosemide can cause: - - correct ans-Ototoxicity and the patient should get a hearing test A nurse is conducting an admission assessment for an older adult client. Which of the following actions should the nurse take to collect subjective data? A. Leave the client a written questionnaire to fill out in private. B. Allow sufficient time for the client to respond to the questions. C. Talk to family members to obtain the client's health history. D. Obtain the health history from the client's medical record. - - correct ans-B. Allow sufficient time for the client to respond to the questions. A nurse is caring for an older adult client. Which of the following physiological changes associated with aging can affect medication dosage in this client? A. Increased glomerular filtration rate B. Decreased body fat C. Decreased gastric motility D. Decreased gastric pH - - correct ans-C. Decreased gastric motility A nurse is caring for an older adult client who has a new onset of Type 2 Diabetes Mellitus. Which of the following physiological changes can contribute to the development of Type 2 Diabetes?

A. Increased production of insulin by the pancreas B. Decreased sensitivity to the circulating insulin C. Increased rate of glucose metabolism D. Decreased release of glycogen by the liver - - correct ans-B. Decreased sensitivity to the circulating insulin A nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel (AP). Which pf the following instructions should the nurse include regarding clients who are hearing impaired? A. Maintain eye contact with the clients. B. Stand to one side of the clients and speak into their good ears. C. Speak loudly with exaggerated enunciation. D. Ask only questions with yes or no answers. - - correct ans-A. Maintain eye contact with the clients A nurse is caring for an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. Which of the following actions should the nurse take? A. Place the client's mattress on the floor. B. Restrain the client during the nighttime hours. C. Provide continuous orientation to the client. D. Turn out the lights in the client's room at night. - - correct ans-A. Place the client's mattress on the floor. An older adult client tells a nurse at a health fair "I am always forgetting things. I cannot even remember where I parked my car! Do you think I have Alzheimer's disease?" Which of the following is a therapeutic response by the nurse? A. "Perhaps you should discuss your concerns with your doctor." B. "I am forgetful too. I can't remember where I parked my car either!"

A nurse at an opthalmology clinic is assessing a client referred by the provider for a potential cataract. Which of the following client reports should the nurse recognize is consistent with cataracts? A. Halos when looking at lights B. Loss of peripheral vision C. Bright flashes of light and floaters D. Eyestrain and headache with close work - - correct ans-A. Halos when looking at lights A nurse is teaching a newly hired assistive personnel about her role in helping older adult clients with activities of daily living (ADLs). The nurse should explain that which of the following is the most common factor that affect's a client's performance of ADLs? A. Social withdrawal B. Chronic physical disability C. Emotional impairment D. Cognitive dysfunction - - correct ans-B. Chronic physical disability A nurse is teaching a group of older adult female clients who are postmenopausal about dietary requirements. Which of the following statements about the role of folic acid should the nurse make? A. "Clients who are postmenopausal need to limit their intake of folic acid to reduce their risk of stroke." B. "Dietary folic acid is not of significant importance after the childbearing years." C. "Healthy clients who are postmenopausal require a daily folic acid supplement." D. "Adequate folic acid intake is associated with a reduced risk for heart disease." - - correct ans- D. "Adequate folic acid intake is associated with a reduced risk for heart disease." A home health nurse is visiting an older adult client who has anemia. Which of the following foods should the nurse recommend to increase the client's iron intake? A. Greek yogurt

B. Bran muffin C. Peanut butter sandwich D. Dried fruit - - correct ans-D. Dried fruit A nurse is teaching an older adult client who is on bedrest following development of deep vein thrombosis (DVT) about methods to increase peristalsis. Which of the following high-fiber food choices should the nurse recommend? A. Navy bean soup B. Canned fruit juice C. White rice pudding D. Soy milkA nu - - correct ans-A. Navy bean soup A nurse is assessing an older client during an annual physical. Which of the following client findings should the nurse report to the provider? A. BP 118/76 mm Hg B. Fasting blood glucose level 160 mg/dL C. Report of waking to void two to three times per night D. Report of bowel movement every other day - - correct ans-B. Fasting blood glucose level 160 mg/dLA nur A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. The client has a new prescription for alendronate sodium. Which of the following findings in the client's history should the nurse recognize is a contraindication to this medication? A. Glaucoma B. Paget's disease C. Esophageal achalasia D Long-term corticosteroid use - - correct ans-C. Esophageal achalasia

B. Decreased albumin C. Increased BUN D. Decreased blood glucose - - correct ans-B. Decreased albumin A nurse is caring for an older adult client who has gout and refuses to eat. The client's provider has approved the family to bring food from home. Which of the following foods should the nurse recommend that the client not eat? A. Lentil soup B. Cheese sandwich C. Yogurt D. Raisins - - correct ans-A. Lentil Soup A nurse is planning care for a client who had a stroke. Which of the following goals should the nurse identify as a priority for this client? A. The client's skin will remain intact during hospitalization. B. The client will verbalize one new word each week. C. The client will begin to help turn himself in bed, indicating improved mobility. D. The client's airway will remain clear, as evidenced by clear breath sounds. - - correct ans-D. The client's airway will remain clear, as evidenced by clear breath sounds A nurse in a long-term care facility is promoting reminiscence among older adult clients. Which of the following actions should the nurse take? A. Establish a weekly pet therapy visitation program. B. Place a calendar and clock in each resident's room. C. Institute a daily storytelling hour. D. Encourage all clients to eat their meals in the dining room. - - correct ans-C. Institute a daily storytelling hou

A nurse is teaching a group of healthy older adult clients about health screenings after age of 50 years. Which of the following health screenings should the nurse recommend that the client completes annually? A. Cholesterol B. Colonoscopy C. Diabetes mellitus D. Visual acuity - - correct ans-D. Visual acuity A nurse is caring for an older adult client who has pneumonia. Which of the following physiological changes associated with aging places the client at risk for pneumonia? A. Decreased anterior-posterior diameter B. Increased diameter of the small airways C. Decreased number of cilia D. Increased alveolar surface area - - correct ans-C. Decreased number of cilia A nurse is assessing an older adult client for signs of dehydration. Which of the following findings should the nurse consider an expected part of the aging process? A. Elevation of urine specific gravity B. Decreased creatinine clearance C. Dry oral mucous membranes D. Poor skin turgor over the sternum - - correct ans-B. Decreased creatinine clearance A nurse is caring for a client who has Alzheimer's disease and refuses to take her morning antihypertensive medication. The client is oriented to name and place and is able to perform ADLs with minimal supervision. Which of the following actions should the nurse take? A. Crush the pills and feed them to the client in applesauce. B. Insist the client comply by informing her of the possible implications of missing a dose. C. Notify the provider of the need for further evaluation of the client's level of competence.

a nurse at a long term care facility is contributing to a plan for an older adult client who has dementia. which of the following interventions should the nurse include in the plan? - - correct ans-use photographs as memory triggers a nurse is reinforcing teaching with an older adult client who is healthy and has chronic constipation about establishing a bowel retraining program. which of the following statements should the nurse include in the teaching? - - correct ans-Increase the fiber content of your diet A nurse is caring for an older adult client who has a terminal illness. the client tells the nurse " I just want to live one more month so i can see my grand child get married" which of the following in Kubler-ross stages of grief should the nurse identify the client is experiencing? - - correct ans- Bargaining bargaining is the third stage of grief according to kubler-ross. bargaining represents a last effort at overcoming death by earning longer life. trying to put off death for on last major celebration in the client's life, like the marriage of a grandchild, is a form of bargaining A nurse us reinforcing teaching with a client who is to start taking alendronate sodium. Which of the following recommendation should the nurse include in the teaching? - - correct ans- Discontinue the medication if you develop heartburn A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications which of the following action should the nurse take first? - - correct ans-Ask the client about over the counter medications the nurse should apply the nursing process priority-setting framework. the nurse can use the nursing process to plan client care and prioritize nursing actions. each step of the nursing process builds on the previous step, beginning with assessment or data collection. before the nurse can formulate a plan of action, implement a nursing intervention, or notify the provider of a change in the client's status, she must first collect adequate data from the client. assessing or collecting additional data will provide the nurse with knowledge to make an appropriate decision. when performing medication reconciliation, it is important that the nurse collect a list of all the medications the client takes in order to compare the full list of medications against any new

medications the client will take the list should include prescriptions, over the counter medications, and herbal and nutritional supplements. A nurse is reinforcing teaching with a group of healthy, older adult clients about age related changes and sexual response. Which of the following changes should the nurse include as an age related change? - - correct ans-Decreased vaginal lubrication the nurse should inform the clients that a decreased in baginal secreations is an expected age- related change in older adult female clients. vaginal dryness might result in painful intercourse, which clients can manage with the use of water soluble lubricants during intercourse. A nurse is reviewing the basic need of older adult clients with a group of assistive personnel, which of the following statements should he nurse include? - - correct ans-Deep Sleep is decrease A Nurse is caring for an older adult client who has moderate hearing loss. Which of the following action should the nurse take to enhance communication? - - correct ans-Speak at a moderate rate A nurse is caring for a client and is using a fentanyl transdermal patch for pain control. Which of the following actions should the nurse take when caring for this client? - - correct ans-Avoid using heating patch A nurse at a long term care facility is reinforcing teaching with an older adult client about ambulating with a quad cane. Which one of the following statements should the nurse include in the teaching? - - correct ans-Hold the cane on the stronger side of your body the client should hold the cane with the hand on the stronger side of her body so that she can move the cane to support the weaker leg. this action allows for a more normal gait, with the ipsilateral arm and weaker leg moving at the same time