ATI Gerontology Final, QUIZ ATI Learning Systems RN 3.0 Gerontology, Older Adult Final ATI Questions from previous exams

A nurse is discussing the care of a group of clients with a newly licensed nurse. Which of the following clients should the newly licensed nurse identify as experiencing chronic pain?

A client who has episodic back pain following a fall 2 years ago

A nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the students identify as an ethical dilemma?

A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.

A nurse is consoling the partner of a client who just expired after a long battle with liver cancer. The partner is displaying grief and states, "I hate him for leaving me." Which of the following statements by the nurse successfully facilitate mourning for the grieving partner? (Select all that apply.) A. "Would you like me to contact the chaplain to come speak with you?" B. "You will feel better soon. You have been expecting this for a while now." C. "Let's talk about your children and how they are going to react." D. "You know, it is quite normal to feel anger toward your husband at this time." E. "Tell me more about how you are feeling."

A. "Would you like me to contact the chaplain to come speak with you?" D. "You know, it is quite normal to feel anger toward your husband at this time." E. "Tell me more about how you are feeling."

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? A. "You should take your calcium supplement with a large glass of water." B. "You should increase your intake of grain cereals while taking calcium supplements." C. "You should take at least 2600 milligrams of calcium supplements daily." D. "You will not need to take vitamin D with your calcium supplement after menopause.

A. "You should take your calcium supplement with a large glass of water."

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

A. Halos when looking at lights

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

A. Lentil Soup

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.

A. Maintain eye contact with the clients

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

A. Navy bean soup

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.

A. Place the client's mattress on the floor.

A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication prescribed for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication's effect? Select all that apply. A. Provider B. CNA C. Pharmacist D. RN E. Respiratory therapist

A. Provider C. Pharmacist D. RN

A nurse is planning to administer diphenhydramine hydrochloride to an older adult client. Which of the following actions should the nurse plan to take prior to administration? A. Review the medical record for a client history of glaucoma. B. Plan to administer the medication 30 min prior to a meal. C. Explain to the client he will need to restrict his fluid intake once he takes the medication. D. Remind the client that his appetite might increase when starting the medication.

A. Review the medical record for a client history of glaucoma.

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? A. Short-term memory B. Creative ability C. Decision-making skills D. Cognitive capacity

A. Short-term memory

A nurse in an assisted living facility is assisting in the care of an older adult client who moved in 3 months ago following the death of his partner. The client reports awakening in the morning and admits to feeling very sad. The nurse should identify then the client is experiencing which of the following types of grief.

Acute grief

The nurse is assisting in the planning of an immunization clinic for older adults. At which of the following times should an older adult client receive the influenza vaccine?

Annually in the fall

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?

Ask the client about over the counter medications

A nurse is planning to use healing intention with a client who is recovering from a lengthy illness. Which of the following is the priority action the nurse should take before attempting this particular mind-body intervention?

Ask whether the client is comfortable with using prayer.

A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing?

Assault-by threatening the client, the AP is committing assault. Her threats could make the client become fearful and apprehensive.

A nurse at a long term care facility is contributing to the plan of care for a client who has Alzheimer's disease and wanders at night. Which of the following interventions should the nurse include in the plan?

Assign the client to a room closer to the nurses station.

A nurse is caring for a client who decides not to have surgery despite signifigant blockages of the coronary arteries. The nurse understands that this client's choice is an example of:

Autonomy

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?

Avoid using heating patch

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? A. "I should avoid the use of a heating pad on my back." B. "To relieve the pressure on my hip, I can use a cane while ambulating." C. "I will have steroid injections to my joints as the first medication of choice to treat my pain." D. "I will exercise even when it causes pain."

B. "To relieve the pressure on my hip, I can use a cane while ambulating."

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.

B. Allow sufficient time for the client to respond to the questions.

A nurse is developing a plan of care for a client who had a recent stroke and has a history of gastroesophageal reflux disease (GERD). For which of the following disorders should the nurse plan to monitor for? A. Duodenal ulcer disease B. Aspiration pneumonia C. Viral pneumonia D. Esophageal varices

B. Aspiration pneumonia

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

B. Chronic physical disability

A nurse is admitting an older adult client who fell at home 3 days ago. The client has a fractured hip, malnutrition, and dehydration. Which of the following laboratory values, noted on admission, should indicate to the nurse prolonged malnutrition? A. Increased sodium B. Decreased albumin C. Increased BUN D. Decreased blood glucose

B. Decreased albumin

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

B. Decreased creatinine clearance

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

B. Decreased sensitivity to the circulating insulin

A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use when communicating with a client and family members? SATA

B. Determine client understanding several times during conversations D. Use lay terms if possible E. Do not interrupt the interpreter and the family as they talk

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

B. Fasting blood glucose level 160 mg/dLA nur

A nurse is caring for a client who has stage IV lung cancer and is 3 day Post-op. The client states-I have told myself that I would go through with the surgery and quit smoking, if I could live long enough to attend my daughter's wedding. Based on Kulber-Ross' 5 Stages of grief, which stage is the client experiencing?

Bargaining

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?

Bargaining

A nurse offers pain meds to a client who is post-op prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical prinicples?

Beneficence

A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following manifestations should the nurse EXPECT? SATA

Blurred vision White pupils

A nurse is monitoring a client who is receiving opioid analgesia for adverse effects of the medication. SATA

Bradypnea Orthostatic hypotension Nausea

A nurse is reinforcing teaching with an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching?

Brisk walking will help prevent bones loss

A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the client should indicate to the nurse an understanding of advance directives? A. "I'd rather have my brother make decisions for me, but I know it has to be my wife." B. "I know they won't go ahead with the surgery unless I prepare these forms." C. "I plan to write that I don't want them to keep me on a breathing machine." D. "I will get my regular doctor to approve my plan before I hand it in at the hospital."

C. "I plan to write that I don't want them to keep me on a breathing machine."

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

C. Decreased gastric motility

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

C. Decreased number of cilia

A nurse is assessing an older adult client who states he is homeless. Which of the following findings should the nurse document as comorbidities for this client? A. Inadequate shelter and clothing for the weather B. Malnutrition and poverty C. Dementia and tuberculosis D. Lack of preventive health care and immunizations

C. Dementia and tuberculosis

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 client's diagnostic tests are within the expected reference ranges. For which of the following conditions should the nurse screen the client? A. Sarcopina B. Dementia C. Depression D. Diabetes

C. Depression

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

C. Esophageal achalasia

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.

C. Institute a daily storytelling hou

A nurse is participating in a committee that is developing age-appropriate care standards for older adult clients. Which of the following of Erikson's developmental tasks should the nurse recommend as the focus? A. Intimacy B. Identity C. Integrity D. Initiative

C. Integrity

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."

D. "Adequate folic acid intake is associated with a reduced risk for heart disease."

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!" C. "You're probably just having 'senior moments.' Everyone has memory lapses." D. "That must be very upsetting. Can you tell me about your forgetfulness?"

D. "That must be very upsetting. Can you tell me about your forgetfullness?"

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. D. Ask the client to express her reasons for refusing the medication and document the event.

D. Ask the client to express her reasons for refusing the medication and document the event.

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

D. Dried fruit

A nurse is planning care for an older adult client following abdominal surgery for bowel obstruction. Which of the following information about pain management should the nurse consider when planning care? A. Older adult clients have a diminished capacity to perceive pain. B. Older adult clients should not take narcotics for pain control. C. Older adult clients have increased pain as a normal part of aging. D. Older adult clients are sensitive to the analgesic effect of opiates.

D. Older adult clients are sensitive to the analgesic effect of opiates.

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.

D. The client's airway will remain clear, as evidenced by clear breath sounds

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

D. Visual acuity

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?

Decreased vaginal lubrication

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?

Deep Sleep is decrease

A nurse is collecting data from an older adult client who lives alone. Although the client is able to answer all questions appropriately, the nurse notes that the client has a decreased attentions span, expresses feelings of overwhelming sadness, and has low energy level. The nurse should identify that the client is exhibiting manifestations of which of the following disorders?

Depression

A nurse is collecting data afrom an older adult client who reports feeling anxious about financial concerns and having difficulty sleeping for several months. Which of the following actions should the nurse take?

Determine the client's usual sleep habits

A nurse is preparing an instructional session about managing stress incontinence for an older adult. Which of the following actions should the nurse take first when meeting with the client?

Determine what the client knows about stress incontinence

A nurse is collecting data from an 85 yr old client. Which of the following findings should the nurse report to the provider?

Differences in pulse strength between lower extremities

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?

Discontinue the medication if you develop heartburn

A nurse is caring for an older adult client who reports that she has just retired and expresses feelings of loneliness due to the of daily interactions with coworkers. Which of the following responses should the nurse make?

Do you know about the local senior group?

An adult client who is competent tells the nurse that he is thinking about leaving the hospital AMA. The nurse believes that this is NOT what is best for the client's interest, so she administers a PRN sedative medication the client was not requested along with the client's regular meds. Which of the following types of tort has the nurse committed?

False imprisonment

A nurse is reviewing the medical record of an older client. For which of the following medications should the nurse request a hearing assessment of the client?

Furosemide

A nurse is caring for a male OA who has a new diagnosis of glaucoma. Which of the following should the nurse recognize as risk factors? SATA

Genetic predisposition Hypertension Age DM

A nurse is reinforcing teaching with an older adult client about methods to improve sleep. Which of the following statements should the nurse include in the teaching?

Go to the bed at the same time everynight

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?

Hold the cane on the stronger side of your body

A nurse is reinforcing teaching with a client who is to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching?

I should see a decrease in my PSA levels

A nurse is discussing the plan of care for a client who reports following Islamic practices. Which of the following statements by the nurse indicates culturally responsiveness to care to the client?

I will ask the client if they want to schedule some times to pray during the day.

A nurse is collecting data from an older adult client who has chronic pain. Which of the following effects of unrelieved pan should the nurse identify as a priority finding to report?

Impaired mobility

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?

Increase the fiber content of your diet

A nurse is providing teaching for a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching?

Increase the intake of deep yellow and orange vegetables.

A nurse is collecting data from an older adult client who had a right sided stroke two days ago. For which of the following findings should he nurse notify the provider immediately?

Increased restlessness

A nurse is assisting with the admission of an older adult client who has urinary incontinence and smells strongly of urine. The clients partner who has been caring for her a home, states the he is sorry and embarrassed about the unpleasant smell. Which of the following responses should the nurse make?

It must be difficult to care for someone who is incontinence

A nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. When the nurse explains that ALL clients waiting for a kidney transplant have to meet the same qualifications, the students should know and understand that this aspect of which of the following ethical principles?

Justice

A nurse is caring for a client who tells the nurse that based on religious values and mandates, a blood transfusion is not acceptable treatment option. Which of the following actions should the nurse take?

Let's discuss the necessity for a transfusion with your religious and spiritual leaders and come to a reasonable conclusion

A nurse is caring for a patient who is using a CPM device following a right knee replacement. Which of the following actions should the nurse take when applying the CPM device?

Line up the frame s=joints of the CPM to the clients knee.

A nurse is caring for an older adult client who is expressing feelings of grief and longing for his earlier life. Which of the following actions should the nurse take?

Listen attentively and allow the client to talk about the past

A nurse is reinforcing teaching about skin changes in the older adult client with a newly licensed nurse. Which of he following findings should the nurse identify as benign, age related change commonly seen in older adult clients?

Liver spots

A nurse is transferring an older adult client who has right sided weakness from bed to a wheelchair. Which of the following action should t nurse take to provide a safe transfer?

Maintain a straight back and bend at the knees

A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? SATA

Make sure the surgeon obtained the client's consent Witness the client's signature on the consent form

A nurse questions a med prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles?

Nonmaleficence

A nurse is reviewing the records of a group of older adults. Which of the following findings should the nurse identify as an unexpected manifestation of the aging process

Obesity

A nurse is caring for a client scheduled for abdominal surgery. The client reports being worried. Which of the following actions should the nurse take?

Offer information on a relaxation technique and ask teh client if he is interested in trying it

A nurse is collecting data from a client who is reporting pain despite taking analgesia. Which of the following actions should the nurse take to determine the intensity of the client's pain?

Offer the client a pain scale to measure his pian.

A nurse is caring for a client who has DM and reports gradual loss of peripheral vision. The nurse should recognize this as a manifestation of which of the following diseases?

Open-angle glaucoma

A nurse at a client is collecting data about pain from a client who reports severe abdominal pain. The nurse asks the client whether he has nausea and has been vomiting. Which of the following pain characteristics is the nurse attempting to determine?

Presence of associated manifestations

A nurse is caring for a client who has aphasia following a stroke. Which of the following actions should the nurse take?

Present on idea at a time

A nurse is collecting data from an older female client. Which of the following findings should the nurse identify as a priority?

Rales heard in the bases of the lungs

A nurse in an adult day care is contributing to the development of treatment plans for older adult clients. Which of the following therapeutic strategies should the nurse use to help clients achieve ericksons developmental task for this age group?

Reminiscence therapy

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?

Speak at a moderate rate

A client who had a CVA accident has persistent problems with dysphagia. The nurse caring for the client should initiate a referral with which of the following team members of the IPE Team?

Speech Language Therapist

A nurse is caring for an adult older client who is on bed rest. Which of the following foods should the nurse plan to include on the clients breakfast tray to prevent constipation?

Stewed prunes

A nurse is observing a client drawing up and mixing insulin. Which of the following findings should the nurse identify as an indication that psychomotor learning has taken place?

The client is able to demonstrate the appropriate technique.

A nurse is reinforcing teaching with an older adult client who had total hip athroplasty abut ambulating with a standard walker. Which of the following action by the client indicates understanding?

The client moves the walker ahead 15.24 cm (6in) and then steps with the walker

A nurse is caring for a client who has terminal lung cancer. The nurse observes the client's family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate with the family?

The client's sense of loss can be lessened through retaining control of certain areas of her life.

A nurse is caring for 2 clients who report following the same religion. Which of the following information should the nurse consider when planning care for these clients?

The same religious beliefs can influence individuals differently

A nurse is caring for an older adult client who is unresponsive following a stroke. Which of the following actions should the nurse take while providing mouth care.

Turning the client in the side before starting oral care.

A nurse collecting data from an older adult who has right sided heart failure. Which of the following findings is the nurse's priority to report?

Weight has increased 0.91 kg (2 lb) in 24 hr.

A nurse is reinforcing teaching with a group of older adults clients about dietary needs. Which of the following dietary recommendations should the nurse include in the teaching?

You should consume 1200 milligrams of calcium a day

A nurse is reinforcing teaching with an older adult client who is to start taking warfarin. Which of the following statement indicates the client understands the teaching

i can continue to eat green salads

A nurse is reinforcing teaching to a client with COPD and has been losing weight about ways to improve his nutritional intake. which of the following statements by the client indicate and understanding of the teaching?

i should add grated cheese to sauces and vegetables

A nurse is caring for an older adult client who has a hip fracture and is rating her pain at 8 on a 0 to 10 scale. Which of the following medications should the nurse adminster?

oxycodone/acetaminophen 7.5/325 tablet PO

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?

use photographs as memory triggers