ATI GERONTOLOGY FINAL EXAM QUIZ

 - (3 DIFFERENT VERSIONS)-

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ATI GERONTOLOGY FINAL EXAM QUIZ

 2021

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ATI FINAL GERONTOLOGY | ATI FINAL

GERONTOLOGY; (LATEST 2021) COMPLETE

SOLUTIONS

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?

Increased calcium older 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?

Decreased vaginal lubrication  older adult female pts may report 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.

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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 of the left

extremity  lack of feeling or sensation 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?

-hearing loss  the senses often diminish with age and it is not 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 stress

management  proactive intervention 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?

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Hairless area of the torso  circulation in the extremities decreases 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?

-requesting that the client’s PCP prescribe a sedative medication.  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 the family member  neglect 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?

-Agnosia  dementia refers to a group of symptoms involving 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?

-effectiveness of the interventions for the client’s care.

21. A nurse in a day care center is conducting an in-service for assistive personnel (AP) about the

basic needs of older adult clients. Which of the following is an appropriate statement made by the

nurse?

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