ATI GERONTOLOGY NURSING EXAMINATION (2025/2026) CARE OF
THE OLDER ADULT – AGING PROCESSES, CHRONIC ILLNESS
MANAGEMENT, AND GERIATRIC NURSING PRACTICE |OFFICIAL
PRACTICE EXAMINATION PAPER
Comprehensive assessment of geriatric nursing knowledge and clinical
competence
A nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications. which of the following actions should the nurse take first?
a. Clarify the client's list of medications with the pharmacist.
b. Compare the current list against the new medication prescriptions.
c. Investigate any discrepancies on the list.
d. Ask the client about over-the-counter medications she is taking.
d. Ask the client about over-the-counter medications she is taking.
Rationale: 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.
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,A nurse at a long-term facility is planning 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?
a. Place the client in wrist restraints at night.
b. Request a prescription for a psychotropic medication.
c. Assign the client to a room closer to the nurse's station.
d. Keep the television on at night.
c. Assign the client to a room closer to the nurse's station.
Rationale: The nurse should place the client who wanders in a room that allows for close
observation. The nurse should provide clients who wander a safe place to walk and supervision
when the client is ambulating.
A nurse at a long-term care facility is teaching an older adult client about ambulating with a
quad-cane. Which of the following statements should the nurse include in the teaching?
a. "Adjust the height of the cane so that you can flex your elbow at 45 degrees."
b. "Hold the cane in the hand on the stronger side of your body."
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, c. "Place the flat side of the cane away from your foot."
d. "Move the cane and your stronger leg at the same time."
b. "Hold the cane in the hand on the stronger side of your body."
Rationale: 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.
A nurse is performing skin assessments for a group of older adult clients. Which of the following
findings should the nurse identify as a benign, age-related skin change commonly seen in older
adult clients?
a. Liver spots
b. Nevi
c. Atopic dermatitis
d. Psoriasis
a. Liver spots
3|Page
THE OLDER ADULT – AGING PROCESSES, CHRONIC ILLNESS
MANAGEMENT, AND GERIATRIC NURSING PRACTICE |OFFICIAL
PRACTICE EXAMINATION PAPER
Comprehensive assessment of geriatric nursing knowledge and clinical
competence
A nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications. which of the following actions should the nurse take first?
a. Clarify the client's list of medications with the pharmacist.
b. Compare the current list against the new medication prescriptions.
c. Investigate any discrepancies on the list.
d. Ask the client about over-the-counter medications she is taking.
d. Ask the client about over-the-counter medications she is taking.
Rationale: 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.
1|Page
,A nurse at a long-term facility is planning 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?
a. Place the client in wrist restraints at night.
b. Request a prescription for a psychotropic medication.
c. Assign the client to a room closer to the nurse's station.
d. Keep the television on at night.
c. Assign the client to a room closer to the nurse's station.
Rationale: The nurse should place the client who wanders in a room that allows for close
observation. The nurse should provide clients who wander a safe place to walk and supervision
when the client is ambulating.
A nurse at a long-term care facility is teaching an older adult client about ambulating with a
quad-cane. Which of the following statements should the nurse include in the teaching?
a. "Adjust the height of the cane so that you can flex your elbow at 45 degrees."
b. "Hold the cane in the hand on the stronger side of your body."
2|Page
, c. "Place the flat side of the cane away from your foot."
d. "Move the cane and your stronger leg at the same time."
b. "Hold the cane in the hand on the stronger side of your body."
Rationale: 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.
A nurse is performing skin assessments for a group of older adult clients. Which of the following
findings should the nurse identify as a benign, age-related skin change commonly seen in older
adult clients?
a. Liver spots
b. Nevi
c. Atopic dermatitis
d. Psoriasis
a. Liver spots
3|Page
