FUNDAMENTALS EXAM #4 ATI Questions & Answers
I nursing student is caring for a 78-year-old patient with multiple sclerosis. The
patient has had an indwelling Foley catheter in for three days. Eight hours ago the
patient's temperature was 37.1°C. This your reports her recent assessment to the
registered nurse the patient's temperature is 37.2 degrees Celsius the Foley catheter
is still in place draining dark urine in the patient is uncertain what time of day it is.
From what the RN knows about presentation of symptoms and order adults what
should he recommend first?
1. Tell the student that temporary confusion is normal and simply requires re-
orientation
2. Tell the student to increase the patient's fluid intake since the urine is
concentrated
3. Tell the student that her assessment findings are normal for an older adult
4. Tell the student that he will notify the patient healthcare provider of the findings
and recommend a urine culture - 4. Tell the student that he will notify the patient
healthcare provider of the findings and recommend a urnie culture
A patient's family member is considering having her mother placed in nursing
center. The nurse has talked with the family before and knows that this is a
difficult decision. Which of the following criteria does the nurse recommend in
choosing a nursing center? Select all that apply
1. The center needs to be clean and room should look like a hospital room
2. Adequate staffing is available on all shifts
3. Social activities are available for all residents
4. The center provides three meals daily with a set menu and serving schedule
5. Staff encourage family involvement in care planning and assisting with physical
care - 2. Adequate staffing is available on all shifts
3. Social activities are available for all residents
5. Staff encourage family involvement in care planning in assisting with physical
care
A nurse conduct an assessment of a new patient who came to the medical clinic.
The patient is 82 years old and has had osteoarthritis for 10 years and diabetes for
20 years. He is alert but becomes easily distracted during assessment. He recently
,moved to a new apartment in his pet beagle die just two months ago. He is most
likely experiencing:
1. Dementia
2. Depression
3. Delirium
4. Hypoglycemic reaction - 2. Depression
The nurse is completing a health history with the daughter of a newly admitted
patient who is confused and agitated. The daughter reports that her mother was
diagnosed with Alzheimer's disease one year ago but became extremely confused
last evening and was hallucinating. She was unable to calm her and her mother
thought she was a stranger. On the basis of this history the nurse expect that the
patient is experiencing:
1. Delirium
2. Depression
3. New onset dementia
4. Worsening dementia - 1. Delirium
Sexuality is maintained throughout our lives. Which of the following answers best
explains sexuality in an older adult?
1. When the sexual partner passes away the survivor no longer feel sexual
2. A decrease in an older adults libido occurs
3. And outward expression of sexuality suggested an older adult is having a
developmental problems
4. All Older adults weather healthy or frail need to express sexual feelings - 4. All
older adults weather healthy or frail need to express sexual feelings
Older adults frequently experience a change in sexual activity. Which best explains
this change?
1. The need to touch and be touched is decreased
2. The sexual preferences of older adults or not as diverse
3. Physical changes usually do not affect sexual functioning
4. Frequency and opportunities for sexual activity may decline - 4. Frequency and
opportunities for sexual activity may decline
,The nurses a 76-year-old woman in the outpatient clinic. She states that she
recently started noticing a glare in the lights at home. Her vision is blurred and
she's unable to play cards with her friends read or do her needlework. The nurse
suspects that the woman may have:
1. Presbyopia
2. Presbycusis
3. Cataract
4. Depression - 3. Cataract
A nurse is caring for a patient preparing for discharge from the hospital the next
day. The patient does not read. His family caregiver will be visiting before
discharge. What can the nurse do to facilitate the patient understanding of his
discharge instructions? Select all that apply
1. Yell so the patient can hear you
2. Sit facing the patient so he is able to watch her lip movement and facial
expressions
3. Present one idea or concept at a time
4. Send a written copy of the instructions home with him and tell him to have the
family review them
5. Include the family caregiver in the teaching session - 2. Sit facing the patient so
he is able to watch her lip movement and facial expressions
3. Present when idea or concept at a time
5. Include the family caregiver in the teaching session
A 63-year-old patient is retiring from his job at an accounting firm where he was in
a management role for the past 20 years. He has been with the same company for
42 years and was a dedicated employee. His wife is a homemaker. She raise their
five children babysits for her grandchildren as needed and belongs to numerous
church committees. What are the major concerns for this patient? Select all that
apply
1. The loss of his work role
2. The risk of social isolation
3. A determination if the wife will need to start working
4. How the wife expects household tasks to be divided in the home in retirement
5. The age the patient choose to retire - 1. Loss of his work role
, 4. How the wife expects household task to be divided in the home in retirement
A nurse is assessing an older dog brought to the emergency department following a
fall and wrist fracture. She knows that the patient is very thin and unkempt has a
stage III pressure ulcer to her coccyx and has or bruising to the extremities in
addition to her new bruises from the fall. She defers all of the questions to your
caregiver son who accompanied her to the hospital. The nurse is next step is to:
1. Call social services to begin nursing home placement
2. Ask the son to step out of the room so she can complete her assessment
3. Call adult protective services because you suspect elder mistreatment
4. Assess patient's cognitive status - 2. Ask the son to step out of the room so she
can complete her assessment
A nurse is participating in a health and wellness event at the local community
center. A woman approaches and relates that she is worried that her widowed
father is becoming more functionally impaired and may need to move in with her.
The nurse inquires about his ability to complete activities of daily living. ADLs
including independence with: select all that apply
1. Driving
2. Tolieting
3. Bathing
4. Daily exercise
5. Eating - 2. Tolieting
3. Bathing
5. Eating
During a home health visit a nurse talk to the patient and his family caregiver about
the patient's medications. The patient has hypertension and renal disease. Which of
the following findings placed him at high risk for an adverse drug events? Select
all apply
1. Taking two medications for hypertension
2. Taking a total of eight different medications during the day
3. Having one physician who reviewed all medications
4. Patient health history of renal disease
I nursing student is caring for a 78-year-old patient with multiple sclerosis. The
patient has had an indwelling Foley catheter in for three days. Eight hours ago the
patient's temperature was 37.1°C. This your reports her recent assessment to the
registered nurse the patient's temperature is 37.2 degrees Celsius the Foley catheter
is still in place draining dark urine in the patient is uncertain what time of day it is.
From what the RN knows about presentation of symptoms and order adults what
should he recommend first?
1. Tell the student that temporary confusion is normal and simply requires re-
orientation
2. Tell the student to increase the patient's fluid intake since the urine is
concentrated
3. Tell the student that her assessment findings are normal for an older adult
4. Tell the student that he will notify the patient healthcare provider of the findings
and recommend a urine culture - 4. Tell the student that he will notify the patient
healthcare provider of the findings and recommend a urnie culture
A patient's family member is considering having her mother placed in nursing
center. The nurse has talked with the family before and knows that this is a
difficult decision. Which of the following criteria does the nurse recommend in
choosing a nursing center? Select all that apply
1. The center needs to be clean and room should look like a hospital room
2. Adequate staffing is available on all shifts
3. Social activities are available for all residents
4. The center provides three meals daily with a set menu and serving schedule
5. Staff encourage family involvement in care planning and assisting with physical
care - 2. Adequate staffing is available on all shifts
3. Social activities are available for all residents
5. Staff encourage family involvement in care planning in assisting with physical
care
A nurse conduct an assessment of a new patient who came to the medical clinic.
The patient is 82 years old and has had osteoarthritis for 10 years and diabetes for
20 years. He is alert but becomes easily distracted during assessment. He recently
,moved to a new apartment in his pet beagle die just two months ago. He is most
likely experiencing:
1. Dementia
2. Depression
3. Delirium
4. Hypoglycemic reaction - 2. Depression
The nurse is completing a health history with the daughter of a newly admitted
patient who is confused and agitated. The daughter reports that her mother was
diagnosed with Alzheimer's disease one year ago but became extremely confused
last evening and was hallucinating. She was unable to calm her and her mother
thought she was a stranger. On the basis of this history the nurse expect that the
patient is experiencing:
1. Delirium
2. Depression
3. New onset dementia
4. Worsening dementia - 1. Delirium
Sexuality is maintained throughout our lives. Which of the following answers best
explains sexuality in an older adult?
1. When the sexual partner passes away the survivor no longer feel sexual
2. A decrease in an older adults libido occurs
3. And outward expression of sexuality suggested an older adult is having a
developmental problems
4. All Older adults weather healthy or frail need to express sexual feelings - 4. All
older adults weather healthy or frail need to express sexual feelings
Older adults frequently experience a change in sexual activity. Which best explains
this change?
1. The need to touch and be touched is decreased
2. The sexual preferences of older adults or not as diverse
3. Physical changes usually do not affect sexual functioning
4. Frequency and opportunities for sexual activity may decline - 4. Frequency and
opportunities for sexual activity may decline
,The nurses a 76-year-old woman in the outpatient clinic. She states that she
recently started noticing a glare in the lights at home. Her vision is blurred and
she's unable to play cards with her friends read or do her needlework. The nurse
suspects that the woman may have:
1. Presbyopia
2. Presbycusis
3. Cataract
4. Depression - 3. Cataract
A nurse is caring for a patient preparing for discharge from the hospital the next
day. The patient does not read. His family caregiver will be visiting before
discharge. What can the nurse do to facilitate the patient understanding of his
discharge instructions? Select all that apply
1. Yell so the patient can hear you
2. Sit facing the patient so he is able to watch her lip movement and facial
expressions
3. Present one idea or concept at a time
4. Send a written copy of the instructions home with him and tell him to have the
family review them
5. Include the family caregiver in the teaching session - 2. Sit facing the patient so
he is able to watch her lip movement and facial expressions
3. Present when idea or concept at a time
5. Include the family caregiver in the teaching session
A 63-year-old patient is retiring from his job at an accounting firm where he was in
a management role for the past 20 years. He has been with the same company for
42 years and was a dedicated employee. His wife is a homemaker. She raise their
five children babysits for her grandchildren as needed and belongs to numerous
church committees. What are the major concerns for this patient? Select all that
apply
1. The loss of his work role
2. The risk of social isolation
3. A determination if the wife will need to start working
4. How the wife expects household tasks to be divided in the home in retirement
5. The age the patient choose to retire - 1. Loss of his work role
, 4. How the wife expects household task to be divided in the home in retirement
A nurse is assessing an older dog brought to the emergency department following a
fall and wrist fracture. She knows that the patient is very thin and unkempt has a
stage III pressure ulcer to her coccyx and has or bruising to the extremities in
addition to her new bruises from the fall. She defers all of the questions to your
caregiver son who accompanied her to the hospital. The nurse is next step is to:
1. Call social services to begin nursing home placement
2. Ask the son to step out of the room so she can complete her assessment
3. Call adult protective services because you suspect elder mistreatment
4. Assess patient's cognitive status - 2. Ask the son to step out of the room so she
can complete her assessment
A nurse is participating in a health and wellness event at the local community
center. A woman approaches and relates that she is worried that her widowed
father is becoming more functionally impaired and may need to move in with her.
The nurse inquires about his ability to complete activities of daily living. ADLs
including independence with: select all that apply
1. Driving
2. Tolieting
3. Bathing
4. Daily exercise
5. Eating - 2. Tolieting
3. Bathing
5. Eating
During a home health visit a nurse talk to the patient and his family caregiver about
the patient's medications. The patient has hypertension and renal disease. Which of
the following findings placed him at high risk for an adverse drug events? Select
all apply
1. Taking two medications for hypertension
2. Taking a total of eight different medications during the day
3. Having one physician who reviewed all medications
4. Patient health history of renal disease
