2024-25 REVIEWED ATI PN MATERNITY
PROCTORED EXAM 2019 WITH NGN
QUESTIONS AND ANSWERS
1. Which information from a co-worker on a gerontological unit will causethe nurse
to intervene?
a. Most older people have dependent functioning.
b. Most older people have strengths we should focus on.
c. Most older people should be involved in care decision.
d. Most older people should be encouraged to have independence.
ANS: A
Most older people remain functionally independent despite the increasing prevalence of
chronic disease; therefore, this misconception should be addressed. It is critical for you to
respect older adults and actively involve themin care decisions and activities. You also need
to identify an older adult’s strengths and abilities during the assessment and encourage
independence as anintegral part of your plan of care.
2. A nurse suspects an older-adult patient is experiencing caregiver
neglect. Which assessment findings are consistent with the nurse’ssuspicions?
a. Flea bites and lice infestation
b. Left at a grocery store
c. Refuses to take a bath
d. Cuts and bruises
ANS: A
Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and
animal or insect infestation. Abandonment includes desertion ata hospital, nursing
facility, or public location such as a shopping center. Self-neglect includes refusal or
failure to provide oneself with basic necessities such as food, water, clothing, shelter,
personal hygiene, medication, and safety. Physical abuse includes hitting, beating,
pushing, slapping, kicking, physical restraint, inappropriate use of drugs, fractures,
lacerations, rope burns, and untreated injuries.
3. A nurse is teaching a group of older-adult patients. Which teaching strategy
, is best for the nurse to use?
Provide several topics of discussion at once to promote independence
a. and making choices.
Avoid uncomfortable silences after questions by helping patients
b. complete their statements.
Ask patients to recall past experiences that correspond with their
c. interests.
d. Speak in a high pitch to help patients hear better.
ANS: C
Teaching strategies include the use of past experiences to connect new learning with
previous knowledge, focusing on a single topic to help the patient concentrate, giving
the patient enough time in which to respond because older adults’ reaction times are
longer than those of younger persons, and keeping the tone of voice low; older adults
are able to hear lowsounds better than high-frequency sounds.
4. An older patient has fallen and suffered a hip fracture. As a
consequence, the patient’s family is concerned about the patient’s ability to care for
self, especially during this convalescence. What should the nursedo?
a. Stress that older patients usually ask for help when needed.
Inform the family that placement in a nursing center is a permanent
b. solution.
Tell the family to enroll the patient in a ceramics class to maintain
c. quality of life.
Provide information and answer questions as family members make
d. choices among care options.
ANS: D
Nurses help older adults and their families by providing information and answering
questions as they make choices among care options. Some older adults deny functional
declines and refuse to ask for assistance with tasks thatplace their safety at great risk. The
decision to enter a nursing center is never final, and a nursing center resident sometimes is
discharged to home or to another less-acute residence. What defines quality of life varies
and is uniquefor each person.
5. What is the best suggestion a nurse could make to a family
requesting help in selecting a local nursing center?
Have the family members evaluate nursing home staff according to
a. their ability to get tasks done efficiently and safely.
Make sure that nursing home staff members get patients out of bed
b. and dressed according to staff’s preferences.
Explain that it is important for the family to visit the center and
c. inspect it personally.
PROCTORED EXAM 2019 WITH NGN
QUESTIONS AND ANSWERS
1. Which information from a co-worker on a gerontological unit will causethe nurse
to intervene?
a. Most older people have dependent functioning.
b. Most older people have strengths we should focus on.
c. Most older people should be involved in care decision.
d. Most older people should be encouraged to have independence.
ANS: A
Most older people remain functionally independent despite the increasing prevalence of
chronic disease; therefore, this misconception should be addressed. It is critical for you to
respect older adults and actively involve themin care decisions and activities. You also need
to identify an older adult’s strengths and abilities during the assessment and encourage
independence as anintegral part of your plan of care.
2. A nurse suspects an older-adult patient is experiencing caregiver
neglect. Which assessment findings are consistent with the nurse’ssuspicions?
a. Flea bites and lice infestation
b. Left at a grocery store
c. Refuses to take a bath
d. Cuts and bruises
ANS: A
Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and
animal or insect infestation. Abandonment includes desertion ata hospital, nursing
facility, or public location such as a shopping center. Self-neglect includes refusal or
failure to provide oneself with basic necessities such as food, water, clothing, shelter,
personal hygiene, medication, and safety. Physical abuse includes hitting, beating,
pushing, slapping, kicking, physical restraint, inappropriate use of drugs, fractures,
lacerations, rope burns, and untreated injuries.
3. A nurse is teaching a group of older-adult patients. Which teaching strategy
, is best for the nurse to use?
Provide several topics of discussion at once to promote independence
a. and making choices.
Avoid uncomfortable silences after questions by helping patients
b. complete their statements.
Ask patients to recall past experiences that correspond with their
c. interests.
d. Speak in a high pitch to help patients hear better.
ANS: C
Teaching strategies include the use of past experiences to connect new learning with
previous knowledge, focusing on a single topic to help the patient concentrate, giving
the patient enough time in which to respond because older adults’ reaction times are
longer than those of younger persons, and keeping the tone of voice low; older adults
are able to hear lowsounds better than high-frequency sounds.
4. An older patient has fallen and suffered a hip fracture. As a
consequence, the patient’s family is concerned about the patient’s ability to care for
self, especially during this convalescence. What should the nursedo?
a. Stress that older patients usually ask for help when needed.
Inform the family that placement in a nursing center is a permanent
b. solution.
Tell the family to enroll the patient in a ceramics class to maintain
c. quality of life.
Provide information and answer questions as family members make
d. choices among care options.
ANS: D
Nurses help older adults and their families by providing information and answering
questions as they make choices among care options. Some older adults deny functional
declines and refuse to ask for assistance with tasks thatplace their safety at great risk. The
decision to enter a nursing center is never final, and a nursing center resident sometimes is
discharged to home or to another less-acute residence. What defines quality of life varies
and is uniquefor each person.
5. What is the best suggestion a nurse could make to a family
requesting help in selecting a local nursing center?
Have the family members evaluate nursing home staff according to
a. their ability to get tasks done efficiently and safely.
Make sure that nursing home staff members get patients out of bed
b. and dressed according to staff’s preferences.
Explain that it is important for the family to visit the center and
c. inspect it personally.
