ESTUDYR
ATI LEARNING SYSTEM GERONTOLOGY 2025 UPDATED
EXAM WITH MOST TESTED QUESTIONS AND ANSWERS |
GRADED A+ | ASSURED SUCCESS WITH DETAILED
RATIONALES
Comprehensive Regenerated Questions with Multiple-Choice, Highlighted Answers, and
Rationales
1. A nurse is caring for an older adult client who has pneumonia. Which physiologic change
associated with aging places the client at a greater 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
Answer: C
Rationale: Aging reduces the number of cilia and weakens cough effectiveness, impairing
airway clearance and increasing the risk of pneumonia.
2. A nurse is contributing to the plan of care for a client who had a stroke and has a history of
GERD. Which disorder should the nurse monitor for?
A. Duodenal ulcer disease
B. Aspiration pneumonia
C. Viral pneumonia
D. Esophageal varices
Answer: B
Rationale: GERD and stroke increase aspiration risk, which can lead to aspiration pneumonia
due to regurgitated gastric contents entering the airway.
,ESTUDYR
3. Which physiologic change in older adults affects medication dosage?
A. Increased glomerular filtration rate
B. Decreased body fat
C. Decreased gastric motility
D. Decreased gastric pH
Answer: C
Rationale: Decreased gastric motility slows medication absorption, requiring adjustments to
dosing schedules for optimal efficacy.
4. A nurse is reviewing the medical history of a postmenopausal client prescribed alendronate
sodium. Which condition contraindicates its use?
A. Glaucoma
B. Paget's disease
C. Esophageal stricture (achalasia)
D. Long-term corticosteroid use
Answer: C
Rationale: Esophageal stricture increases the risk of severe esophageal irritation or erosion
when taking alendronate sodium.
5. A nurse is admitting an older adult with a fractured hip, malnutrition, and dehydration.
Which lab value indicates prolonged malnutrition?
A. Increased sodium
B. Decreased albumin
C. Increased BUN
D. Decreased blood glucose
Answer: B
Rationale: Albumin levels reflect long-term protein nutrition. Low levels indicate prolonged
malnutrition.
6. Which of Erikson's developmental tasks should a nurse focus on for older adult care
standards?
,ESTUDYR
A. Intimacy
B. Identity
C. Integrity
D. Initiative
Answer: C
Rationale: Older adults strive for "integrity versus despair," reflecting on life accomplishments
and finding fulfillment.
7. Why is it recommended to take cholesterol medications in the evening?
A. Cholesterol absorption is highest at night.
B. The liver produces the most cholesterol at night.
C. It reduces daytime side effects.
D. It aligns with circadian rhythms.
Answer: B
Rationale: The liver's cholesterol synthesis peaks at night, making evening dosing of statins
most effective.
8. What can be consumed during a 12-hour fasting blood sugar test?
A. Coffee without sugar
B. Tea with lemon
C. Water
D. Juice
Answer: C
Rationale: Only water is allowed to avoid affecting blood glucose levels during fasting.
9. Which system is not involved in acid-base balance?
A. Lungs
B. Liver
C. Kidneys
D. Buffer system
, ESTUDYR
Answer: B
Rationale: The liver does not directly regulate acid-base balance; the buffer system, lungs, and
kidneys do.
10. What is the critical high potassium value considered a medical emergency?
A. 5 mEq/L
B. 6 mEq/L
C. 7 mEq/L
D. 8 mEq/L
Answer: C
Rationale: Potassium levels above 7 mEq/L can cause life-threatening arrhythmias.
11. What condition is most associated with Type 2 diabetes?
A. DKA
B. HHS
C. Hypoglycemia
D. Ketoacidosis
Answer: B
Rationale: HHS is primarily associated with Type 2 diabetes and results in severe hyperglycemia
without ketosis.
12. A nurse is educating a client with osteoporosis. Which activity should they avoid to
prevent fractures?
A. Walking
B. High-impact aerobics
C. Stretching exercises
D. Yoga
Answer: B
Rationale: High-impact activities increase the risk of fractures in individuals with weakened
bones.
ATI LEARNING SYSTEM GERONTOLOGY 2025 UPDATED
EXAM WITH MOST TESTED QUESTIONS AND ANSWERS |
GRADED A+ | ASSURED SUCCESS WITH DETAILED
RATIONALES
Comprehensive Regenerated Questions with Multiple-Choice, Highlighted Answers, and
Rationales
1. A nurse is caring for an older adult client who has pneumonia. Which physiologic change
associated with aging places the client at a greater 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
Answer: C
Rationale: Aging reduces the number of cilia and weakens cough effectiveness, impairing
airway clearance and increasing the risk of pneumonia.
2. A nurse is contributing to the plan of care for a client who had a stroke and has a history of
GERD. Which disorder should the nurse monitor for?
A. Duodenal ulcer disease
B. Aspiration pneumonia
C. Viral pneumonia
D. Esophageal varices
Answer: B
Rationale: GERD and stroke increase aspiration risk, which can lead to aspiration pneumonia
due to regurgitated gastric contents entering the airway.
,ESTUDYR
3. Which physiologic change in older adults affects medication dosage?
A. Increased glomerular filtration rate
B. Decreased body fat
C. Decreased gastric motility
D. Decreased gastric pH
Answer: C
Rationale: Decreased gastric motility slows medication absorption, requiring adjustments to
dosing schedules for optimal efficacy.
4. A nurse is reviewing the medical history of a postmenopausal client prescribed alendronate
sodium. Which condition contraindicates its use?
A. Glaucoma
B. Paget's disease
C. Esophageal stricture (achalasia)
D. Long-term corticosteroid use
Answer: C
Rationale: Esophageal stricture increases the risk of severe esophageal irritation or erosion
when taking alendronate sodium.
5. A nurse is admitting an older adult with a fractured hip, malnutrition, and dehydration.
Which lab value indicates prolonged malnutrition?
A. Increased sodium
B. Decreased albumin
C. Increased BUN
D. Decreased blood glucose
Answer: B
Rationale: Albumin levels reflect long-term protein nutrition. Low levels indicate prolonged
malnutrition.
6. Which of Erikson's developmental tasks should a nurse focus on for older adult care
standards?
,ESTUDYR
A. Intimacy
B. Identity
C. Integrity
D. Initiative
Answer: C
Rationale: Older adults strive for "integrity versus despair," reflecting on life accomplishments
and finding fulfillment.
7. Why is it recommended to take cholesterol medications in the evening?
A. Cholesterol absorption is highest at night.
B. The liver produces the most cholesterol at night.
C. It reduces daytime side effects.
D. It aligns with circadian rhythms.
Answer: B
Rationale: The liver's cholesterol synthesis peaks at night, making evening dosing of statins
most effective.
8. What can be consumed during a 12-hour fasting blood sugar test?
A. Coffee without sugar
B. Tea with lemon
C. Water
D. Juice
Answer: C
Rationale: Only water is allowed to avoid affecting blood glucose levels during fasting.
9. Which system is not involved in acid-base balance?
A. Lungs
B. Liver
C. Kidneys
D. Buffer system
, ESTUDYR
Answer: B
Rationale: The liver does not directly regulate acid-base balance; the buffer system, lungs, and
kidneys do.
10. What is the critical high potassium value considered a medical emergency?
A. 5 mEq/L
B. 6 mEq/L
C. 7 mEq/L
D. 8 mEq/L
Answer: C
Rationale: Potassium levels above 7 mEq/L can cause life-threatening arrhythmias.
11. What condition is most associated with Type 2 diabetes?
A. DKA
B. HHS
C. Hypoglycemia
D. Ketoacidosis
Answer: B
Rationale: HHS is primarily associated with Type 2 diabetes and results in severe hyperglycemia
without ketosis.
12. A nurse is educating a client with osteoporosis. Which activity should they avoid to
prevent fractures?
A. Walking
B. High-impact aerobics
C. Stretching exercises
D. Yoga
Answer: B
Rationale: High-impact activities increase the risk of fractures in individuals with weakened
bones.
