N212 GERO ATI 2.0 GERONTOLOGY QUIZ 2020 with complete solution(Real quiz) - $11.29   Add to cart

Exam (elaborations)

N212 GERO ATI 2.0 GERONTOLOGY QUIZ 2020 with complete solution(Real quiz)

N212 GEROATI 2.0 GERONTOLOGY QUIZ The nurse is teaching an older adult client who is on bed rest following development of deep vein thrombosis DVT about methods to increase peristalsis. Which of the following high-fiber food choices should the nurse recommend? A- Navy bean soup B- canned fruit juice C- white rice pudding D- soy milk A home health nurse is visiting an older adult client who has anemia. Which of the following foods should the nurse recommend to increase the clients iron intake? A- Greek yogurt B- bran muffin C- peanut butter sandwich D- dried fruit The nurse is caring for an older adult client who has a new onset of type 2 diabetes mellitus. Which of the following psychological changes can contribute to the development of type 2 diabetes? A- Increased production of insulin by the pancreas B- decrease sensitivity to be circulating insulin C- increase rate of glucose metabolism D- decreased release of glycogen by the liver The nurse is teaching a newly hired assistive Personnel about her role in helping older adult clients with activities of daily living ADLs. the nurse should explain that which of the following is the most common factor for the FX a client's performance of adl's? A- social withdrawal B- chronic physical disability C- emotional impairment D- cognitive dysfunction The nurse is planning care for a client who had a stroke. Which of the following goals should the nurse identify as the priority for this client? A- The clients skip will remain intact during hospitalization B- the client will verbalize one new word each week C- the client will begin to help turn himself in bed, indicating improve Mobility D- the clients airway will remain clear, as evidenced by clear breath sounds The nurse is developing a plan of care for a client who had a recent stroke and has a history of gastroesophageal reflux disease GERD. For which of the following disorders should the nurse plan to monitor this client? A- Duodenal Ulcer Disease B- aspiration pneumonia C- viral pneumonia D- esophageal varices A nurse is caring for an older adult client. Which of the following physiologic changes associated with aging can affect medication dosage in this client? A- Increased glomerular filtration rate B- decrease body fat C- decrease gastric motility D- decreased gastric pH A nurse is conducting an admission assessment for an older adult client. Which of the following actions should the nurse take to collect subjective data? A- Leave the client a written questionnaire to fill out in private B- allow sufficient time for the clients to respond to the question C- talk to family members to obtain the client's health history D- obtain the health history from the client's medical record The nurse at a long-term care facility is providing teaching to a group of adolescents who are new volunteers. The nurse should explain that older adult clients are most likely to exhibit a decrease in which of the following? A- Short-term memory B- creative ability C- decision making skills D- cognitive capacity The nurse is assessing an older adult client during an annual physical. Which of the following client findings should the nurse report to the provider? A- BP 118/76 B- fasting blood glucose level 160 C- report of waking to void 2 - 3 times per night D- report of bowel movement every other day The nurse is caring for an older adult client who has gout and refuses to eat. The client's provider has approved the family to bring food from home. Which of the following foods should the nurse recommend that the client not eat? A- Lentil soup B- cheese sandwich C- yogurt D- raisins The nurse is caring for an older adult client who has pneumonia. Which of the following physiologic changes associated with aging places the client at risk for pneumonia? A- Decreased anterior posterior diameter B- increase diameter of the small Airway C- decrease number of Cilia D- increased alveolar surface area The nurse in the clinic is assessing an older adult client for the second time in a week. The client reports a decrease in energy levels, insomnia, and anorexia. The client's diagnostic tests are within the expected reference ranges. For which of the following conditions should the nurse screen the client? A- Sarcopenia B- dementia C- depression D- diabetes A nurse is providing teaching to an older adult client who has osteoarthritis of the right hip and lower lumbar vertebrae. Which of the following statements by the client indicates an understanding of the teaching? A- I should avoid the use of a heating pad on my back B- to relieve the pressure on my hip, I can use a cane while ambulating C- I will have steroid injections to my joint has the first medication of choice to treat my pain D- I will exercise even when it causes pain A nurse is admitting an older adult client who fell at home 3 days ago. The client has a fractured hip, malnutrition, and dehydration. Which of the following laboratory values, noted on admission, should indicate to the nurse prolonged malnutrition? A- Increased sodium B- decreased albumin C- increased BUN D- decrease blood glucose A nurse is planning care for an older adult client following abdominal surgery for a bowel obstruction. Which of the following information about pain management should the nurse consider when planning care? A- Older adult clients have a diminished capacity to perceive pain B- older adult clients should not take narcotics for pain control C- older adult clients have increased pain as a normal part of aging D- older adult clients are sensitive to the analgesic effects of opiates A nurse and Ophthalmology Clinic is assessing a client referred by the provider for a potential cataract. Which of the following clients report should the nurse recognize is consistent with cataracts? A- Halos when looking at lights B- loss of peripheral vision C- bright flashes of light and floaters D- eye strain and headache with close work The nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive Personnel AP. Which of the following instructions should the nurse include regarding clients who are hearing impaired? A- Maintain eye contact with the clients B- stand to one side of the clients and speak into their good ears C- speak loudly with exaggerated enthusiasm D- ask only questions with yes or no answers A nurse is reviewing the medical record of a client who is postmenopausal and has osteoporosis. The client has a new prescription for alendronate sodium. Which of the following findings in the client's history should the nurse recognize is a contraindication to this medication? A- Glaucoma B- Paget’s disease C- esophageal achalasia D- long-term corticosteroid use A nurse is caring for a client who has Alzheimer's disease and refuses to take her morning antihypertensive medication. The client is oriented to name and place and is able to perform adl's with minimal supervision. Which of the following actions should the nurse take? A- Crush the pill and feed them to the client in applesauce B- insist the client can fly by informing her of the possible implications of missing a dose C- notify the provider of the need for further evaluation of the clients level of competence D- ask the client to express her reasons for refusing the medication and document the event A nurse is assessing an older adult client who states he is homeless. Which of the following findings should the nurse document as comorbiditiesfor this client? A- An adequate shelter and clothing for the weather B- malnutrition and poverty C- dementia and tuberculosis D- lack of preventive health care and immunizations EXAM 1 An older adult client tells a nurse at a health fair “I am always forgetting things. I cannot even remember where I parked my car! do you think I have Alzheimer's disease?” Which of the following is a therapeutic response by the nurse? A- Perhaps you should discuss your concerns with your doctor B- I am forgetful two. I can't remember where I parked my car either C- you're probably just having senior moments. Everyone has memory lapses. D- That must be very upsetting. Can you tell me about your forgetfulness? A nurse is caring for an older adult client who has dementia. The client becomes agitated and confused at night and wanders into the hallway. Which of the following actions should the nurse take? A- Place the client mattress on the floor B- restrain the client during the night time hours C- provide continuous orientation to the client D- turn out the lights in the client's room at night A nurse is providing discharge instructions about calcium supplements to an older adult female client who has osteoporosis and a recent repair of a fracture in her right hip. Which of the following instructions should the nurse include? A- You should take your calcium supplement with a large glass of water B- you should increase your intake of grain cereals while taking calcium supplements C- you should take at least 2600 mg of calcium supplements daily D- you will not need to take vitamin D with your calcium supplements after menopause A nurse is teaching a group of healthy older adult clients about health screenings after age 50 years. Which of the following Health screenings should the nurse recommend that the clients complete annually? A- Cholesterol B- colonoscopy C- diabetes mellitus D- visual acuity A nurse is planning to administer diphenhydramine hydrochlorideto an older adult client. Which of the following actions should the nurse plan to take prior to Administration? A- Review the medical record for a client history of glaucoma B- plan to administer the medication 30 minutes prior to a male C- explain to the client he will need to restrict his fluid intake once he takes the medication D- remind the client that his appetite might increase when starting the medication A nurse in a long-term care facility is promoting reminiscenceamong older adult clients. Which of the following actions should the nurse take? A- Establish a weekly pet therapy visitation program B- place a calendar and clock in each resident's room C- Institute a daily storytelling hour D- encourage all clients to eat their meals in the dining room A nurse is teaching a group of older adult female clients who are post-menopausal about dietary requirements. Which of the following statements about the role of folic acidshould the nurse make? A- Clients who are post-menopausal need to limit their intake of folic acid to reduce the risk of stroke B- dietary folic acid is not of significant importance after the childbearing years C- Chelsea clients who are post-menopausal require a daily folic acid supplement D- adequate folic acid intake is associated with a reduced risk for heart disease A nurse is participating on a committee that is developing age appropriate care standards for older adult clients. Which of the following Erikson's developmental tasksshould the nurse recommend as the focus? A- Intimacy B- identity C- integrity D- initiative A nurse is assessing an older adult client for signs of dehydration. Which of the following findings should the nurse consider an expected part of the aging process? A- elevation of urine specific gravity B- decreased creatinine clearance C- dry oral mucous membranes D- poor skin turgor over the sternum A nurse is caring for an older adult client who has moderate hearing loss. Which of the following actions should the nurse take to enhance communication? A- Speak with exaggerated lip movements B- speak at a moderate rate C- speak in a louder voice D- speak using a higher pitch A nurse is caring for a client who is using a continuous passive motion CPM device following a right total knee replacement. Which of the following actions should the nurse take when applying the CPM device? A- Apply the CPM device in the flex position B- line up the frame joints of the CPM device with the clients knee C- check the range of motion settings on the CPM device daily D- place the head of the clients bed at 45 degrees during CPM use A public health nurse is planning an immunization clinic for older adults. Which of the following times should an older adult client receive the influenza vaccine? A- Once during the clients lifetime B- every 10 years C- every 5 years D- annually in the fall A nurse is teaching an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching? A- Cottage cheese is a good source of calcium B- increase your caffeine intake C- brisk walking will help prevent bone loss D- hormone replacement therapy with estrogen will increase your risk of osteoporosis A nurse is performing an assessment on an older adult client who has chronic pain. Which of the following effects of unrelieved pain should the nurse identify as a priority finding to report? A- Impaired mobility B- decreased Independence C- decreased self-esteem D- impaired socialization A nurse is caring for an older adult client who has a hip fracture and is writing his pain at 8 on a scale of 0-10. Which of the following medications should the nurse administer? A- Capsaicin topical gel B- oxycodone/acetaminophen 7.5/325 tablet PO C- Celecoxib 200 mg capsule PO D- aspirin 325 mg tablet PO The nurse is reviewing the medical record of an older adult client. For which of the following medications should the nurse conduct a hearing assessment of the client? A- Omeprazole B- ferrous sulfate C- digoxin D- Furosemide A nurse is teaching an older adult client who had a total hip arthroplasty about ambulating with a standard Walker. Which of the following actions by the client indicates an understanding of the teaching? A- The client adjust the height of the Walker so the hand grips are at the level of his waist B- the client moves the Walker ahead about 15.24 CM or 6in and then steps into the Walker C- the client uses the Walker to pull himself up from a sitting to a standing position D- the client uses the Walker to climb the stairs A home health nurse is caring for a client who has cancer and is using a fentanyl transdermal patch for pain control. Which of the following actions should the nurse take when caring for this client? A- Avoid using a heating pad on the area with the patch B- to decrease the dose, cut the patch in half C- dispose of the used patch by placing it in the trash can D- assess the client for urinary retention every 8 hours

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