N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ
N212 GERO ATI LEARNING SYSTEM RN 2.0
GERONTOLOGY FINAL QUIZ
,N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ
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 list of medications with the pharmacist
B- compare the current list against the new medication prescriptions
C- investigate any discrepancies on that list
D- ask the client about over the counter medications she is taking
Answer- D
The nurse should apply the nursing process priority-setting framework. The nurse can use
the nursing process to plan client care and prioritize nursing actions. Each step of the
nursing process builds on the previous step, beginning with assessment or data collection.
Before the nurse can formulate a plan of action, implement a nursing intervention, or notify
the provider of a change in the client’s status, she must first collect adequate data from the
client. Assessing or collecting additional data will provide the nurse with knowledge to make
an appropriate decision. 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.
A- The nurse should clarify the client’s list of medications with the pharmacist,
caregivers, providers, and the client; however, this is not the first action the nurse
should take.
B- The nurse should compare the medication list against any new prescriptions to
ensure there is not any duplication of medications or potential medication
interactions; however, this is not the first action the nurse should take.
C- The nurse should investigate discrepancies on the list with the provider to prevent
medication errors; however, this is not the first action the nurse should take.
Exam 1?
A nurse at a long-term care 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 nurses station
D- cheap the television on at night
Answer- C
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- The nurse should protect the client from harm, but restraints can result in
agitation.
B- The nurse can administer a psychotropic medication to treat depression or
emotional manifestations of Alzheimer’s disease, but not to treat wandering
behaviors.
D- The nurse should avoid the use of excessive light and sound stimulation for the
client who has Alzheimer’s disease. This can cause further agitation and confusion
for the client.
,N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ
The 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
C- place the flat side of the cane away from your foot
D- the cane and your stronger leg at the same time
Answer- b
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- The nurse should instruct the client that the cane’s height should allow the elbow
to be slightly flexed. Having a flexion of 45º would make the cane too tall for safe
use.
C- The client should place the flat edge of the base of the cane facing toward her
foot. This allows the client to ambulate without the risk of getting her foot caught in
the base of the cane and falling.
D- The nurse should instruct the client to move the cane and her weaker leg at the
same time. This action allows for a more normal gait with the ipsilateral arm and
weaker leg moving at the same time.
A nurse is performing a skin assessment 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
Answer- a
Liver spots, also known as age spots or lentigines, are flat, brownish-black macules
that usually occur in sun-exposed areas of the body. Aging and exposure to sunlight,
or other forms of ultraviolet light, can result in increased pigmentation. Liver spots
are extremely common after 40 years of age; they occur most often on the forearms,
shoulders, face, forehead, and backs of the hands, which are also the areas of
highest sun exposure. They are harmless and painless, but they can affect the
client’s cosmetic appearance.
B- Nevi are moles, a growth of pigment-forming cells that might be benign or
malignant. The nurse should identify that nevi occur throughout the lifespan.
Further evaluation of the nevi should include evaluation of any asymmetry, border
irregularity, color variation, diameter, and evolution, which can indicate melanoma.
C- Atopic dermatitis, or eczema, is a chronic skin disorder that occurs in all ages, but
is more common in infancy and childhood. Clients who have atopic dermatitis can
have scaly and itching rashes.
D- Psoriasis is a common skin inflammation with frequent episodes of redness,
itching, and thick, dry, silvery scales on the skin. The nurse should identify that while
generally a benign condition, psoriasis is a chronic, recurring condition in clients of
all ages, most commonly in clients from 15 to 35 years of age.
, N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ
A nurse in an assisted living facility is assessing an older adult client who
moved in three months ago following a death of his partner. The client reports
Awakening early in the morning and admit to feeling very sad. The nurse
should identify that the client is experiencing which of the following types of
Grief?
A- Anticipatory grief
B- delayed grief
C- acute grief
D- disenfranchised grief
Answer- c
The client experiencing acute grief will have both somatic and psychological
manifestations of distress, such as the inability to sleep well or profound sadness.
The nurse should identify that this client is experiencing acute grief and further
assess his support system, concurrent stressors in his life, and his ability to manage
stress.
A- The nurse should identify anticipatory grief as an expected response occurring
prior to an actual loss. Clients experiencing anticipatory grief might be preoccupied
with the impending loss, make extensive funeral arrangements, or exhibit a change
in attitude toward the lost thing or individual.
B- The client experiencing delayed grief is unable to accept the reality of a loss. The
client remains in the denial stage of grief and is unable to allow himself to experience
feelings of sorrow and loss.
C- The client experiencing acute grief will have both somatic and psychological
manifestations of distress, such as the inability to sleep well or profound sadness.
The nurse should identify that this client is experiencing acute grief and further
assess his support system, concurrent stressors in his life, and his ability to manage
stress.
D- The client experiencing disenfranchised grief cannot openly acknowledge the loss
because of societal or religious norms.
A nurse is providing teaching to a client who is to start taking alendronate
sodium. Which of the following recommendations should the nurse include in
the teaching?
A- The medication may be crushed if you have difficulty swallowing it
B- drink a full glass of milk when you take the medication
C- take the medication at bedtime
D- discontinue the medication if you develop heartburn
Answer- d
The nurse should instruct the client to stop taking the medication if she develops
heartburn or if it worsens and to contact her provider. This is an indication that
esophageal irritation has occurred. Ways to avoid this are to take alendronate with
240 mL (8 oz) of water and to avoid lying down for 30 to 60 min after taking the
medication.
A- The nurse should instruct the client that this medication must be taken whole.
Crushing or chewing alendronate can cause esophagitis or esophageal cancer.
N212 GERO ATI LEARNING SYSTEM RN 2.0
GERONTOLOGY FINAL QUIZ
,N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ
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 list of medications with the pharmacist
B- compare the current list against the new medication prescriptions
C- investigate any discrepancies on that list
D- ask the client about over the counter medications she is taking
Answer- D
The nurse should apply the nursing process priority-setting framework. The nurse can use
the nursing process to plan client care and prioritize nursing actions. Each step of the
nursing process builds on the previous step, beginning with assessment or data collection.
Before the nurse can formulate a plan of action, implement a nursing intervention, or notify
the provider of a change in the client’s status, she must first collect adequate data from the
client. Assessing or collecting additional data will provide the nurse with knowledge to make
an appropriate decision. 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.
A- The nurse should clarify the client’s list of medications with the pharmacist,
caregivers, providers, and the client; however, this is not the first action the nurse
should take.
B- The nurse should compare the medication list against any new prescriptions to
ensure there is not any duplication of medications or potential medication
interactions; however, this is not the first action the nurse should take.
C- The nurse should investigate discrepancies on the list with the provider to prevent
medication errors; however, this is not the first action the nurse should take.
Exam 1?
A nurse at a long-term care 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 nurses station
D- cheap the television on at night
Answer- C
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- The nurse should protect the client from harm, but restraints can result in
agitation.
B- The nurse can administer a psychotropic medication to treat depression or
emotional manifestations of Alzheimer’s disease, but not to treat wandering
behaviors.
D- The nurse should avoid the use of excessive light and sound stimulation for the
client who has Alzheimer’s disease. This can cause further agitation and confusion
for the client.
,N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ
The 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
C- place the flat side of the cane away from your foot
D- the cane and your stronger leg at the same time
Answer- b
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- The nurse should instruct the client that the cane’s height should allow the elbow
to be slightly flexed. Having a flexion of 45º would make the cane too tall for safe
use.
C- The client should place the flat edge of the base of the cane facing toward her
foot. This allows the client to ambulate without the risk of getting her foot caught in
the base of the cane and falling.
D- The nurse should instruct the client to move the cane and her weaker leg at the
same time. This action allows for a more normal gait with the ipsilateral arm and
weaker leg moving at the same time.
A nurse is performing a skin assessment 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
Answer- a
Liver spots, also known as age spots or lentigines, are flat, brownish-black macules
that usually occur in sun-exposed areas of the body. Aging and exposure to sunlight,
or other forms of ultraviolet light, can result in increased pigmentation. Liver spots
are extremely common after 40 years of age; they occur most often on the forearms,
shoulders, face, forehead, and backs of the hands, which are also the areas of
highest sun exposure. They are harmless and painless, but they can affect the
client’s cosmetic appearance.
B- Nevi are moles, a growth of pigment-forming cells that might be benign or
malignant. The nurse should identify that nevi occur throughout the lifespan.
Further evaluation of the nevi should include evaluation of any asymmetry, border
irregularity, color variation, diameter, and evolution, which can indicate melanoma.
C- Atopic dermatitis, or eczema, is a chronic skin disorder that occurs in all ages, but
is more common in infancy and childhood. Clients who have atopic dermatitis can
have scaly and itching rashes.
D- Psoriasis is a common skin inflammation with frequent episodes of redness,
itching, and thick, dry, silvery scales on the skin. The nurse should identify that while
generally a benign condition, psoriasis is a chronic, recurring condition in clients of
all ages, most commonly in clients from 15 to 35 years of age.
, N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ
A nurse in an assisted living facility is assessing an older adult client who
moved in three months ago following a death of his partner. The client reports
Awakening early in the morning and admit to feeling very sad. The nurse
should identify that the client is experiencing which of the following types of
Grief?
A- Anticipatory grief
B- delayed grief
C- acute grief
D- disenfranchised grief
Answer- c
The client experiencing acute grief will have both somatic and psychological
manifestations of distress, such as the inability to sleep well or profound sadness.
The nurse should identify that this client is experiencing acute grief and further
assess his support system, concurrent stressors in his life, and his ability to manage
stress.
A- The nurse should identify anticipatory grief as an expected response occurring
prior to an actual loss. Clients experiencing anticipatory grief might be preoccupied
with the impending loss, make extensive funeral arrangements, or exhibit a change
in attitude toward the lost thing or individual.
B- The client experiencing delayed grief is unable to accept the reality of a loss. The
client remains in the denial stage of grief and is unable to allow himself to experience
feelings of sorrow and loss.
C- The client experiencing acute grief will have both somatic and psychological
manifestations of distress, such as the inability to sleep well or profound sadness.
The nurse should identify that this client is experiencing acute grief and further
assess his support system, concurrent stressors in his life, and his ability to manage
stress.
D- The client experiencing disenfranchised grief cannot openly acknowledge the loss
because of societal or religious norms.
A nurse is providing teaching to a client who is to start taking alendronate
sodium. Which of the following recommendations should the nurse include in
the teaching?
A- The medication may be crushed if you have difficulty swallowing it
B- drink a full glass of milk when you take the medication
C- take the medication at bedtime
D- discontinue the medication if you develop heartburn
Answer- d
The nurse should instruct the client to stop taking the medication if she develops
heartburn or if it worsens and to contact her provider. This is an indication that
esophageal irritation has occurred. Ways to avoid this are to take alendronate with
240 mL (8 oz) of water and to avoid lying down for 30 to 60 min after taking the
medication.
A- The nurse should instruct the client that this medication must be taken whole.
Crushing or chewing alendronate can cause esophagitis or esophageal cancer.
