ATI Gerontology Final Quiz| High-Yield Questions
&Answers, Rationales |Frequently Most Tested
Questions , Graded A+ and Reviewed | Expert
Guarantee Pass and 100% Accurate| Verified and
Updated Exam | Latest Exam and Newest
Version!!!!
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's list of medications with the pharmacist.
b. Compare the current list against the new medication prescriptions.
c. Investigate any discrepancies on the list.
d. Ask the client about over-the-counter medications she is taking.
ANS:<< d. Ask the client about over-the-counter medications she is taking.
Rationale: 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 nurse at a long-term 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 nurse's station.
d. Keep the television on at night.
ANS:<< c. Assign the client to a room closer to the nurse's station.
Rationale: 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 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. "Move the cane and your stronger leg at the same time."
ANS:<< b. "Hold the cane in the hand on the stronger side of your body."
Rationale: 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 nurse is performing skin assessments 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
ANS:<< a. Liver spots
Rationale: 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.
A nurse in an assisted living facility is assessing an older adult client who moved
in 3 months ago following the death of his partner. The client reports awakening
early in the morning and admits 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
ANS:<< c. Acute grief
Rationale: 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 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."
ANS:<< d. "Discontinue the medication if you develop heartburn."
Rationale: 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 nurse is caring for an older adult client who reports that he has just retired
and expresses feelings of loneliness due to the loss of daily interactions with
coworkers. Which of the following responses should the nurse make?
, a. "Do you know about the local senior citizen group?"
b. "You need to take a vacation."
c. "But now you can finally relax and enjoy your life."
d. "Why don't you go into work and visit with your old friends?"
ANS:<< a. "Do you know about the local senior citizen group?"
Rationale: The nurse should assist the client in the resocialization process by
using the therapeutic communication technique of giving information. Becoming
involved in an organization might assist the client in resocialization, which is
beneficial to clients who have depended upon their employment for social
interaction.
A nurse at a long-term care facility is planning care for an adult client who has
dementia. Which of the following interventions should the nurse include in the
plan?
a. Vary the staff members caring for the client.
b. Use photographs as memory triggers.
c. Provide a minimum of three activity choices to the client.
d. Break client tasks down to three or four steps at a time.
ANS:<< b. Use photographs as memory triggers.
Rationale: The nurse should place photographs on the unit that trigger the
client’s memories, such as a picture of a toilet at the entrance to the bathroom,
or a picture of the client as a young adult at the entrance to her room.
A nurse is providing teaching to a client who is to start taking finasteride. Which
of the following statements by the client indicates an understanding of the
teaching?
a. "I will see improvement in my symptoms within one week."
b. "I can expect an increased libido with this medication."
c. "I should see a decrease in my PSA levels."
d. "I must take this medication within 60 min of sexual activity."
ANS:<< c. "I should see a decrease in my PSA levels."
&Answers, Rationales |Frequently Most Tested
Questions , Graded A+ and Reviewed | Expert
Guarantee Pass and 100% Accurate| Verified and
Updated Exam | Latest Exam and Newest
Version!!!!
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's list of medications with the pharmacist.
b. Compare the current list against the new medication prescriptions.
c. Investigate any discrepancies on the list.
d. Ask the client about over-the-counter medications she is taking.
ANS:<< d. Ask the client about over-the-counter medications she is taking.
Rationale: 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 nurse at a long-term 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 nurse's station.
d. Keep the television on at night.
ANS:<< c. Assign the client to a room closer to the nurse's station.
Rationale: 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 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. "Move the cane and your stronger leg at the same time."
ANS:<< b. "Hold the cane in the hand on the stronger side of your body."
Rationale: 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 nurse is performing skin assessments 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
ANS:<< a. Liver spots
Rationale: 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.
A nurse in an assisted living facility is assessing an older adult client who moved
in 3 months ago following the death of his partner. The client reports awakening
early in the morning and admits 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
ANS:<< c. Acute grief
Rationale: 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 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."
ANS:<< d. "Discontinue the medication if you develop heartburn."
Rationale: 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 nurse is caring for an older adult client who reports that he has just retired
and expresses feelings of loneliness due to the loss of daily interactions with
coworkers. Which of the following responses should the nurse make?
, a. "Do you know about the local senior citizen group?"
b. "You need to take a vacation."
c. "But now you can finally relax and enjoy your life."
d. "Why don't you go into work and visit with your old friends?"
ANS:<< a. "Do you know about the local senior citizen group?"
Rationale: The nurse should assist the client in the resocialization process by
using the therapeutic communication technique of giving information. Becoming
involved in an organization might assist the client in resocialization, which is
beneficial to clients who have depended upon their employment for social
interaction.
A nurse at a long-term care facility is planning care for an adult client who has
dementia. Which of the following interventions should the nurse include in the
plan?
a. Vary the staff members caring for the client.
b. Use photographs as memory triggers.
c. Provide a minimum of three activity choices to the client.
d. Break client tasks down to three or four steps at a time.
ANS:<< b. Use photographs as memory triggers.
Rationale: The nurse should place photographs on the unit that trigger the
client’s memories, such as a picture of a toilet at the entrance to the bathroom,
or a picture of the client as a young adult at the entrance to her room.
A nurse is providing teaching to a client who is to start taking finasteride. Which
of the following statements by the client indicates an understanding of the
teaching?
a. "I will see improvement in my symptoms within one week."
b. "I can expect an increased libido with this medication."
c. "I should see a decrease in my PSA levels."
d. "I must take this medication within 60 min of sexual activity."
ANS:<< c. "I should see a decrease in my PSA levels."
