ACTUAL ATI GERONTOLOGY FINAL EXAM PRACTICETEST |2025-2026
LATEST UPDATED| REAL EXAM QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
1. 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.: 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.
2. 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.: 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.
3. 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.": 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.
4. 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: 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.
5. 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: 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.
6. 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.": 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.
7. 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."
LATEST UPDATED| REAL EXAM QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
1. 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.: 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.
2. 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.: 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.
3. 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.": 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.
4. 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: 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.
5. 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: 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.
6. 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.": 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.
7. 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."
