ATI Gerontology Proctored Exam V2 | 2026
Q&A with Rationale (ATI Gerontology
Proctored Exam 2026)
1. A nurse is assessing an older adult client who has a stage 2 pressure injury on the coccyx.
Which of the following findings should the nurse expect?
A. Exposed bone and muscle
B. Full-thickness skin loss with visible adipose tissue
C. Partial-thickness skin loss with a pink-red wound bed
D. Non-blanchable erythema of intact skin
Correct Answer: C
Rationale: A stage 2 pressure injury involves partial-thickness loss of the dermis. It
typically presents as a shallow open ulcer with a red or pink wound bed without slough.
Stage 1 involves non-blanchable redness, while stages 3 and 4 involve deeper tissue loss.
2. A nurse is caring for an older adult client who has dementia and wanders at night. Which of
the following actions should the nurse take?
A. Apply soft wrist restraints during the night
B. Keep the bed in the highest position
C. Administer a sedative medication at bedtime
,D. Move the client to a room near the nurses’ station
Correct Answer: D
Rationale: Placing a client who wanders near the nurses’ station allows for closer
observation and frequent monitoring. Restraints should be avoided as they can increase
agitation and cause injury. Sedatives can increase the risk of falls and confusion in clients
with dementia.
3. A nurse is teaching an older adult client about age-related changes in medication
metabolism. Which of the following information should the nurse include?
A. The liver increases in size, speeding up drug clearance
B. Decreased hepatic blood flow prolongs the half-life of many drugs
C. Kidney function increases, requiring higher doses of medication
D. Stomach acid production increases, leading to faster absorption
Correct Answer: B
Rationale: Aging is associated with decreased hepatic blood flow and reduced liver
enzyme activity, which slows down the metabolism of medications. This leads to a
prolonged half-life and an increased risk for drug toxicity. Dose adjustments are often
necessary to account for these physiological changes.
4. A nurse is performing a home safety assessment for an older adult client. Which of the
following findings indicates a potential hazard? (Select all that apply)
A. Throw rugs secured with non-slip backing
, B. A bathtub with a shower chair and grab bars
C. Electric cords running under a carpet
D. A water heater temperature set at 54 degrees Celsius (130 degrees Fahrenheit)
E. Adequate lighting in hallways and stairwells
F. Clutter on the stairs and in walkways
Correct Answer: CDF
Rationale: Electric cords under carpets are a fire hazard and a trip hazard. Water heaters
should be set below 120 degrees Fahrenheit to prevent burns in older adults who may have
decreased sensitivity. Clutter on stairs significantly increases the risk of falls.
5. A nurse is assessing an older adult client who reports a recent loss of peripheral vision. The
nurse should identify this as a manifestation of which of the following conditions?
A. Cataracts
B. Macular degeneration
C. Glaucoma
D. Presbyopia
Correct Answer: C
Rationale: Glaucoma is characterized by increased intraocular pressure which leads to a
gradual loss of peripheral vision (tunnel vision). Cataracts cause cloudy or blurred vision,
Q&A with Rationale (ATI Gerontology
Proctored Exam 2026)
1. A nurse is assessing an older adult client who has a stage 2 pressure injury on the coccyx.
Which of the following findings should the nurse expect?
A. Exposed bone and muscle
B. Full-thickness skin loss with visible adipose tissue
C. Partial-thickness skin loss with a pink-red wound bed
D. Non-blanchable erythema of intact skin
Correct Answer: C
Rationale: A stage 2 pressure injury involves partial-thickness loss of the dermis. It
typically presents as a shallow open ulcer with a red or pink wound bed without slough.
Stage 1 involves non-blanchable redness, while stages 3 and 4 involve deeper tissue loss.
2. A nurse is caring for an older adult client who has dementia and wanders at night. Which of
the following actions should the nurse take?
A. Apply soft wrist restraints during the night
B. Keep the bed in the highest position
C. Administer a sedative medication at bedtime
,D. Move the client to a room near the nurses’ station
Correct Answer: D
Rationale: Placing a client who wanders near the nurses’ station allows for closer
observation and frequent monitoring. Restraints should be avoided as they can increase
agitation and cause injury. Sedatives can increase the risk of falls and confusion in clients
with dementia.
3. A nurse is teaching an older adult client about age-related changes in medication
metabolism. Which of the following information should the nurse include?
A. The liver increases in size, speeding up drug clearance
B. Decreased hepatic blood flow prolongs the half-life of many drugs
C. Kidney function increases, requiring higher doses of medication
D. Stomach acid production increases, leading to faster absorption
Correct Answer: B
Rationale: Aging is associated with decreased hepatic blood flow and reduced liver
enzyme activity, which slows down the metabolism of medications. This leads to a
prolonged half-life and an increased risk for drug toxicity. Dose adjustments are often
necessary to account for these physiological changes.
4. A nurse is performing a home safety assessment for an older adult client. Which of the
following findings indicates a potential hazard? (Select all that apply)
A. Throw rugs secured with non-slip backing
, B. A bathtub with a shower chair and grab bars
C. Electric cords running under a carpet
D. A water heater temperature set at 54 degrees Celsius (130 degrees Fahrenheit)
E. Adequate lighting in hallways and stairwells
F. Clutter on the stairs and in walkways
Correct Answer: CDF
Rationale: Electric cords under carpets are a fire hazard and a trip hazard. Water heaters
should be set below 120 degrees Fahrenheit to prevent burns in older adults who may have
decreased sensitivity. Clutter on stairs significantly increases the risk of falls.
5. A nurse is assessing an older adult client who reports a recent loss of peripheral vision. The
nurse should identify this as a manifestation of which of the following conditions?
A. Cataracts
B. Macular degeneration
C. Glaucoma
D. Presbyopia
Correct Answer: C
Rationale: Glaucoma is characterized by increased intraocular pressure which leads to a
gradual loss of peripheral vision (tunnel vision). Cataracts cause cloudy or blurred vision,
