ATI Learning System Gerontology
A nurse is caring for an older adult client who has pneumonia. Which of the following
physiologic changes associated with aging places the client at a greater risk for
pneumonia?
A. Decreased anterior-posterior diameter
B. Increased diameter of the small airways
C. Decreased number of cilia
D. Increased alveolar surface area - answerC. Decreased number of cilia
A nurse us contributing to the plan of care for a client who had a recent stroke and 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 - answerB. Aspiration pneumonia
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. Decreased body fat
C. Decreased gastric motility
D. Decreased gastric pH - answerC. Decreased gastric motility
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 contradiction to
this medication?
A. Glaucoma
B. Paget's disease
C. Esophageal stricture
D. Long-term corticosteriod use - answerC. Esophageal stricture
This indicates for delayed esophageal emptying.
A nurse is assisting with the admission of 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. Decreased blood glucose - answerB. Decreased albumin
A nurse is participating on a committee that is developing age-appropriate care
standards for older adult clients. Which of the following of Erikson's developmental tasks
should the nurse recommend as the focus?
A. Intimacy
B. Identity
C. Integrity
D. Initiative - answerC. Integrity
A nurse is contributing to the plan of 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 client's skin will remain intact during hospitalization?
A. The client's skin 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 improved mobility
D. The client's airway will remain clear, as evidenced by clear breath sounds - answerD.
The client's airway will remain clear, as evidenced by clear breath sounds
A nurse is caring for an older adult client who has a new onset of type 2 diabetes
mellitus. Which of the following physiologic changes contribute to the development of
type 2 diabetes?
A. Increased production of insulin by the pancreas
B. Decreased sensitivity to the circulating insulin
C. Increased rate of glucose metabolism
D. Decreased release of glycogen by the liver - answerB. Decreased sensitivity to the
circulating insulin
A nurse at a long-term care facility is assisting with planning care for a group of older
adult clients. When planning care, the nurse should consider 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 - answerA. Short-term memory
A nurse is reinforcing dietary teaching with an older adult client who is on bedrest
following development of deep vein thrombosis (DVT) about 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 - answerA. Navy bean soup
A nurse is caring for an older adult client who has pneumonia. Which of the following
physiologic changes associated with aging places the client at a greater risk for
pneumonia?
A. Decreased anterior-posterior diameter
B. Increased diameter of the small airways
C. Decreased number of cilia
D. Increased alveolar surface area - answerC. Decreased number of cilia
A nurse us contributing to the plan of care for a client who had a recent stroke and 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 - answerB. Aspiration pneumonia
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. Decreased body fat
C. Decreased gastric motility
D. Decreased gastric pH - answerC. Decreased gastric motility
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 contradiction to
this medication?
A. Glaucoma
B. Paget's disease
C. Esophageal stricture
D. Long-term corticosteriod use - answerC. Esophageal stricture
This indicates for delayed esophageal emptying.
A nurse is assisting with the admission of 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. Decreased blood glucose - answerB. Decreased albumin
A nurse is participating on a committee that is developing age-appropriate care
standards for older adult clients. Which of the following of Erikson's developmental tasks
should the nurse recommend as the focus?
A. Intimacy
B. Identity
C. Integrity
D. Initiative - answerC. Integrity
A nurse is contributing to the plan of 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 client's skin will remain intact during hospitalization?
A. The client's skin 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 improved mobility
D. The client's airway will remain clear, as evidenced by clear breath sounds - answerD.
The client's airway will remain clear, as evidenced by clear breath sounds
A nurse is caring for an older adult client who has a new onset of type 2 diabetes
mellitus. Which of the following physiologic changes contribute to the development of
type 2 diabetes?
A. Increased production of insulin by the pancreas
B. Decreased sensitivity to the circulating insulin
C. Increased rate of glucose metabolism
D. Decreased release of glycogen by the liver - answerB. Decreased sensitivity to the
circulating insulin
A nurse at a long-term care facility is assisting with planning care for a group of older
adult clients. When planning care, the nurse should consider 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 - answerA. Short-term memory
A nurse is reinforcing dietary teaching with an older adult client who is on bedrest
following development of deep vein thrombosis (DVT) about 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 - answerA. Navy bean soup
