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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Document preview page 1

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2021 ATI Gerontology Final Exam With Answers (C Solved Questions)

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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 1 preview imageATIATI FINAL GERONTOLOGYEXAM3 LATEST VERSIONS100% CORRECTRATED: 100%5 STARCOMPLETE GUIDEFORATI FINAL GERONTOLOGY EXAM2021100% SUCCESS GUARENTEED
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 2 preview image
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 3 preview imageATI FINAL GERONTOLOGYEXAMVERSION 11.A nurse is caring for an older adult client who was admitted to a long term care facility andrequires total care. Which of the following is an appropriate nursing action whileproviding mouth care?Turn theclient on his side before starting mouth care2.A nurse is educating a group of assistive personnel about the care of older adult clients.The nurse educator is including information about the developmental tasks of olderadults. Which of the followingshould the nurse use as an example of a nursing action thatbest meets the psychosocial tasks of older adults, according to Erikson?-Providing the client’s opportunity to discuss their lives and losses3.A nurse working in a community health centeris completing an assessment of an olderadult female client. To which of the following findings should the nurse give immediateaction?-Rales in the bases4.An older adult client with a moderate hearing loss seeks medical attention in the clinicThe nurse can best meet the needs of the hearing impaired client by doing which of thefollowing?Understanding that not all hearing impaired clients communicate thesame way5.A nurse is educating a group of older adult clients regarding their diet choices. Which ofthe following diet modifications should the nurse recommend to the older adult clients?Increased calciumolder adults have lost bone density and are prone to fractures;therefore, it is appropriate to recommend a diet that is high in calcium.6.A nurse is asked to speak to a group of healthy, older adult clients about normal aging andsexual response. The nurse should include in the discussion techniques to help the clientsadapt to which of the following?Decreased vaginal lubricationolder adult female pts may report painful intercourserelated to vaginal narrowing and decreased vaginal secretions. The nurse should suggestthe use of water-soluble lubricants with intercourse to ameliorate the effects of thesenormal changes.
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 4 preview image7.A nurse in a long term care facility is caring for an older adult client who has ben giving acane t assist with ambulation. Which of the following nursing actions puts the client atrisk?Placing the can on the side of the client's weak side
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 5 preview image8.A nurse is caring for an 85 year old client. Which of the following assessment findingsshould the nurse report to the provider immediately?-Cannot discriminate between hot and cold sensations below the knee of the leftextremitylack of feeling or sensation below the knee of the leg can be a manifestationof poor circulation to that extremity.9.A nurse is caring for an older adult client who is receiving multiple medication. Which ofthe following is an appropriate statement by the nurse?-Receiving multiple medications can lead to drug interactions10.A nurse is caring for an older adult client who is being admitted to the hospital with abdominalpan. During the initial assessment, the nurse notes that the client just nods and smiles in responseto the questions asked. Which of the following common developmental concerns is the clientexhibiting?-hearing lossthe senses often diminishwith age and it is not unusual for older adult clients tobe hard of hearing. The nurse may not be receiving appropriate responses because the client ishard of hearing. Hearing loss is not necessarily a normal physiological change of older adults andshould be further evaluated and treated.11.A nurse is caring for an older adult client who is dying. The client tells the nurse, "I justwant to live one more month so I can see my grandchild get married." The nurse shouldrecognizethat, according to Kubler-Ross' stages of grief, the client is in which stage?-Bargaining12.A nurse in a long-term care facility recognizes that there is potential for physical andpsychological abuse of older adult residents. Which of the following is the best nursingaction?Provide staff with education about the abuse of older adult clients and stressmanagementproactive intervention that will give staff members the information andskills that are necessary to prevent abuse in this setting. The nurse should recognize thatcaring for older adult clients can be stressful and frustrating at times. Giving staffmembers training for stress-management skills addresses this aspect of potential abuse.13.A nurse is taking an older adult client's history. Theclient reports being depressed andhaving difficulty sleeping for several months. In evaluating the client's sleep disturbance,the nurse should be guided by the knowledge of which of the following?-Anxiety anddepression frequently cause disturbed sleeppatterns14.A nurse is caring for a client who is in pain and is receiving a transdermal patch. Thenurse should understand that transdermal medication should be applied to which of thefollowing places on older adult clients?Hairless area of the torsocirculation in the extremities decreases with age, thereforewhen caring for an older adult client, topical or transdermal skin patches should beapplied to the torso where circulation is better.
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 6 preview image15.A nurse is caring for an older adult client who isrecovering from a left sidedcerebrovascular accident (CVA) and who has hemiparesis of the right arm and leg. Whichof the following is the best place for the nurse to arrange the items used for hygiene whensetting up the client's morning hygiene care supplies?-Within the client's reach on theleft side16.A nurse is caring for an older adult client who came to the clinic reporting insomnia.Which of the following questions should the nurse ask to asses the quality of the client'ssleep?-Do you feel rested in the morning?17.A nurse on a surgical unit reports that an older adult client is having periods of agitation at nightthat include screaming out loudly for help. The nurse manager suggest several interventions todecrease this behavior. Which of thefollowing interventions should the nurse recognize is leastappropriate for an older adult client?-requesting that the client’s PCP prescribe a sedative medication.screaming usuallyindicates that the client is afraid. Medication may sedate theclient, but it will not remove the fear.Sedative medication should be used very sparingly in a postoperative older adult client who mayalso be receiving pain medication.18.A nurse in the EDis caring for an older adult client. Which of the following behaviors shouldindicate to the nurse neglect of an older adult client by a caregiving family member?-the client hasn’t been taking necessary medications because the prescriptions have not beenfilled by the family memberneglect occurs when the client’s needs is not being met by thecaregiver19.A nurse in a long-term care facility is caring for an older adult client who has dementia.Which of the following assessment findings should the nurse recognize is most likely t beseen in this client?-Agnosiadementia refers to a group of symptoms involving progressive impairment ofbrain function. Disorders that cause dementia include conditions that impair the vascularor neurologic structures of the brain. Agnosia, the inability to identify familiar objects is akey finding in dementia.20.A nurse is evaluating the plan of care for an older adult client that will be discharged home with ahome health aide. Currently, the client has a home healthaide 4 hr a day to assist with mealpreparation and hygiene care. Which of the following should be the nurse’s primary considerationwhen making changes to the client’s plan of care?-effectiveness of the interventions for theclient’s care.21.A nurse ina day care center is conducting an in-service for assistive personnel (AP) about thebasic needs of older adult clients. Which of the following is an appropriate statement made by thenurse?
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 7 preview image-sleep cycles are impaired.22.A nurse is performing an assessment on an older adult client. Which of the followingeffects of the aging process should the nurse expect to see?
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 8 preview image-Increased urinary frequency23.A nurse is performing a skin assessment on an older adult client Which of the followingfindings should thenurse recognize as a benign, age related skin change commonly seenin older adult clients?-Liver spotsage spots or lentigines are flat, brownish black macules that usually occurin sun-exposed areas of the body. Unrelated to the liver or liverfunction.24.A nurse runs a day care treatment group for older adult clients. Which of the followingintervention strategies should the nurse recognize is the most appropriate to help theclients achieve their developmental task, according to Erikson?-Reminiscence therapy25.A nurse is an assisted living facility is assessing an older adult client who moved in 3months ago following the death of a spouse. The nurse notes that the client has frequentlyforgotten to take prescribed medications and has been skipping meals. The client reportsawakening early in the morning and admits to feeling very sd. which of the followingstatements should guide the nurse in planning care for this client?-Unresolved grief in response to loss is a major factor in depression and subsequentsuicide in older adults26.A nurse is transferring an older adult client who has right sided weakness from the bed toa wheelchair. Which of the following nursing actions should the nurse perform to providethe safest client transfer?Maintain a straight back and bend at the knees27.A nurse is caring for an older adult client who is widowed and has come to the clinic foran annual physical examination. The client reports that she just retired and expressesfeelings of loneliness due to the loss of daily interactions with coworkers. Which of thefollowing responses by the nurse is most therapeutic?-Do you know about the localsenior citizen group?28.A public health nurse is planning an immunization clinic for older adults. The nurseshould instruct the clients attending the clinic to have an influenza vaccine during whichof the following times?-Annually in the fall29.A nurse is caring for anolder adult client who is expressing feelings of grief and longingfor earlier life. Which of the following nursing actions is most appropriate for helping theclient cope with these feelings of loss?-Listen attentively, and allow the client to talk about the past
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 9 preview image30.A nurse is caring for an older adult client. The nurse should be guided byErikson'sobservation that older adults need to resolve conflicts between...-Integrity and despair
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 10 preview image31.A nurse is caring for an older adult client who is on bedrest following a kneearthroplasty. Which of the following items should the nurse include on the client'sbreakfast tray to help the client avoid a common complication of immobility?-Stewedprunes32.A community health nurse is conducting an intakeinterview on an older client who livesalong in public housing. The nurse assesses that, although the client is able to answer allquestions appropriately, the client has a decreased attention span, exhibits sadness, andhas a low energy level. The nurse should conclude that the client is most likely showingmanifestations associated with which of the following?-Depression33.A nurse is caring for a healthy older adult client who has chronic constipation. Which ofthe following is an important teaching point the nurse should include when establishinga bowel training program with this client?-Increase the fiber content of your diet34.An older adult client is admitted to the hospital after being on bed rest at home. The client hasbeen incontinent andsmells strongly of urine. His spouse, who has been caring for him at home,states that she is sorry and embarrassed about the unpleasant smell. Which of the followingresponses by the nurse is therapeutic?-It must be difficult to care for someone who isconfined to bed.35.A nurse in a long-term care facility is caring for a client. The client's children report tothe charge nurse that their father report another client wandering into his room duringthe night disrupting his sleep. The family requests that the nurse use restraints on thewandering client. Which of the following alternatives to using restraints should the nurseconsider?-Assign the wandering client to a room closer to the nurse's station36.A nurse is working in a gerontology clinic. Which of the following should the nurserecognize as an unexpected manifestation of the aging process-Obesity37.A nurse is caring for an older adult client. Which of the following interventions shouldthe nurserecommend to maintain muscle function and bone integrity?-Regularexercise38.A nurse is performing a physical examination on an older adult client. The nurse should identifythe risk for which of the following manifestations during tympanometry?-transient vertigotympanometry measures variations in air pressure in the external ear canal.The test may cause transient vertigo, nausea, or dizziness.
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 11 preview image39.nurse is caring for an older adult client who had a total hip arthroplasty and is learninghow to ambulate with a standard walker. Which of the following actions, witnessed bythe nurse, indicates that the client is using the walker correctly?
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 12 preview image-client lifts the walker in front while balancing on both feet, then walks into thewalker, supporting his bodyweight on his hands while advancing his affected side40.A nurse is in charge of an assistive personnel (AP) who avoids working with older adultclients and asks to be assigned to care for young adult clients on the unit. Which of thefollowing factorsshould the nurse recognize is most likely responsible for the AP'sdiscomfort with older adult clients?-The AP has fear and preconceived notions about agingVERSION 2ATI Gerontology QuizA nurses is admitting an older adult client whofell at home 3 days ago, the clienthas a fractured hip, malnutrition and dehydration. which of the following laboratoryvalues noted on admission should indicate to the nurse prolonged malnutrition?A)increased sodiumB)decreased albuminC)increased bunD)decreased blood glucose..B) decreased albuminA nurse in the clinic is assessing an older adult client for the second time in a week,the client reports a decreased energy level, insomnia and anorexia. the clientsdiagnostic tests are within theexpected reference ranges for which of the followingconditions should the nurses screen the client?A)sarcopeniaB)dementia,C)depressionD)diabetesC) Depression
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 13 preview imageA nurse is planning care for an older adult client following abdominal surgery for abowelobstruction, whichofthe following information about painmanagementshould the nurse consider when planning care?A)older adult clients have a diminished capacity to perceive pain olderB)adult clients should not take narcotics for pain control,C)older adult clients have increased pain as a normal part of agingD)older adult clients are sensitive to the analgesic effects of opiates.
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 14 preview imageD)olderadultclientsare sensitive tothe analgesiceffectsofopiatesA nurse in a long term care facility is promoting reminiscence among older adultclients. which of the following action should the nurse takeA)establish a weekly pettherapy visitation program,B)place, a calendar and clock in each residence roomC)a daily story telling hourD)encourage all clients to eat their meals in the dining room.C) Daily story telling hourA nurses planning to administer diphenhydramine hydrochloride to an olderadult client, which of the following actions should the nurse plan to take priorto administrationA) view themedical record for a client history of glaucoma B) plan to administer themedication 30 minutes prior to a mealC)explained to the client he will need to restrict his fluid intake once he takesthe medication,D)remindtheclientthathisappetitemightincreasewhenstartingthemedication.A) view the medical record for a client history of glaucomaA nurse is participating on a committee that is developing age appropriate carestandards for an older adult clients, which of the following of Erikson stages shouldthe nurse recommend as the focusA)intimacyB)identityC)integrityD)initiative.C) integrityUpgrade to remove adsOnly $1/monthA nurse is assessing an older adult client who states he is homeless, which of thefollowing findingswould the nurse document as comorbidities for this client?A) inadequate shelter and clothing for the weather, B)malnutrition and poverty,C)(dementia and tuberculosis),
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 15 preview imageD)lack of preventative care and immunizations?C) dementia and tuberculosis
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2021 ATI Gerontology Final Exam With Answers (C Solved Questions) - Page 16 preview imageThe nurse is providing teaching to an older adult client who has rheumatoid arthritisof the right hip and lower lumbar vertebra, which of the following statement by theclient indicates an understanding of the teachingA)I should avoid the use of a heat pad on mybackB)to relieve the pressure on my hip I can use a cane while ambulatingC)I will have steroid injections to my joints as the first medication of choice to treatmy pain.D)I will exercise even when it causes pain.B) to relieve the pressure on my hip I can use a cane while ambulatingA nurse is providing discharge instructions about calcium supplements to an olderadult client who has osteoporosis and a recent repair of a fracture in her right hip,which of the following instructions should the nurse includeA)you should take your calcium supplement with a large glass of waterB)you should increase your intake of grains while taking calcium supplements,C)you should take 2600 milligrams of calcium supplements daily,D)youwillnotneedtotakevitamindwithyourcalciumsupplementaftermenopause.A) you should take your calcium supplement with a large glass ofwaterA nurse caring for an older adult client who has a new onset of type 2 diabetes,which of the following physiological changes can contributeto the development oftype 2 diabetesA) increase production of insulin by the pancreas, B)decrease sensitivity to thecirculating insulinC) increased rate of glucose metabolismD)decreased release release of glycogen by the liver.B)decreasesensitivity to the circulating insulinA nurse is teaching a group of older adult female clients who are postmenopausalabout dietary requirements, which of the following statements about the role offolic acid, should the nurse made clients who are postmenopausal to A) limit theirintake of folic acid to reduce their risk of stroke, B) dietary folic acid is not ofsignificant importance after bearing childC)very healthy client to our postmenopausal require a daily folic acid supplement,D)adequate folic acid intake is associated with reduced risk for heart disease.
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