ATI FINAL GERONTOLOGY EXAM VERSION 1 1.
A nurse is caring for an older adult client who had a total hip arthroplasty and is learning
how to ambulate with a standard walker. Which of the following actions, witnessed by
the nurse, indicates that the client is using the walker correctly? - ✔✔✔ANSW✔✔..The
client lifts the walker in front while balancing on both feet, then walks into the walker,
supporting his body weight on his hands while advancing his affected side
A nurse is caring for an older adult client who is widowed and has come to the clinic for
an annual physical examination. The client reports that she just retired and expresses
feelings of loneliness due to the loss of daily interactions with coworkers. Which of the
following responses by the nurse is most therapeutic? - ✔✔✔ANSW✔✔..Do you know
about the local senior citizen group?
A nurse is performing a skin assessment on an older adult client Which of the following
findings should the nurse recognize as a benign, age related skin change commonly
seen in older adult clients? - ✔✔✔ANSW✔✔..Liver spots
A nurse is caring for an older adult client. Which of the following interventions should the
nurse recommend to maintain muscle function and bone integrity? -
✔✔✔ANSW✔✔..Regular exercise
A nurse is caring for an older adult client who is receiving multiple medication. Which of
the following is an appropriate statement by the nurse? - ✔✔✔ANSW✔✔..Receiving
multiple medications can lead to drug interactions
A nurse is caring for a group of older adult clients. When asking the assistive personnel
to assist in client care, the nurse discusses developmental tasks of the older adult.
Which of the following should the nurse use as an example of a nursing action that best
meets the psychosocial tasks of older adults, according to Erikson? -
✔✔✔ANSW✔✔..Providing clients opportunities to discuss their lives and issues.
A nurse is an assisted living facility is assessing an older adult client who moved in 3
months ago following the death of a spouse. The nurse notes that the client has
frequently forgotten to take prescribed medications and has been skipping meals. The
client reports awakening early in the morning and admits to feeling very sd. which of the
following statements should guide the nurse in planning care for this client? -
✔✔✔ANSW✔✔..Unresolved grief in response to loss is a major factor in depression and
subsequent suicide in older adults
A nurse is caring for an older adult client who is dying. The client tells the nurse, "I just
want to live one more month so I can see my grandchild get married." The nurse should
, recognize that, according to Kubler-Ross' stages of grief, the client is in which stage? -
✔✔✔ANSW✔✔..Bargaining
A nurse in a day care center is conducting an in-service for assistive personnel (AP)
about the basic needs of older adult clients. Which of the following is an appropriate
statement made by the nurse? - ✔✔✔ANSW✔✔.."Sleep cycles are impaired."
During data collection on an elderly client, which effect of the aging process would the
nurse most likely expect? - ✔✔✔ANSW✔✔..Increased urinary frequency
A community health nurse is conducting an intake interview on an older client who lives
along in public housing. The nurse assesses that, although the client is able to answer
all questions appropriately, the client has a decreased attention span, exhibits sadness,
and has a low energy level. The nurse should conclude that the client is most likely
showing manifestations associated with which of the following? -
✔✔✔ANSW✔✔..Depression
A nurse is assisting with developing age-appropriate care standards. Which of the
following should the nurse know is the focus for older adult clients, based on Erikson's
developmental tasks? - ✔✔✔ANSW✔✔..Integrity
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
be seen in this client? - ✔✔✔ANSW✔✔..Agnosia
A nurse is asked to speak to a group of healthy, older adult clients about normal aging
and sexual response. The nurse should include in the discussion techniques to help the
clients adapt to which of the following? - ✔✔✔ANSW✔✔..painful orgasms in women
A nurse in the clinic is caring for an older adult client. Which of the following behaviors
should indicate to the nurse neglect of an older adult client by a caregiving family
member? - ✔✔✔ANSW✔✔..The client hasn't been taking necessary medications
because the prescriptions have not been filled by the family member.
A nurse is caring for an 85 year old client. Which of the following assessment findings
should the nurse report to the provider immediately? - ✔✔✔ANSW✔✔..cannot
discriminate between hot and cold sensations below the knee of the left extremity
A nurse working in a community health center is collecting data from an older adult
female client. Which of the following findings should the nurse immediately report to the
charge nurse? - ✔✔✔ANSW✔✔..rales in the bases
A nurse is performing a physical examination on an older adult client. The nurse should
identify the risk for which of the following manifestations during tympanometry? -
✔✔✔ANSW✔✔..transient vertigo
A nurse is caring for an older adult client who had a total hip arthroplasty and is learning
how to ambulate with a standard walker. Which of the following actions, witnessed by
the nurse, indicates that the client is using the walker correctly? - ✔✔✔ANSW✔✔..The
client lifts the walker in front while balancing on both feet, then walks into the walker,
supporting his body weight on his hands while advancing his affected side
A nurse is caring for an older adult client who is widowed and has come to the clinic for
an annual physical examination. The client reports that she just retired and expresses
feelings of loneliness due to the loss of daily interactions with coworkers. Which of the
following responses by the nurse is most therapeutic? - ✔✔✔ANSW✔✔..Do you know
about the local senior citizen group?
A nurse is performing a skin assessment on an older adult client Which of the following
findings should the nurse recognize as a benign, age related skin change commonly
seen in older adult clients? - ✔✔✔ANSW✔✔..Liver spots
A nurse is caring for an older adult client. Which of the following interventions should the
nurse recommend to maintain muscle function and bone integrity? -
✔✔✔ANSW✔✔..Regular exercise
A nurse is caring for an older adult client who is receiving multiple medication. Which of
the following is an appropriate statement by the nurse? - ✔✔✔ANSW✔✔..Receiving
multiple medications can lead to drug interactions
A nurse is caring for a group of older adult clients. When asking the assistive personnel
to assist in client care, the nurse discusses developmental tasks of the older adult.
Which of the following should the nurse use as an example of a nursing action that best
meets the psychosocial tasks of older adults, according to Erikson? -
✔✔✔ANSW✔✔..Providing clients opportunities to discuss their lives and issues.
A nurse is an assisted living facility is assessing an older adult client who moved in 3
months ago following the death of a spouse. The nurse notes that the client has
frequently forgotten to take prescribed medications and has been skipping meals. The
client reports awakening early in the morning and admits to feeling very sd. which of the
following statements should guide the nurse in planning care for this client? -
✔✔✔ANSW✔✔..Unresolved grief in response to loss is a major factor in depression and
subsequent suicide in older adults
A nurse is caring for an older adult client who is dying. The client tells the nurse, "I just
want to live one more month so I can see my grandchild get married." The nurse should
, recognize that, according to Kubler-Ross' stages of grief, the client is in which stage? -
✔✔✔ANSW✔✔..Bargaining
A nurse in a day care center is conducting an in-service for assistive personnel (AP)
about the basic needs of older adult clients. Which of the following is an appropriate
statement made by the nurse? - ✔✔✔ANSW✔✔.."Sleep cycles are impaired."
During data collection on an elderly client, which effect of the aging process would the
nurse most likely expect? - ✔✔✔ANSW✔✔..Increased urinary frequency
A community health nurse is conducting an intake interview on an older client who lives
along in public housing. The nurse assesses that, although the client is able to answer
all questions appropriately, the client has a decreased attention span, exhibits sadness,
and has a low energy level. The nurse should conclude that the client is most likely
showing manifestations associated with which of the following? -
✔✔✔ANSW✔✔..Depression
A nurse is assisting with developing age-appropriate care standards. Which of the
following should the nurse know is the focus for older adult clients, based on Erikson's
developmental tasks? - ✔✔✔ANSW✔✔..Integrity
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
be seen in this client? - ✔✔✔ANSW✔✔..Agnosia
A nurse is asked to speak to a group of healthy, older adult clients about normal aging
and sexual response. The nurse should include in the discussion techniques to help the
clients adapt to which of the following? - ✔✔✔ANSW✔✔..painful orgasms in women
A nurse in the clinic is caring for an older adult client. Which of the following behaviors
should indicate to the nurse neglect of an older adult client by a caregiving family
member? - ✔✔✔ANSW✔✔..The client hasn't been taking necessary medications
because the prescriptions have not been filled by the family member.
A nurse is caring for an 85 year old client. Which of the following assessment findings
should the nurse report to the provider immediately? - ✔✔✔ANSW✔✔..cannot
discriminate between hot and cold sensations below the knee of the left extremity
A nurse working in a community health center is collecting data from an older adult
female client. Which of the following findings should the nurse immediately report to the
charge nurse? - ✔✔✔ANSW✔✔..rales in the bases
A nurse is performing a physical examination on an older adult client. The nurse should
identify the risk for which of the following manifestations during tympanometry? -
✔✔✔ANSW✔✔..transient vertigo
