ATI FINAL GERONTOLOGY EXAM ||VERIFIED EXAM!!||
MOST RECENT EXAM ACTUAL COMPLETE REAL
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ ||
NEWEST EXAM!!!
A nurse is caring for an older adult client who is
unresponsive following a stroke. Which of the following
actions should the nurse take while providing oral care?
a. Turn the client on his side before starting oral care.
b. Use the thumb and index finger to keep the client's
mouth open.
c. Cleanse the client's oral mucosa with a toothbrush.
d. Perform oral care using sterile gloves. - Answer-Turn
the client on his side before starting oral care.
*RATIONALE* The nurse should place the client in a
lateral position to allow excess fluids to run out of his
mouth into a basin, which reduces the risk of aspiration of
fluids and secretions.
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*FYI* The nurse should use a padded tongue blade or an
oral airway, not a thumb and index finger, to keep the
client's mouth open; the client might suddenly bite down
and injure the nurse's fingers ... The nurse should use a
moistened foam swab to clean the oral mucosa; the nurse
should cleanse each area of the mouth with a separate
swab to avoid transferring microorganisms from one area
to another.
A nurse is teaching a group of healthy, older adult clients
about expected age-related changes and sexual
response. Which of the following changes should the
nurse include as an age-related change?
a. Decreased refractory time
b. Decreased vaginal lubrication
c. Loss of female clients' orgasm ability
d. Premature ejaculation - Answer-Decreased vaginal
lubrication
*RATIONALE* The nurse should inform the clients that a
decrease in vaginal secretions is an expected age-related
change in older adult female clients. Vaginal dryness might
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result in painful intercourse, which clients can manage
with the use of water-soluble lubricants during intercourse.
*FYI* The nurse should inform the clients that:
Achievement of an erection is often delayed in older adult
male clients due to a slower sexual response, lengthening
the refractory time ... some of the physiological changes
resulting from female orgasm, such as the vaginal
contractions, might decrease in intensity; the ability to
have an orgasm, however, is not lost ... an expected age-
related change in older adult male clients is a delay in
ejaculation along with a decrease in the forcefulness of
emissions.
A nurse is caring for an older adult client who is
expressing feelings of grief and longing for his earlier life.
Which of the following actions should the nurse take?
a. Listen attentively and allow the client to talk about the
past.
b. Change the topic of conversation.
c. Let the client know that this is a common issue for older
adult clients.
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d. Tell the client about some younger clients who are in
worse shape than he is. - Answer-Listen attentively and
allow the client to talk about the past.
*RATIONALE* The nurse should encourage the client to
reminisce as a means of dealing with his feelings of grief
and longing. This is the therapeutic technique of offering
self. Listening to the client allows for venting of the client's
feelings about the loss of a healthy, active life. According
to Erikson's theory, reminiscence is a necessary activity
for older adults, who are in the stage of integrity vs
despair.
A nurse is reviewing the records of a group of older adult
clients. Which of the following findings should the nurse
identify as an unexpected manifestation of the aging
process?
a. Decreased absorption of nutrients
b. Impaired excretion of medications
c. High-pitched frequency hearing loss
d. Obesity - Answer-Obesity