ATI GERONTOLOGY QUIZ 2020

ATI GERONTOLOGY QUIZ 2020 1. A nurse is teaching a group of older adult female clients who are postmenopausal about dietary requirements, which of the following statements about the role of folic acid, should the nurse made clients who are postmenopausal to A) limit their intake of folic acid to reduce their risk of stroke, B) dietary folic acid is not of significant importance after bearing child C) 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. D) adequate folic acid intake is associated with reduced risk for heart disease. 2. A nurses teaching an older adult client who is on bedrest following development of deep vein thrombosis, about methods to increase peristalsis, which of the following high fiber food choices should the nurse recommend A) navy bean soup B) can fruit juice, C) white rice pudding, D) soy milk. A) navy bean soup 3. A nurse is associated in older adult client for signs of dehydration, which of the following findings should the nurse consider an expected part of the aging process, A)elevation of urine specific gravity B) decreased creatinine clearance C) dry oral mucous membranes D) poor skin turgor over the sternum. B) decreased creatinine clearance 4. A nurse Reviewing the medical record of a client who is postmenopausal and osteoporosis, the client has a new prescription for alendronate sodium, which of the following findings in the client history should the nurse recognize is a contradiction to this medication. A) glaucoma, B) pagets disease C) esophageal stricture D) long term corticosteroid use C) esophageal stricture Clients who have a history of esophageal abnormalities, such as stricture or achalasia, have delayed esophageal emptying, which greatly increases the client’s risk for esophageal erosion, bleeding, and perforation. Alendronate sodium is a bisphosphonate, which prevents or slows weakening of bone. It is used to prevent and treat postmenopausal osteoporosis. The nurse should instruct the client to wait at least 30 min after taking alendronate sodium before eating, drinking, or taking other medications, and caution her not to lie down for at least 30 min after taking the medication. Standing or sitting upright ensures that the client gets the full dose and decreases heartburn or the risk of injury to the esophagus. 5. A nurses caring for an older adult clients with the following physiological 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 C) decreased gastric motility Decreased gastric motility results in medications remaining in the digestive tract for longer periods of time, leading to slow absorption of the medication. The provider might have to allow for a longer time for medication onset and peak by extending the length of time between doses. A nurse is collecting data from an older client for signs of dehydration. WOTF findings should the nurse consider an expected part of the aging process? Decreased Creatinine Clearance 6. A nurse is at a long term care facility and is providing teaching to a group of adolescents who are new volunteers. The nurse explain that older 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. A) short term memory, 7. A nurse at an ophthalmology clinic is assessing a client referred by the provider for a potential cataract, which of the following client reports should the nurse recognize is consistent with cataracts. A) Halos when looking at lights, B) loss of peripheral vision, C) bright flashes of lights and floaters, D) eye strain and headache with close work. A) Halos when looking at lights, 8. For nurses caring for an older client who has pneumonia, what do the following physiological changes is associated with aging, puts the client at 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. C) decreased number of cilia, 9. A nurse at an assisted living center is conducting an orientation session for a group of newly hired assistive personnel, which of the following instructions should the nurse include regarding clients who are hearing impaired A) Maintain eye contact with the clients, B) stand along one side of the client and speak into their good ear, C) speak loudly with exaggerated enunciation. D) Ask only questions with yes or no answers. A) Maintain eye contact with the clients, 10. A nurse is teaching a group of healthy older clients about health screening after age 50 years, which of the following health screenings should the nurse recommend that a client completes annually, A) cholesterol B) colonoscopy, C) diabetes mellitus D) visual acuity. D) visual acuity. 11. A nurse is caring for an older adult client who has gout and refuses to eat the clients provider has approved the family to bring food from home, which of the following foods should the nurse recommend that the client not eat A) lentil soup, B) sandwich C) yogurt, D) raisins. A) lentil soup,