ATI PN MED SURGE PROCTORED EXAM QUESTIONS AND VERIFIED ANSWERS

ATI PN MED SURGE PROCTORED EXAM
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QUESTIONS AND VERIFIED ANSWERS 2024-
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1. A nurse is teaching a health promotion class for older adults. In which
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orderwill the nurse list the most common to least common conditions that
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can leadto death in older adults?
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1. Chronic obstructive lung diseaseS S S



2. Cerebrovascular accidents S



3. Heart disease S



4. Cancer
a. 4, 1, 2, 3 S S S




b. 3, 4, 1, 2 S S S




c. 2, 3, 4, 1 S S S




d. 1, 2, 3, 4 S S S




ANS: B S


Heart disease is the leading cause of death in older adults followed by
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cancer,chronic lung disease, and stroke (cerebrovascular accidents).
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13. A nurse is observing skin integrity of an older adult. Which finding will the
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nurse document as a normal finding?
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a. Oily skin S




b. Faster nail growth S S


c. Decreased elasticity S



d. Increased facial hair in men S S S S




ANS: C S


Loss of skin elasticity is a common finding in the older adult. Other common
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findings include pigmentation changes, glandular atrophy (oil, moisture, and
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sweat glands), thinning hair (facial hair: decreased in men, increased in
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women),slower nail growth, and atrophy of epidermal arterioles.
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14. An older-adult patient in no acute distress reports being less able to
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, taste and smell. What is the nurse’s best response to this information?
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Notify the health care provider immediately to rule out cranial nerve
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a. damage.
Schedule the patient for an appointment at a smell and taste disorders
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b. clinic.
c. Perform testing on the vestibulocochlear nerve and a hearing test.
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d. Explain to the patient that diminished senses are normal findings.
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ANS: D S


Diminished taste and smell senses are common findings in older adults.
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Scheduling an appointment at a smell and taste disorders clinic, testing the
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vestibulocochlear nerve, or an attempt to rule out cranial nerve damage is
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unnecessary at this time as per the information provided.
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15. A nurse is assessing an older adult for cognitive changes. Which symptom
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willthe nurse report as normal?
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a. Disorientation
b. Poor judgment S




c. Slower reaction time S S


d. Loss of language skills
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ANS: C S


Slower reaction time is a common change in the older adult. Symptoms of
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cognitive impairment, such as disorientation, loss of language skills, loss of
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the ability to calculate, and poor judgment are not normal aging changes and
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requirefurther investigation of underlying causes.
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16. An older patient with dementia and confusion is admitted to the nursing
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unit after hip replacement surgery. Which action will the nurse include in the
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planof care?
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a. Keep a routine. S S




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