ATI PN MED SURGE PROCTORED EXAM
v v v v v
1. A nurse is teaching a health promotion class for older adults. In which orderw
v v v v v v v v v v v v v v v
ill the nurse list the most common to least common conditions that can leadto d
v v v v v v v v v v v v v v v
eath in older adults?
v v v
1. Chronic obstructive lung diseasev v v
2. Cerebrovascular accidents v
3. Heart disease v
4. Cancer
a. 4, 1, 2, 3
v v v
b. 3, 4, 1, 2
v v v
c. 2, 3, 4, 1
v v v
d. 1, 2, 3, 4
v v v
ANS: B v
Heart disease is the leading cause of death in older adults followed by cancer,chronic
v v v v v v v v v v v v v v v
lung disease, and stroke (cerebrovascular accidents).
v v v v v
13. A nurse is observing skin integrity of an older adult. Which finding will the
v v v v v v v v v v v v v
nurse document as a normal finding?
v v v v v
a. Oily skin v
b. Faster nail growth v v
c. Decreased elasticity v
d. Increased facial hair in men v v v v
ANS: C v
Loss of skin elasticity is a common finding in the older adult. Other common findin
v v v v v v v v v v v v v v
gs include pigmentation changes, glandular atrophy (oil, moisture, and sweat gland
v v v v v v v v v v
s), thinning hair (facial hair: decreased in men, increased in women),slower nail gro
v v v v v v v v v v v v v
wth, and atrophy of epidermal arterioles.
v v v v v
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?
v v v v v v v v v v v
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.
v v v v v v v v v
d. Explain to the patient that diminished senses are normal findings.
v v v v v v v v v
ANS: D v
Diminished taste and smell senses are common findings in older adults. Scheduling
v v v v v v v v v v v v
an appointment at a smell and taste disorders clinic, testing the vestibulocochlear ner
v v v v v v v v v v v v
ve, or an attempt to rule out cranial nerve damage is unnecessary at this time as per th
v v v v v v v v v v v v v v v v v
e information provided.
v v
15. A nurse is assessing an older adult for cognitive changes. Which symptom willth
v v v v v v v v v v v v v
e nurse report as normal?
v v v v
a. Disorientation
b. Poor judgment v
c. Slower reaction time v v
d. Loss of language skills v v v
ANS: C v
Slower reaction time is a common change in the older adult. Symptoms of cognitive i
v v v v v v v v v v v v v v
mpairment, such as disorientation, loss of language skills, loss of the ability to calcul
v v v v v v v v v v v v v
ate, and poor judgment are not normal aging changes and requirefurther investigatio
v v v v v v v v v v v v
n of underlying causes.
v v v
16. An older patient with dementia and confusion is admitted to the nursing
v v v v v v v v v v v
unit after hip replacement surgery. Which action will the nurse include in the planof
v v v v v v v v v v v v v v v
care?
a. Keep a routine. v v
20
, b. Continue to reorient. v v
c. Allow several choices.
v v
d. Socially isolate patient. v v
ANS: A v
Patients with dementia need a routine. Continuing to reorient a patient with dementi
v v v v v v v v v v v v
a is nonproductive and not advised. Patients with dementia need limited choices. So
v v v v v v v v v v v v
cial interaction based on the patient’s abilities is to be promoted.
v v v v v v v v v v
17. A nurse is helping an older-adult patient with instrumental activities of
v v v v v v v v v v
daily living. The nurse will be assisting the patient with which activity?
v v v v v v v v v v v
a. Taking a bath v v
b. Getting dressed v
c. Making a phone call v v v
d. Going to the bathroom v v v
ANS: C v
Instrumental activities of daily living or IADLs (such as the ability to write a check, s
v v v v v v v v v v v v v v v
hop, prepare meals, or make phone calls) and activities of daily living or ADLs (such
v v v v v v v v v v v v v v
vas bathing, dressing, and toileting) are essential to independent living.
v v v v v v v v v
18. A male older-adult patient expresses concern and anxiety about
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decreased penile firmness during an erection. What is the nurse’s best
v v v v v v v v v v
response?
Tell the patient that libido will always decrease, as well as the sexual
v v v v v v v v v v v v
a. desires.
v Tell the patient that touching should be avoided unless intercourse is
v v v v v v v v v v
b. planned.
c. Tell the patient that heterosexuality will help maintain stronger libido.
v v v v v v v v v
d. Tell the patient that this change is expected in aging adults.
v v v v v v v v v v
ANS: D v
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v v v v v
1. A nurse is teaching a health promotion class for older adults. In which orderw
v v v v v v v v v v v v v v v
ill the nurse list the most common to least common conditions that can leadto d
v v v v v v v v v v v v v v v
eath in older adults?
v v v
1. Chronic obstructive lung diseasev v v
2. Cerebrovascular accidents v
3. Heart disease v
4. Cancer
a. 4, 1, 2, 3
v v v
b. 3, 4, 1, 2
v v v
c. 2, 3, 4, 1
v v v
d. 1, 2, 3, 4
v v v
ANS: B v
Heart disease is the leading cause of death in older adults followed by cancer,chronic
v v v v v v v v v v v v v v v
lung disease, and stroke (cerebrovascular accidents).
v v v v v
13. A nurse is observing skin integrity of an older adult. Which finding will the
v v v v v v v v v v v v v
nurse document as a normal finding?
v v v v v
a. Oily skin v
b. Faster nail growth v v
c. Decreased elasticity v
d. Increased facial hair in men v v v v
ANS: C v
Loss of skin elasticity is a common finding in the older adult. Other common findin
v v v v v v v v v v v v v v
gs include pigmentation changes, glandular atrophy (oil, moisture, and sweat gland
v v v v v v v v v v
s), thinning hair (facial hair: decreased in men, increased in women),slower nail gro
v v v v v v v v v v v v v
wth, and atrophy of epidermal arterioles.
v v v v v
14. An older-adult patient in no acute distress reports being less able to
v v v v v v v v v v v
20
,taste and smell. What is the nurse’s best response to this information?
v v v v v v v v v v v
Notify the health care provider immediately to rule out cranial nerve
v v v v v v v v v v
a. damage.
Schedule the patient for an appointment at a smell and taste disorders
v v v v v v v v v v v
b. clinic.
c. Perform testing on the vestibulocochlear nerve and a hearing test.
v v v v v v v v v
d. Explain to the patient that diminished senses are normal findings.
v v v v v v v v v
ANS: D v
Diminished taste and smell senses are common findings in older adults. Scheduling
v v v v v v v v v v v v
an appointment at a smell and taste disorders clinic, testing the vestibulocochlear ner
v v v v v v v v v v v v
ve, or an attempt to rule out cranial nerve damage is unnecessary at this time as per th
v v v v v v v v v v v v v v v v v
e information provided.
v v
15. A nurse is assessing an older adult for cognitive changes. Which symptom willth
v v v v v v v v v v v v v
e nurse report as normal?
v v v v
a. Disorientation
b. Poor judgment v
c. Slower reaction time v v
d. Loss of language skills v v v
ANS: C v
Slower reaction time is a common change in the older adult. Symptoms of cognitive i
v v v v v v v v v v v v v v
mpairment, such as disorientation, loss of language skills, loss of the ability to calcul
v v v v v v v v v v v v v
ate, and poor judgment are not normal aging changes and requirefurther investigatio
v v v v v v v v v v v v
n of underlying causes.
v v v
16. An older patient with dementia and confusion is admitted to the nursing
v v v v v v v v v v v
unit after hip replacement surgery. Which action will the nurse include in the planof
v v v v v v v v v v v v v v v
care?
a. Keep a routine. v v
20
, b. Continue to reorient. v v
c. Allow several choices.
v v
d. Socially isolate patient. v v
ANS: A v
Patients with dementia need a routine. Continuing to reorient a patient with dementi
v v v v v v v v v v v v
a is nonproductive and not advised. Patients with dementia need limited choices. So
v v v v v v v v v v v v
cial interaction based on the patient’s abilities is to be promoted.
v v v v v v v v v v
17. A nurse is helping an older-adult patient with instrumental activities of
v v v v v v v v v v
daily living. The nurse will be assisting the patient with which activity?
v v v v v v v v v v v
a. Taking a bath v v
b. Getting dressed v
c. Making a phone call v v v
d. Going to the bathroom v v v
ANS: C v
Instrumental activities of daily living or IADLs (such as the ability to write a check, s
v v v v v v v v v v v v v v v
hop, prepare meals, or make phone calls) and activities of daily living or ADLs (such
v v v v v v v v v v v v v v
vas bathing, dressing, and toileting) are essential to independent living.
v v v v v v v v v
18. A male older-adult patient expresses concern and anxiety about
v v v v v v v v
decreased penile firmness during an erection. What is the nurse’s best
v v v v v v v v v v
response?
Tell the patient that libido will always decrease, as well as the sexual
v v v v v v v v v v v v
a. desires.
v Tell the patient that touching should be avoided unless intercourse is
v v v v v v v v v v
b. planned.
c. Tell the patient that heterosexuality will help maintain stronger libido.
v v v v v v v v v
d. Tell the patient that this change is expected in aging adults.
v v v v v v v v v v
ANS: D v
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