ATI RN
geriatric nursing exam questions with rationale Questions
Question 1 of 5
The nurse is performing an assessment on an older client who is having difficulty sleeping at night. What statement by the client indicates education is needed on improving sleep?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
What is the most effective way to prevent delirium in hospitalized older adults?
Correct Answer: D
Rationale: The correct answer is D: Ensuring early mobilization and reorientation. Delirium in hospitalized older adults is often caused by factors like immobility and disorientation. Early mobilization helps maintain physical and cognitive function, reducing the risk of delirium. Reorientation techniques help patients stay connected to reality, preventing confusion. Limiting visitors (
A) can lead to social isolation, exacerbating delirium. Reducing physical restraints (
B) is important but not as effective as promoting mobility. Providing a calm environment (
C) is beneficial but may not address the underlying causes of delirium.
Question 3 of 5
Which of the following statements is true regarding life expectancy in the United States?
Correct Answer: C
Rationale: The correct answer is C because life expectancy is influenced by multiple factors such as gender, ethnicity, and living environment. Gender does play a role, but it is not the sole determinant. Ethnicity and living environment also significantly impact life expectancy. Genetic factors may contribute, but they are not the primary factor affecting life expectancy.
Therefore, choice C is the most comprehensive and accurate statement.
Choices A and B are incorrect as they oversimplify the factors that influence life expectancy, while choice D is also incorrect as it overlooks the significant impact of other factors beyond genetics.
Question 4 of 5
Which intervention is most likely to improve the quality of life in older adults with arthritis?
Correct Answer: B
Rationale: The correct answer is B because regular physical activity and joint mobility exercises help improve joint flexibility, reduce pain, and increase strength. This intervention can enhance overall physical function and quality of life for older adults with arthritis.
Complete bed rest (
A) can lead to muscle weakness and joint stiffness, worsening arthritis symptoms. Increased use of opioid painkillers (
C) can have adverse side effects and may not address the root cause of arthritis. Strictly limiting daily activities (
D) can lead to decreased mobility and functional decline in older adults.
Question 5 of 5
Postural hypotension may be caused by all of the following except______
Correct Answer: B
Rationale: Postural hypotension is a drop in blood pressure when standing up. Increased cholesterol levels do not directly affect blood pressure regulation or lead to postural hypotension. Medications, decreased baroreceptor sensitivity, and arterial stiffness can all contribute to postural hypotension by affecting blood pressure regulation mechanisms.
Therefore, choice B, increased cholesterol level, is the correct answer as it does not directly cause postural hypotension.