ATI RN
geriatric nursing exam questions with rationale Questions
Question 1 of 5
The vision of Nurses Improving Care for Health System Elders (NICHE) is:
Correct Answer: D
Rationale: The correct answer is D: For patients 65 years and older to be given sensitive and exemplary care. NICHE aims to provide specialized, high-quality care for older adults through evidence-based practices. This answer aligns with NICHE's goal of improving care quality for elderly patients.
Choice A is too restrictive and does not encompass the holistic approach of NICHE.
Choice B focuses on cost rather than quality of care.
Choice C is vague and does not capture the essence of NICHE's mission to enhance care for older adults.
Question 2 of 5
The following statement is not true.
Correct Answer: C
Rationale: The correct answer is C because it provides inaccurate information. Osteoarthritis commonly affects weight-bearing joints like the knees and hips, not the hands, elbows, and shoulders as stated. The other choices are incorrect due to the following reasons:
A: Correct - describes osteoarthritis
B: Incorrect - describes rheumatoid arthritis
D: Incorrect - describes risk factors for osteoarthritis, not rheumatoid arthritis.
Question 3 of 5
Mr. Abramson has been diagnosed with benign prostatic hypertrophy (BPH) by his primary care provider. The most likely symptoms that prompted him to initially seek health care is___
Correct Answer: A
Rationale: The correct answer is A: Nocturia. Nocturia, or waking up at night to urinate, is a common symptom of benign prostatic hypertrophy (BPH) due to the enlarged prostate pressing on the urethra, causing urinary frequency and urgency. Other symptoms like weak urine stream, difficulty starting urination, incomplete emptying, and dribbling may also be present. Recurrent urinary tract infections (
B) are less likely to be the initial symptom of BPH, as they are more commonly associated with urinary retention or obstruction. Functional incontinence (
C) is not a typical symptom of BPH, as it is more related to mobility or cognitive issues. Hematuria (
D) is not a common presenting symptom of BPH, as it is more indicative of other conditions like urinary tract infections or kidney stones.
Question 4 of 5
Which of the following is a significant risk factor for developing osteoporosis in older adults?
Correct Answer: B
Rationale: The correct answer is B: Low calcium intake. Osteoporosis is a condition characterized by weakened bones, making them more susceptible to fractures. Calcium is essential for bone health, and a low intake can lead to decreased bone density and increased risk of osteoporosis. Physical activity, while beneficial for overall health, is not a significant risk factor for osteoporosis. High alcohol consumption can contribute to bone loss but is not as significant as low calcium intake. Genetics play a role in predisposing individuals to osteoporosis, but it is not a modifiable risk factor like low calcium intake. Thus, B is the correct answer.
Question 5 of 5
Which of the following best describes the role of a gerontological nurse practitioner?
Correct Answer: B
Rationale: The correct answer is B because a gerontological nurse practitioner is trained to manage chronic conditions and promote health in older adults through preventive care, education, and treatment. This role involves a holistic approach to addressing the physical, mental, and social aspects of aging.
Choice A is incorrect as palliative care is just one aspect of their role.
Choice C is incorrect as they work in various settings, not just nursing homes.
Choice D is incorrect as they work with a range of older adult patients, not just those with psychiatric conditions.