ATI RN
geriatric nursing exam questions with rationale Questions
Question 1 of 9
A nurse in an assisted living facility is planning an educational program on exercise for the residents. The nurse needs to consider which of the following when planning the activity?
Correct Answer: B
Rationale: The correct answer is B because using large size fonts on written material is important for elderly individuals in assisted living facilities who may have visual impairments. This accommodation ensures that the residents can easily read and understand the information being presented. This is crucial for effective communication and engagement in the educational program. A: While using simple language is generally beneficial, the primary concern for this specific population is visual accessibility rather than language complexity. C: Providing the program in a quiet area is important for minimizing distractions, but it is not as critical as ensuring the residents can read the material. D: While building on prior knowledge is a good practice in teaching, it is secondary to ensuring that the information is visually accessible to the residents.
Question 2 of 9
Which factor(s) are associated with the provision of culturally competent care? (Select all that apply.)
Correct Answer: A, B
Rationale: Step-by-step rationale: 1. Cultural awareness is crucial for understanding one's own biases and recognizing cultural differences. 2. Cultural knowledge involves understanding diverse cultural practices, beliefs, and values. 3. Cultural skills refer to the ability to effectively communicate and adapt care to meet individual cultural needs. 4. Cultural connections, while important, do not directly relate to providing culturally competent care. In summary, A and B are correct as they form the foundation for providing culturally competent care, while C and D do not encompass all aspects necessary for culturally competent care.
Question 3 of 9
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 4 of 9
An older woman with a UTI reports mild symptoms and a low-grade fever. Why didn’t she develop a higher temperature?
Correct Answer: B
Rationale: The correct answer is B because normal age-related immune changes can result in a lower fever response to illness in older adults. As people age, their immune system may not respond as vigorously to infections, leading to a muted fever response. This explains why the older woman with a UTI experienced only mild symptoms and a low-grade fever. Choice A is incorrect because the seriousness of a UTI does not necessarily correlate with the presence or absence of a fever. Choice C is incorrect as older adults can still develop fevers in response to infections. Choice D is incorrect as it is too broad and does not specifically address the age-related immune changes that impact fever response in older adults.
Question 5 of 9
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 6 of 9
The nurse observes older women learning advanced knitting techniques. The nurse concludes that this learning activity is suitable for these women because it accomplishes which of the following?
Correct Answer: D
Rationale: The correct answer is D because learning advanced knitting techniques adds to the existing knowledge base of older women. This activity stimulates cognitive functioning, enhances problem-solving skills, and fosters creativity. It also helps maintain mental acuity and memory. Choice A is incorrect because although knitting may involve hand movements, it primarily benefits cognitive functions. Choice B is incorrect as the primary focus is on individual learning rather than group cohesion. Choice C is incorrect as the main purpose of the activity is intellectual growth rather than social interaction.
Question 7 of 9
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 8 of 9
The nurse is reviewing the care plan of an 89 yr old client who has been admitted for prostate surgery. The client is on medication for hypertension and had a recent fall at home prior to admission. The nurse would include which assessment in the care plan?
Correct Answer: B
Rationale: The correct answer is B. Checking postural blood pressures is essential to assess for orthostatic hypotension in an elderly client with a history of falls and hypertension medication. Orthostatic hypotension can lead to falls, so monitoring postural B/Ps is crucial. Checking B/P every 2 hours (choice A) is not necessary and could cause unnecessary discomfort to the client. Checking serum sodium levels (choice C) and serum creatinine levels (choice D) are not directly related to the client's risk factors for falls post-prostate surgery.
Question 9 of 9
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.