ATI RN
basic geriatric nursing test bank Questions
Question 1 of 4
A peak flow meter
Correct Answer: B
Rationale: The correct answer is B because a peak flow meter is used to monitor and measure the peak expiratory flow rate, which helps determine if the client is developing asthma symptoms such as airway constriction. It provides feedback on the client's lung function, helping to assess asthma control and guide treatment. Choices A, C, and D are incorrect because a peak flow meter is not used for administering medications, identifying allergy triggers, or limited to specific healthcare professionals.
Question 2 of 4
A patient is instructed in the use of pursed lip breathing. The patient asks the nurse the purpose of this technique of breathing pattern. The nurse's best response would be:
Correct Answer: D
Rationale: The correct answer is D because pursed lip breathing helps prevent airway collapse by maintaining positive pressure in the airways, reduces anxiety by promoting relaxation, and enhances effective breathing by improving oxygen exchange. Choice A is incorrect as pursed lip breathing does not directly prevent the build-up of secretions. Choice B is incorrect as comfort is not the primary purpose of pursed lip breathing. Choice C is incorrect as while pursed lip breathing can improve respiratory muscle function, its primary benefit lies in preventing airway collapse, reducing anxiety, and promoting effective breathing.
Question 3 of 4
While testing the vision of an elderly client, the nurse finds that the client has decreased ability to accommodate (presbyopia). Which clinical implication would the nurse recognize?
Correct Answer: B
Rationale: The correct answer is B: Difficulty reading small print and decreased ability to focus on objects at varying distances. As people age, the lens of the eye becomes less flexible, leading to presbyopia, which results in difficulty seeing close objects clearly. This explains the client's decreased ability to accommodate. This choice is correct because presbyopia specifically affects near vision, making it harder to read small print and focus on objects up close. A: Blurring of vision due to increased intraocular pressure - This choice is incorrect because presbyopia is not related to increased intraocular pressure. C: Narrowing of field of vision-loss of peripheral vision - This choice is incorrect because presbyopia does not affect peripheral vision; it specifically impacts near vision. D: Sensitivity to light (photophobia) - This choice is incorrect because presbyopia does not cause sensitivity to light; it is solely related to difficulty in focusing on near objects.
Question 4 of 4
The nurse is teaching a client with COPD about proper use of an inhaler. What should the nurse emphasize?
Correct Answer: B
Rationale: The correct answer is B because inhaling deeply before activating the inhaler ensures proper medication delivery to the lungs. This allows the medication to reach the affected areas efficiently. Choice A is incorrect because inhalers are often used preventatively, not just when short of breath. Choice C is incorrect as inhaling rapidly may not allow the medication to be effectively deposited in the lungs. Choice D is incorrect because using the inhaler excessively can lead to overuse and potential side effects.