An older woman with a UTI reports mild symptoms and a low-grade fever. Why didn’t she develop a higher temperature?

Questions 43

ATI RN

ATI RN Test Bank

geriatric nursing exam questions with rationale Questions

Question 1 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 2 of 9

Which of the following statements best conveys an aspect of diabetes and the older adult?

Correct Answer: A

Rationale: The correct answer is A because it accurately reflects the multifactorial nature of diabetes in older adults. Age-related changes, coupled with lifestyle factors like poor diet and lack of exercise, contribute to the high incidence of diabetes in this population. This statement acknowledges the complexity of diabetes in older adults. B is incorrect because while nurses should have knowledge about diabetes in older adults, the statement does not specifically address the multifactorial nature of the disease in this population. C is incorrect because ethnicity can indeed play a role in diabetes risk and should not be dismissed outright. D is incorrect because the development of diabetes is not considered a normal age-related change; it is a medical condition that can be influenced by various factors.

Question 3 of 9

Which gerontological nursing organization welcomes nurses from all educational backgrounds?

Correct Answer: A

Rationale: The correct answer is A: The National Gerontological Nursing Association (NGNA). NGNA welcomes nurses from all educational backgrounds, focusing on gerontological nursing practice. The other choices have specific focuses: B is for nurse practitioners, C is for directors of nursing administration, and D is for professionals in the field of aging. NGNA's inclusivity makes it the correct choice for nurses from all educational backgrounds interested in gerontological nursing.

Question 4 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 5 of 9

A nursing home executive interviews registered nurses to fill a full-time position for direct patient care to maintain the standards of eldercare. Which nurse should the nursing home hire?

Correct Answer: C

Rationale: The correct answer is C: Certified gerontological nurse. This nurse has specialized knowledge and training in caring for elderly patients, aligning with the nursing home's focus on eldercare standards. Certification demonstrates expertise in gerontological nursing. A: A nurse from a certified college may not necessarily have specialized training in gerontological nursing. B: Experience is valuable, but without specific gerontological training, the nurse may lack the specialized skills required for eldercare. D: A gerontological nurse practitioner has advanced training, but for direct patient care in a nursing home setting, a certified gerontological nurse may be a better fit.

Question 6 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 7 of 9

Which approach requires the nurse to integrate and balance all aspects of an individual’s life into the plan of care?

Correct Answer: A

Rationale: Holistic nursing is the correct answer because it considers the physical, emotional, social, and spiritual aspects of an individual's life in the care plan. It emphasizes treating the whole person rather than just the symptoms. Healthy People 2020 focuses on improving the overall health of the population. Maslow's hierarchy of needs prioritizes basic human needs. Orem's self-care requirements focus on the individual's ability to care for themselves. Holistic nursing is the only approach that integrates and balances all aspects of an individual's life into the care plan, making it the most comprehensive and patient-centered approach.

Question 8 of 9

The home health nurse is visiting a client for the first time. While assessing the client's medication, it is noted that there are 19 prescription and several over-the-counter medications that the client is taking. What intervention should the nurse take first?

Correct Answer: A

Rationale: The correct answer is A: Determine whether there are medication duplications. This is the first intervention the nurse should take because medication duplications can lead to potential drug interactions and adverse effects. By identifying duplicate medications, the nurse can prevent harm to the client. Choice B: Starting to educate the client on proper medication adherence may be important, but it is not the first priority in this scenario. Choice C: Monitoring the client's blood pressure closely is not directly related to the issue of multiple medications and should not be the first intervention. Choice D: Asking the client to stop taking some medications without proper assessment and consultation with a healthcare provider can be risky and may not address the issue of medication duplications.

Question 9 of 9

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.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days