ATI RN
basic geriatric nursing 8th edition test bank Questions
Question 1 of 5
Mr J., an 80 yr old who has had flu like symptoms with diarrhea and has vomited 4 times in the last 24 hours is seen in the ED. Mr. J seems confused and is lethargic. The nurse notes that Mr. J has dry skin, a brown tongue, sunken cheeks and concentrated urine. This array of symptoms indicates:
Correct Answer: B
Rationale: The correct answer is B: dehydration. Mr. J's symptoms of flu-like illness, diarrhea, vomiting, confusion, lethargy, dry skin, brown tongue, sunken cheeks, and concentrated urine are indicative of severe dehydration. Dehydration can lead to electrolyte imbalances, decreased blood volume, and impaired organ function, resulting in confusion and lethargy. Skin changes, dry mucous membranes, and concentrated urine are also classic signs of dehydration. The other choices (A, C, D) do not align with the constellation of symptoms presented by Mr. J and are less likely based on the information provided.
Question 2 of 5
An older women tells the nurse that her husband seldom brushes his teeth as he did in the past. A reason why older clients stop participating in daily oral hygiene, such as brushing the teeth, include:
Correct Answer: A
Rationale: The correct answer is A: Decreased manual dexterity and inability to hold a toothbrush. As people age, they may experience decreased hand strength and motor skills, making it difficult to hold and manipulate objects like a toothbrush. This can lead to a decline in oral hygiene practices. Malocclusion of teeth (B) does not directly impact the ability to brush teeth. Decrease in taste acuity (C) may affect appetite but not tooth brushing habits. Lack of dental insurance (D) is a financial barrier and may affect access to dental care, but it does not directly impact the physical ability to brush teeth.
Question 3 of 5
Providing information about diet & exercise for a healthy diabetic client is best described as which nursing activity?
Correct Answer: A
Rationale: The correct answer is A: Promoting wellness. Providing information about diet and exercise for a healthy diabetic client falls under promoting wellness because it focuses on proactive measures to maintain health and prevent complications. It aims to empower the client to make healthy lifestyle choices. B: Preventing illness is not the best description as the client is already diabetic, so the focus is on managing the condition rather than solely preventing it. C: Treating disease is not accurate because the client is already diabetic and the goal is not to treat the disease, but rather manage it effectively. D: Restoring health is not applicable in this scenario as the client is not in a state of compromised health that needs to be restored.
Question 4 of 5
A family member of a resident in a long-term care facility inquires about the role of gerontological nursing certification. What is the most accurate response the nurse can provide?
Correct Answer: A
Rationale: The correct answer is A: Gerontological nursing certification indicates that a nurse has advanced knowledge and skills specifically related to the care of older adults. This is accurate because gerontological nursing certification is a voluntary certification that demonstrates a nurse's specialized expertise in caring for the elderly population. Nurses who obtain this certification have undergone additional training and education in gerontological nursing, making them more competent in addressing the unique needs of older adults. Choices B, C, and D are incorrect: B: All nurses in long-term care must obtain gerontological certification after completing their initial training - This is false as gerontological certification is not mandatory for all nurses in long-term care. C: Certification in gerontology is only necessary for nurses working in rehabilitation centers - This is incorrect as gerontological certification is beneficial for nurses caring for older adults in various settings, not just rehabilitation centers. D: Only nurses with a master's degree can achieve certification in gerontology - This is not true as nurses with
Question 5 of 5
The home care nurse is performing an environmental assessment in the home of an older adult. Which of the following requires immediate nursing action?
Correct Answer: A
Rationale: The correct answer is A: Unsecured scattered rugs. This requires immediate nursing action as it poses a significant fall risk for the older adult. Rugs can cause tripping hazards, leading to potential injuries. The nurse should secure or remove the rugs to ensure the safety of the patient. Summary of other choices: B: Operable smoke detector - While important for safety, it does not require immediate nursing action as it is already in working condition. C: Prefilled medication cassette - This is not an immediate safety concern and can be addressed during routine medication management. D: Unsecured scattered rugs (repeated) - This choice is the same as the correct answer, so it is incorrect.