Questions 9

ATI RN

ATI RN Test Bank

geriatric nursing exam questions with rationale Questions

Question 1 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 2 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 3 of 5

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 4 of 5

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 5 of 5

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.

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