The nurse is performing an assessment on an older client. What would indicate a potential complication associated with the skin?

Questions 43

ATI RN

ATI RN Test Bank

basic geriatric nursing 6th edition test bank Questions

Question 1 of 9

The nurse is performing an assessment on an older client. What would indicate a potential complication associated with the skin?

Correct Answer: A

Rationale: The correct answer is A: Crusting. Crusting on the skin of an older client can indicate a potential complication such as an infection or skin condition. It suggests that there may be an issue with the skin's integrity, leading to the formation of crusts. Wrinkling (B) and thinning/loss of elasticity (C) are common age-related changes and not necessarily indicative of a complication. Choice D is a duplicate of choice A, so it is incorrect. In summary, crusting is a sign of a potential skin complication, while the other choices are more likely to be normal age-related changes.

Question 2 of 9

All of the following conditions except___ can cause renal failure, especially in the older adult.

Correct Answer: D

Rationale: The correct answer is D. Ingesting excessive acetaminophen can lead to liver damage, not renal failure. Diabetes mellitus, prostate hypertrophy causing urinary obstruction, and heart failure are known to cause renal failure due to their effects on kidney function. Diabetic nephropathy can damage the kidneys over time, prostate hypertrophy can obstruct urine flow and lead to kidney damage, and heart failure can result in decreased blood flow to the kidneys, causing renal failure. Thus, D is the correct answer as it does not directly cause renal failure, unlike the other choices.

Question 3 of 9

An older man is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this older adult and his family according to the goals of long-term care?

Correct Answer: D

Rationale: The correct answer is D: Facilitate family rituals related to death and dying. In end-of-life care, it is essential to support the older adult and their family in their cultural and spiritual practices to promote comfort and closure. This intervention aligns with the goals of long-term care by addressing the psychological and emotional needs of the patient and family. Providing a basin and towels (B) focuses on physical self-care, which may not be a priority in end-stage disease. Decreasing analgesic dose (A) can compromise pain management and quality of life. Informing family members about strict visiting hours (C) can hinder emotional support and connection during this critical time.

Question 4 of 9

An older female patient states reading is difficult in the evening. Which intervention should the nurse implement?

Correct Answer: A

Rationale: The correct answer is A because a high-intensity lamp can provide better lighting for reading, addressing the difficulty the patient experiences in the evening. This intervention can improve visibility and reduce strain on the eyes. Option B is incorrect as arcus senilis is a common age-related condition but not a direct cause of difficulty reading. Option C is incorrect as simply increasing the power of fluorescent lights may not address specific visual needs for reading. Option D is incorrect as examining the retinas may not directly address the patient's difficulty in reading and is not the most appropriate initial intervention.

Question 5 of 9

A nurse is caring for a 70 yr old client with pain related to osteoarthritis. The pain is relatively constant. The client is prescribed pharmacological treatment for the pain. In suggesting alternative therapies to the client, the nurse would consider their effectiveness to be:

Correct Answer: B

Rationale: The correct answer is B: Greater when used in conjunction with pharmacological therapy. This is because combining alternative therapies with pharmacological treatment can often provide a synergistic effect, resulting in better pain management outcomes. Alternative therapies such as physical therapy, acupuncture, or mindfulness techniques can complement the effects of medications, leading to improved pain relief. Options A and D are incorrect as age alone does not determine the effectiveness of alternative therapies. Option C is also incorrect as combining therapies can enhance overall pain management strategies.

Question 6 of 9

The nurse is providing an educational session to new employees, and the topic is abuse of the older adult. The nurse helps the employees identify that which client is most typical of a victim of abuse?

Correct Answer: C

Rationale: The correct answer is C: 90 y.o woman with advanced Parkinson's dz. Older adults with advanced Parkinson's disease are more vulnerable to abuse due to their physical and cognitive impairments. They may be dependent on caregivers, making them easy targets for abuse. The other choices do not indicate significant vulnerability to abuse. Choice A is a common demographic but lacks specific vulnerability factors. Choice B with cataracts and Choice D with early Lyme disease do not inherently increase the risk of abuse.

Question 7 of 9

In managing frailty, what is the most important factor for improving strength and overall function in older adults?

Correct Answer: C

Rationale: Certainly! Regular strength training exercises are crucial for improving strength and overall function in older adults with frailty. Strength training helps build muscle mass, improve balance, and increase mobility, leading to enhanced functional abilities. It also helps prevent falls and maintain independence. High-protein diet (A) supports muscle health but alone is not sufficient. Medication management (B) is important but not the primary factor for physical function. Limiting physical activity (D) can worsen frailty by causing deconditioning and loss of muscle strength.

Question 8 of 9

Define Ageism.

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Ageism is defined as prejudice or discrimination against individuals based on their age. 2. Choice A accurately defines ageism by highlighting the prejudicial nature and stereotyping of older adults. 3. Choices B and C are incorrect as ageism can occur against any age group, not just those over 65 or younger people in healthcare. 4. Choice D is incorrect as ageism involves negative stereotypes, not positive ones like assuming all older adults are wise.

Question 9 of 9

All of the following except___ are signs or symptoms of Parkinson's disease.

Correct Answer: C

Rationale: The correct answer is C because loss of vision in one eye is not a typical sign or symptom of Parkinson's disease. A, B, and D are all common signs of Parkinson's disease. A - Mask-like facial expressions result from decreased facial muscle movement. B - Shuffling gait is a characteristic walking pattern in Parkinson's patients. D - Tremors without intention (at rest) are a classic symptom of Parkinson's disease due to disrupted brain signals. Therefore, C is the odd one out as it is not directly associated with Parkinson's disease manifestations.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days