ATI RN
basic geriatric nursing test bank Questions
Question 1 of 5
The nurse is performing an assessment on an older adult client. What assessment data would indicate a potential complication associated with the skin of this client?
Correct Answer: A
Rationale: The correct answer is A: Crusting. In older adults, crusting on the skin can indicate a potential complication such as infection, dermatitis, or impaired wound healing. Crusting may result from dryness, scratching, or poor circulation. It is essential for the nurse to assess and address the underlying cause promptly to prevent further complications. B: Wrinkling is a normal part of aging and not necessarily indicative of a complication unless it is severe and associated with other symptoms. C: Thinning/loss of elasticity of skin is a common age-related change and may not always indicate a complication unless it is excessive. D: Crusting is a duplicate answer.
Question 2 of 5
The nurse is providing instructions to a nursing assistant regarding care of an older client with hearing loss. The nurse tells the assistant that clients with a hearing loss:
Correct Answer: A
Rationale: The correct answer is A because clients with hearing loss typically have difficulty hearing high-pitched tones, making it easier for them to respond to low-pitched tones. Low-pitched tones are easier for individuals with hearing loss to perceive due to the nature of hearing loss affecting the ability to hear higher frequencies. Choice B is incorrect as it is a generalization that does not consider the specific nature of hearing loss. Choice C is incorrect because individuals with hearing loss may require various forms of assistance beyond just lip-reading. Choice D is incorrect as individuals with hearing loss generally struggle more with high-pitched tones.
Question 3 of 5
The nurse is performing a basic assessment on an older client. Which of the following is a common age-related change?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Aging causes decreased collagen production, leading to decreased skin elasticity and thinning. 2. Loss of subcutaneous fat contributes to the appearance of aging skin. 3. Wrinkles and sagging are common signs of decreased skin elasticity in older adults. 4. Increased muscle mass, increased cardiac output, and increased renal filtration rate are not typical age-related changes. Summary: Skin changes such as decreased elasticity and thinning are common in older adults due to reduced collagen production and loss of subcutaneous fat. Increased muscle mass, cardiac output, and renal filtration rate are not typical age-related changes.
Question 4 of 5
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 5 of 5
Which of the following assessment findings would be most suggestive of deep vein thrombosis (DVT)?
Correct Answer: B
Rationale: The correct answer is B because swelling in one leg with pitting edema is a classic sign of DVT. Pitting edema suggests fluid accumulation due to compromised venous circulation, which is common in DVT. Bilateral calf tenderness (choice A) is more indicative of muscle strain. Shortness of breath (choice C) is suggestive of a pulmonary embolism, a complication of DVT. Two plus palpable pulses (choice D) indicate good arterial circulation, not DVT.