Questions 9

ATI RN

ATI RN Test Bank

geriatric nursing exam questions with rationale Questions

Question 1 of 5

The nurse observes older women learning advanced knitting techniques. The nurse concludes that this learning activity is suitable for these women because it accomplishes which of the following?

Correct Answer: D

Rationale: The correct answer is D because learning advanced knitting techniques adds to the existing knowledge base of older women. This activity stimulates cognitive functioning, enhances problem-solving skills, and fosters creativity. It also helps maintain mental acuity and memory. Choice A is incorrect because although knitting may involve hand movements, it primarily benefits cognitive functions. Choice B is incorrect as the primary focus is on individual learning rather than group cohesion. Choice C is incorrect as the main purpose of the activity is intellectual growth rather than social interaction.

Question 2 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.

Question 3 of 5

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 4 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 5 of 5

The nurse plans care for an older African American man who is from Jamaica and resides in New York City. Which should the nurse include in planning care?

Correct Answer: C

Rationale: Correct Answer: C - Maintain blood pressure below 120/70 mm Hg. Rationale: 1. Older African American individuals are at higher risk for hypertension. 2. African American men have a higher prevalence of hypertension compared to other demographic groups. 3. Hypertension is a common health issue among Jamaican individuals. 4. Keeping blood pressure below 120/70 mm Hg helps prevent complications like stroke and heart disease. Summary: A. Attributing illness to voodoo is culturally inappropriate and lacks evidence-based practice. B. Improving social relationships may be beneficial but is not directly related to the man's health needs. D. Reviewing magicoreligious systems is not relevant to addressing the man's health issues like hypertension.

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