N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ With LATEST SOLUTIONS GRADE A

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N212 GERO ATI LEARNING SYSTEM RN 2.0 GERONTOLOGY FINAL QUIZ A nurse is completing medication reconciliation for an older adult client who is receiving multiple medications. Which of the following a... ctions should the nurse take first? A- Clarify the client list of medications with the pharmacist B- compare the current list against the new medication prescriptions C- investigate any discrepancies on that list D- ask the client about over the counter medications she is taking Exam 1? A nurse at a long-term care facility is planning care for a client who has Alzheimer's disease and wanders at night. Which of the following interventions should the nurse include in the plan? A- Place the client in wrist restraints at night B- request a prescription for a psychotropic medication C- assign the client to a room closer to the nurses station D- cheap the television on at night The nurse at a long-term care facility is teaching an older adult client about ambulating with a quad cane. Which of the following statements should the nurse include in the teaching? A- Adjust the height of the cane so that you can flex your elbow at 45 degrees B- hold the cane in the hand on the stronger side of your body C- place the flat side of the cane away from your foot D- the cane and your stronger leg at the same time A nurse is performing a skin assessment for a group of older adult clients. Which of the following findings should the nurse identify as a benign, age related skin change commonly seen in older adult clients? A- Liver spots B- Nevi C- atopic dermatitis D- psoriasis A nurse in an assisted living facility is assessing an older adult client who moved in three months ago following a death of his partner. The client reports Awakening early in the morning and admit to feeling very sad. The nurse should identify that the client is experiencing which of the following types of Grief? A- Anticipatory grief B- delayed grief C- acute grief D- disenfranchised grief . A nurse is providing teaching to a client who is to start taking alendronate sodium. Which of the following recommendations should the nurse include in the teaching? A- The medication may be crushed if you have difficulty swallowing it B- drink a full glass of milk when you take the medication C- take the medication at bedtime D- discontinue the medication if you develop heartburn A nurse is caring for an older adult client who reports that he has just retired and expresses feelings of loneliness due to the loss of daily interactions with coworkers. Which of the following responses should the nurse make? A- Do you know about the local senior citizens group? B- You need to take a vacation. C- But now you can finally relax and enjoy your life. D- Why don't you go into work and visit with your old friends? nontherapeutic and does not provide for resocialization and long-term adjustment. A nurse at a long-term care facility is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan? A- Very the staff members caring for the client B- use photographs as memory triggers C- provide a minimum of 3 activity choices to the client D- break client asks down to 3-4 steps at a time A nurse is providing teaching to a client who is to start taking finasteride. Which of the following statements by the client indicates an understanding of the teaching? A- I will see Improvement in my symptoms within one week B- I can expect and increased libido with this medication C- I should see a decrease in my PSA levels D- I must take this medication within 60 Minutes of sexual activity A nurse is caring for an older adult client who has a terminal illness. The client tells the nurse, “ I just want to live one more month so I can see my grandchild get married.” Which of the following Kubler-Ross stages of grief should the nurse identify the client is experiencing? A- Depression B- acceptance C- denial D- bargaining . The nurse is teaching a group of older adult clients about dietary needs. Which of the following dietary recommendations should the nurse include in the teaching? A- You should consume 1200 mg of calcium daily B- consume 4% of your diet as fat C- you should drink 1500 ml of fluid daily D- consume 40% of your diet as protein A nurse is caring for an older adult client who has moderate hearing loss. Which of the following actions should the nurse take to enhance communication? A- Speak with exaggerated lip movements B- speak at a moderate rate C- speak in a louder voice D- speak using a higher pitch A nurse is teaching an older adult client about methods to improve sleep. Which of the following statements should the nurse include in the teaching? A- Go to bed at the same time every night B- watch television in bed until you are sleepy C- drink a glass of wine before going to bed D- engage in physical activity in the evening A nurse is caring for a client who is using a continuous passive motion CPM device following a right total knee replacement. Which of the following actions should the nurse take when applying the CPM device? A- Apply the CPM device in the flex position B- line up the frame joints of the CPM device with the clients knee C- check the range of motion settings on the CPM device daily D- place the head of the clients bed at 45 degrees during CPM use A public health nurse is planning an immunization clinic for older adults. Which of the following times should an older adult client receive the influenza vaccine? A- Once during the clients lifetime B- every 10 years C- every 5 years D- annually in the fall A nurse is assessing an older adult client who has right-sided heart failure. Which of the following findings is the nurses priority? A- Oxygen saturation is 92% on room air B- the client consumes 20% of males C- weight has increased 0.91 kg or to lbs in 24 hours D- the client has 1 edema in the lower extremities A nurse is teaching an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching? A- Cottage cheese is a good source of calcium B- increase your caffeine intake C- brisk walking will help prevent bone loss D- hormone replacement therapy with estrogen will increase your risk of osteoporosis A nurse is managing an adult day care is developing a treatment plans for older adult clients. Which of the following therapeutic strategies should the nurse use to help the clan Chief Erikson's developmental tasks for this age group? A- Music therapy B- reminiscence therapy C- meditation therapy D- pet therapy A nurse is admitting an older adult client who has urinary incontinence and smells strongly of urine. The clients partner, who has been caring for her at home, states that he is sorry and embarrassed about the unpleasant smell. Which of the following responses should the nurse make? A- A lot of clients who are cared for at home have the same problem B- don't worry about it. She will get a bath, and that will take care of the odor C- it must be difficult to care for someone who has incontinence D- when was the last time that she had a bath? A nurse is performing an assessment on an older adult client who has chronic pain. Which of the following effects of unrelieved pain should the nurse identify as a priority finding to report? A- Impaired mobility B- decreased Independence C- decreased self-esteem D- impaired socialization A nurse is conducting an in-service for a group of assistive Personnel about the basic needs of older adult clients. Which of the following statements should the nurse include in the teaching? A- Caloric needs are increased B- renal function is increased C- deep sleep is decreased D- exercise needs are decreased A nurse is caring for an older adult client who is expressing feelings of grief and longing for his earlier life. Which of the following actions should the nurse take? A- Listen attentively and allow the client to talk about the past B- change the topic of conversation C- let the client know that this is a common issue for older adult clients D- tell the client about some younger clients who are in worse shape than he is . A nurse is caring for an older adult client who has a hip fracture and is writing his pain at 8 on a scale of 0-10. Which of the following medications should the nurse administer? A- Capsaicin topical gel B- oxycodone/acetaminophen 7.5/325 tablet PO C- Celecoxib 200 mg capsule PO D- aspirin 325 mg tablet PO A community health nurse is visiting the home of an older adult client and her caregiver. The client has excoriations to her wrists and ankles. which of the following actions should the nurse take first? A- Refer the caregiver to a support group B- interview the client in private C- document the clients wounds D- contact Adult Protective Services A nurse is assessing an 85 year old client. Which of the following findings should the nurse report to the provider? A- A widened anterior posterior chest diameter B- presence of an S4 heart sound C- differences in pulse strength between lower extremities D- post void residual of 75 ml The nurse is teaching a group of healthy, older adult clients about expected age-related changes and sexual response. Which of the following changes should the nurse include as an age-related change? A- Decrease refractory time B- decreased vaginal lubrication C- loss of female clients orgasm ability D- premature ejaculation A nurse is caring for a client who has Aphasia following a stroke. Which of the following actions should the nurse take? A- Present one idea in a sentence B- avoid using nonverbal communication techniques C- speak loudly D- use simplified language A community health nurse is assessing an older adult client who lives alone. The nurse finds that, although the client is able to answer all questions appropriately, the client has a decreased attention span, express his feelings of overwhelming sadness, and has a low energy level. The nurse should identify that the client is exhibiting manifestations of which of the following disorders? A- delusions B- dementia C- delirium D- depression A nurse is reviewing the records of a group of older adult clients. Which of the following findings should the nurse identify as an unexpected manifestation of the aging process? A- Decreased absorption of nutrients B- impaired excretion of medications C- high-pitched frequency hearing loss D- obesity The nurse is reviewing the medical record of an older adult client. For which of the following medications should the nurse conduct a hearing assessment of the client? A- Omeprazole B- ferrous sulfate C- digoxin D- Furosemide A nurse is transferring an older adult client who has right-sided weakness from the bed to a wheelchair. Which of the following actions should the nurse take to provide a safe transfer? A- Cheap the client at arm's length while performing the transfer B- Bend at the waist to get down to the clients level C- maintain a straight back and bend at the knees D- place the wheelchair at the head of the bed on the client's right side A nurse is teaching an older adult client who had a total hip arthroplasty about ambulating with a standard Walker. Which of the following actions by the client indicates an understanding of the teaching? A- The client adjust the height of the Walker so the hand grips are at the level of his waist B- the client moves the Walker ahead about 15.24 CM or 6in and then steps into the Walker C- the client uses the Walker to pull himself up from a sitting to a standing position D- the client uses the Walker to climb the stairs A nurse is caring for an older adult client who is having a stroke. After assessing Airway, breathing, and circulation, which of the following assessments is the nurses priority? A- Level of consciousness B- muscle tone C- sensory changes D- gag reflex A nurse is working in a community health center is completing an assessment of an older adult female client. Which of the following findings should the nurse identify as a priority? A- Rales heard in the basis of the lungs B- constipation C- urinary frequency D- painful intercourse A nurse is teaching an older adult client who is healthy and has chronic constipation about establishing a bowel retraining program. Which of the following statements should the nurse include in the teaching? A- Limit physical activity during the day B- set a limit of 10 minutes when attempting to defecate C- increase the fiber content of your diet D- increase your fluid intake to 5000 ml per day A home health nurse is caring for a client who has cancer and is using a fentanyl transdermal patch for pain control. Which of the following actions should the nurse take when caring for this client? A- Avoid using a heating pad on the area with the patch B- to decrease the dose, cut the patch in half C- dispose of the used patch by placing it in the trash can D- assess the client for urinary retention every 8 hours A nurse is assessing an older adult client who reports feeling anxious about financial concerns and having difficulty sleeping for several months. Which of the following factors should the nurse identify as a factor in the client's sleep pattern? A- Older adults require much less sleep than younger adults B- older adults sell them awake at night once they have fallen asleep C- older adults have an increase in stages 3 and 4 of sleep D anxiety can cause Disturbed sleep patterns A nurse is caring for an older adult client who is unresponsive following a stroke. Which of the following actions should the nurse take while providing Oral Care? A- Turn the client on his side before starting Oral Care B- use the thumb and index finger to keep the clients mouth open C- cleanse the clients oral mucosa with a toothbrush D- perform oral care using sterile gloves A nurse is caring for an older client who is on bed rest. Which of the following foods should the nurse plan to include on the client's breakfast tray to prevent constipation? A- A banana B- hash brown potatoes C- egg and cheese omelet D- stewed prunes A nurse is teaching a client who has chronic obstructive pulmonary disease COPD and has been losing weight about ways to improve his nutritional intake. Which of the following statements by the client indicates an understanding of the teaching? A- I will choose hot foods to decrease the sense of fullness when eating B- I should add grated cheese to sauces and vegetables C- I will eat my largest meal of the day in the evening D- I should consume a diet high in carbohydrates [Show More]

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