ATI nur 528 med surg proctored exam (geriatrics) Practice Questions

Select one answer.

• A middle-aged patient admitted with depression
• A teenager with brightly painted fingernails
• An older adult diagnosed with dementia
• A toddler with a fever of 100.2° F

Select one answer.

• “I learn so much about clients when they share their life story with me."
• "They are so proud of the things they have accomplished in their life."
• "It helps their memory so much to retell their stories."
• "It's so nice to see them excited and engaged as they tell the stories."

(Select All that Apply.)

• A 17-year-old who with a history of depression
• A 20-year-old who has been treated in the emergency department 2 times in the last 6 months for gastrointestinal issues.
• A 78-year-old who has fallen three times in the last 13 months
• A 69-year-old with a documented, unintentional weight loss of 12 pounds in the past year
• An 11-year-old with a history of attention deficient hyperactive disorder (ADHD)

(Select All that Apply.)

• Retirement communities.
• A long-term care facility that is affiliated with the hospital.
• Independent senior housing complexes.
• Assisted living facilities.
• Adult day health centers.

(Select All that Apply.)

• Dyspnea
• Bluish tinge to fingers
• Restlessness
• Cyanosis of the trunk
• Tachypnea

(Select All that Apply.)

• Heartburn.
• Vomiting.
• Abdominal pain within 1 hour of eating.
• Fever and elevated white blood cell count.
• Regurgitation.

Select one answer.

• An injury may cause malabsorption of nutrients.
• An injury may trigger inflammatory mediators that increase metabolic rate and impair nutrient utilization.
• Most hospitalized patients do not have accurate weights recorded upon admission.
• Most hospitalized older patients do not consume adequate amounts of micro- and macronutrients.

Select one answer.

• Speaking with the health care provider regarding the possibility of obtaining a urine culture.
• Assuring the family that the changes in the resident's functioning is a result of advancing dementia.
• Changing the plan of care to include bladder training and implement a 24-hour calorie count.
• Suggesting that the resident be placed on broad-spectrum antibiotics to prevent infections.

Select one answer.

• Bed rest
• Administering aluminum hydroxide antacids
• Increasing fiber in the diet
• Restricting fluids

(Select All that Apply.)

• Implementing intake and output recording for any patients with fever, diarrhea, vomiting, or an infection
• Limiting duration of NPO requirements for diagnostic tests and procedures
• Limiting the use of diuretic medications in hospitalized older adults
• Making sure that hospitalized patients have easy access to fluids
• Administering IV fluids to all hospitalized older adults