ATI RN
geriatric nursing exam questions with rationale Questions
Question 1 of 5
The vision of Nurses Improving Care for Health System Elders (NICHE) is:
Correct Answer: D
Rationale: The correct answer is D: For patients 65 years and older to be given sensitive and exemplary care. NICHE aims to provide specialized, high-quality care for older adults through evidence-based practices. This answer aligns with NICHE's goal of improving care quality for elderly patients. Choice A is too restrictive and does not encompass the holistic approach of NICHE. Choice B focuses on cost rather than quality of care. Choice C is vague and does not capture the essence of NICHE's mission to enhance care for older adults.
Question 2 of 5
What is the most common cause of incontinence in older adults?
Correct Answer: C
Rationale: The correct answer is C: Medications and polypharmacy. In older adults, incontinence is commonly caused by medications that affect bladder control, such as diuretics, sedatives, and anticholinergics. Polypharmacy can worsen this by increasing the likelihood of drug interactions. Chronic urinary tract infections (A) can cause incontinence but are less common in older adults. Neurological disorders (B) like dementia or stroke can also lead to incontinence but are not the most common cause. Poor hydration (D) can exacerbate incontinence but is not the primary cause.
Question 3 of 5
How does polypharmacy affect older adults?
Correct Answer: B
Rationale: The correct answer is B because polypharmacy in older adults increases the risk of adverse drug reactions and interactions due to multiple medications being taken concurrently. This can lead to medication errors, decreased adherence, drug toxicity, and increased healthcare costs. Choice A is incorrect as polypharmacy does not improve overall quality of life but rather can negatively impact it. Choice C is incorrect as polypharmacy does not prevent age-related health conditions but can exacerbate them. Choice D is incorrect as polypharmacy has a significant impact on health outcomes in older adults.
Question 4 of 5
A significant factor contributing to the prevalence of chronic conditions among baby boomers is that:
Correct Answer: B
Rationale: The correct answer is B because baby boomers were exposed to unhealthy lifestyle choices and environments in their formative years, contributing to the prevalence of chronic conditions. This is supported by research showing that environmental factors, such as diet and exposure to toxins, play a significant role in the development of chronic illnesses. Additionally, unhealthy habits established in youth can have long-term effects on health. Choice A is incorrect because higher physical activity rates during youth would typically lead to better health outcomes, not increased chronic conditions. Choice C is incorrect as better access to preventive healthcare services would likely reduce chronic conditions, not increase them. Choice D is incorrect because education about nutrition and wellness would typically lead to healthier lifestyle choices and lower rates of chronic conditions.
Question 5 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.
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