ATI Nursing 137 Exam 3 Fall 2023 | Nurselytic

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ATI Nursing 137 Exam 3 Fall 2023 Questions

Question 1 of 5

The nurse is assessing a female client who reports painful menstruation. Which of the following should the nurse document in the client's record about painful menstruation?

Correct Answer: A

Rationale: The correct answer is A: Dysmenorrhea. Dysmenorrhea refers to painful menstruation, which is the main concern reported by the client. Dysuria (
B) refers to painful urination and is unrelated to menstrual pain. Hematuria (
C) is the presence of blood in the urine, not related to menstrual pain. Dyschezia (
D) refers to painful bowel movements, which is also not related to painful menstruation.
Therefore, only dysmenorrhea accurately reflects the client's reported symptom of painful menstruation.

Question 2 of 5

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

Correct Answer: B

Rationale:
To assess cranial nerve III (oculomotor nerve), the nurse should check the pupillary response to light. This is because cranial nerve III controls the constriction of the pupil in response to light. By shining a light into the client's eyes, the nurse can observe the pupillary response, looking for equal and brisk constriction. This assessment helps to determine the integrity of cranial nerve III function. Observing for facial symmetry (choice
A) is related to cranial nerve VII (facial nerve). Testing visual acuity (choice
C) is related to cranial nerves II (optic nerve) and V (trigeminal nerve). Eliciting the gag reflex (choice
D) is related to cranial nerves IX (glossopharyngeal nerve) and X (vagus nerve).

Question 3 of 5

The nurse is performing an assessment and finds that the client has a non-tarry and black stool. Which of the following subjective data should the nurse document as normal findings consistent with non-tarry black stool?

Correct Answer: C

Rationale: The correct answer is C because eating red meat can cause the stool to appear non-tarry and black due to the breakdown of the heme in the meat during digestion. This is known as pseudomelena.
Choice A, taking an iron supplement, typically results in tarry stools.
Choice B, dry heaves, is not directly related to stool color.
Choice D, loss of appetite, is also unrelated to stool color changes. It is essential for the nurse to document this finding as normal to prevent unnecessary concern or interventions.

Question 4 of 5

A client drove himself to the urgent care center for, "Legs that look like balloons and difficulty walking." The nurse assesses 4+ edema of both legs based upon which finding?

Correct Answer: A

Rationale: The correct answer is A because the description of "very deep pitting indentation of legs that lasts several minutes" indicates severe edema. This level of pitting edema is associated with a significant accumulation of fluid in the tissues, causing the legs to swell like balloons. The nurse should be concerned about potential serious underlying conditions such as heart failure, kidney disease, or venous insufficiency.

Choice B is incorrect as deep pitting that lasts only a few minutes is less severe than the described scenario.
Choice C is incorrect because mild pitting with no perceptible swelling does not match the client's presentation.
Choice D is incorrect as moderate pitting that subsides rapidly is less severe than what the client is experiencing.

Question 5 of 5

A nurse is educating a client about blood cell formation in the body. The nurse documents the education and refers to blood cell formation as?

Correct Answer: B

Rationale: The correct answer is B: Hematopoiesis. Hematopoiesis is the process of blood cell formation in the body, which occurs in the bone marrow. This term specifically refers to the production of red blood cells, white blood cells, and platelets. Hepatomegaly (
A) refers to liver enlargement, osteogenesis (
C) is the process of bone formation, and splenomegaly (
D) refers to spleen enlargement. These terms are not related to blood cell formation.

Similar Questions

The nurse is assessing the male genital organ. The nurse recognizes that which of the following is an accessory glandular structure for the male genital organs?
A nurse is caring for a client with severe bilateral lower extremity edema. The client drove self to the Emergency Department. Stated, "My legs are swollen like balloons and I can hardly walk." The client has bilateral 4+ pitting edema from feet to knees. The nurse is preparing to assess the client's medical history. Which of the following should the nurse recognize to be the underlying cause of lower extremity edema?
The physician comments that the client has abdominal borborygmic. The nurse recognizes that which of the following is the best description of borborygmic?
A client diagnosed with osteoporosis asks the nurse. "What is osteoporosis?" The nurse should provide which of the following explanations about osteoporosis?
During an assessment of the cranial nerves (CNS), the nurse finds the following asymmetry when the client smiles or frowns, uneven lifting of the eyebrows, and escape of air when the nurse presses against the right puffed cheek. The nurse recognized that these findings indicate dysfunction of which cranial nerve(s)?

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