ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
A client comes to the clinic and reports having weakness in the left arm and leg for the past week. The nurse should perform which type of neurological exam?
Correct Answer: B
Rationale: The correct answer is B: Complete neurological examination. This is the most appropriate choice given the client's symptoms of weakness in the left arm and leg. A complete neurological examination involves assessing cranial nerves, motor function, sensory function, reflexes, coordination, and gait. This will help the nurse identify any underlying neurological issues causing the weakness. The other choices are incorrect because: A: Glasgow Coma Scale assesses level of consciousness, not weakness in limbs. C: Muscular examination focuses on muscle strength and tone, not a comprehensive neurological assessment. D: Neurologic recheck examination is not specific and does not provide a comprehensive assessment for new symptoms.
Question 2 of 5
The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?
Correct Answer: C
Rationale: The correct answer is C. The Phalen test is used to diagnose carpal tunnel syndrome. In this test, the client is instructed to hold both hands back to back while flexing the wrists 90 degrees for 60 seconds. This position compresses the median nerve, causing symptoms in clients with carpal tunnel syndrome. Other choices are incorrect because they do not involve the specific wrist flexion position required for the Phalen test. Plantarflexion and dorsiflexion refer to foot movements, not wrist movements. Hyperextending the wrists is not part of the Phalen test protocol.
Question 3 of 5
The nurse is performing a scrotal assessment on a male client. Which of the following findings of the scrotum should the nurse recognize as abnormal?
Correct Answer: D
Rationale: The correct answer is D: Presence of small, firm, non-tender, yellowish nodules. This finding is abnormal as it could indicate the presence of testicular cancer or other concerning conditions. Small, firm, non-tender nodules should raise suspicion and prompt further evaluation.
A: Asymmetry is normal in most males.
B: Marked tenderness could indicate inflammation or infection but is not necessarily abnormal.
C: Easy sliding of scrotal contents is a normal finding.
In summary, choice D is the correct answer due to the concerning nature of the nodules, while the other choices are either normal findings or not indicative of a serious issue.
Question 4 of 5
The nurse is assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:
Correct Answer: D
Rationale: The correct answer is D: menopause. Menopause is the natural process where a woman's menstrual periods stop permanently due to aging. Cessation of menses is a key characteristic of menopause. Salpingitis (
A) is inflammation of the fallopian tubes, adnexa (
B) refers to the accessory structures of the uterus, and menarche (
C) is the onset of menstruation in a young girl.
Therefore, these choices are incorrect as they do not relate to the cessation of menses.
Question 5 of 5
The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?
Correct Answer: D
Rationale: The correct answer is D because Cranial Nerve XI, also known as the spinal accessory nerve, innervates the sternocleidomastoid and trapezius muscles responsible for head and shoulder movements. Testing this nerve involves asking the client to move their head and shoulders against resistance, and if Cranial Nerve XI is intact, the client should be able to do this with equal strength on both sides. This response indicates proper nerve function.
Choice A is incorrect as it describes testing Cranial Nerve XII (Hypoglossal nerve) related to tongue movement.
Choice B is incorrect as it describes testing Cranial Nerve III (Oculomotor nerve) related to eye movements.
Choice C is incorrect as it describes testing Cranial Nerve VIII (Vestibulocochlear nerve) related to hearing.