ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
A client states,I can hear a crunching or grating sound when I kneel and have difficulty getting out of bed in the morning because of pain and stiffness. Which of the following should the nurse expect as an assessment finding?
Correct Answer: B
Rationale: Crepitation is the audible grating from joint movement, common in osteoarthritis with pain and stiffness. Spurs, tendonitis, or fluid don’t typically crunch.
Question 2 of 5
A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:
Correct Answer: A,D,E
Rationale: Abdominal distention, diarrhea, and flatus result from gas and undigested lactose fermentation. Visible peristalsis and hypoactive sounds are unrelated.
Question 3 of 5
The physician comments that the client has abdominal borborygmic. The nurse recognizes that which of the following is the best description of borborygmic?
Correct Answer: D
Rationale: Borborygmi are loud gurgling sounds from gas and fluid movement. Friction rubs, humming, or hypoactive sounds describe different phenomena.
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: Menopause is the cessation of menses. Salpingitis is tube inflammation, adnexa are uterine structures, and menarche is menstruation onset.
Question 5 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: CN III (oculomotor) controls pupil response to light. Facial symmetry (CN VII), visual acuity (CN II), and gag reflex (CN IX/X) test other nerves.