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: The correct answer is B: Crepitation. Crepitation refers to the crunching or grating sound heard when bones rub against each other due to cartilage wear. It is associated with osteoarthritis, which causes pain and stiffness, especially in the morning. Other choices are incorrect because:
A) Bone spur is a bony projection, not associated with sounds;
C) Tendonitis involves inflammation of tendons, not bones;
D) Fluid in the knee joint (effusion) can cause swelling but not the described symptoms.
Question 2 of 5
The nurse is assessing a client's fingers. The client complains of a swollen,painful knuckle and not being able to remove a ring from that finger. The nurse recognizes which of the following is the correct term for the affected joint.
Correct Answer: A
Rationale: The correct term for the swollen, painful knuckle described in the question is the metacarpophalangeal joint (
Choice
C). This joint is located between the metacarpal bones and the phalanges of the fingers. The client's difficulty in removing a ring indicates swelling around this specific joint. Interphalangeal joints (
Choice
A) are the joints between the phalanges. Tibiotalar (
Choice
B) and Tarsometatarsal (
Choice
D) joints are located in the foot and are not relevant to the client's finger complaint.
Question 3 of 5
A client reports pain in the left wrist after falling while playing basketball. After assessing the wrist,which of the following assessment finding would make the nurse suspect a fracture?
Correct Answer: C
Rationale: The correct answer is C: Sharp pain that increases with movement. This finding suggests a possible fracture because sharp pain that worsens with movement is characteristic of bone injury. Fractures typically cause sharp, localized pain that is aggravated by movement or pressure on the affected area. In contrast, choices A and B describe dull types of pain, which are less indicative of fractures.
Choice D mentions deep pain, which is not specific to bone injuries. The presence of sharp pain that increases with movement is a key red flag for a possible fracture, prompting further evaluation and imaging to confirm the diagnosis.
Question 4 of 5
The nurse is assessing a client's joint for range of movement after falling in the shower. The nurse asks the client to move the right arm away from the center of the body. The nurse correctly documents the joint movement as?
Correct Answer: C
Rationale: The correct answer is C: Abduction. Abduction is the movement of a body part away from the midline of the body. In this case, when the nurse asks the client to move the right arm away from the center of the body, it is an abduction movement. Flexion (choice
A) is the bending of a joint, extension (choice
B) is the straightening of a joint, and adduction (choice
D) is the movement of a body part towards the midline of the body. In this scenario, the movement described is specifically away from the midline, making abduction the correct choice.
Question 5 of 5
The nurse teaches a client that there are shock absorbers in the back to cushion the spine and to help it move. The client understands that which of the following is another name for shock absorbers:
Correct Answer: B
Rationale: The correct answer is B: Intervertebral disks. These disks act as shock absorbers between the vertebrae, cushioning the spine and helping it move. They are made of a tough outer layer called the annulus fibrosus and a gel-like inner core called the nucleus pulposus. The other choices are incorrect because: A. Vertebral column refers to the entire spine, not just the shock absorbers. C. Vertebral foramen is the opening through which the spinal cord passes, not related to shock absorption. D. Nucleus pulposus is part of the intervertebral disk, not another name for shock absorbers.