ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?
Correct Answer: D
Rationale: The correct answer is D: Ask them to clench their teeth. This assesses cranial nerve V, the trigeminal nerve, which controls the muscles involved in chewing. By asking the client to clench their teeth, the nurse can observe the strength and symmetry of the jaw muscles, which are innervated by this nerve. This test helps to assess the motor function of the trigeminal nerve.
Choice A, listening to the client's speech, is not related to cranial nerve V.
Choice B, asking them to read a Snellen chart, assesses cranial nerve II, the optic nerve.
Choice C, asking them to identify scented aromas, assesses cranial nerve I, the olfactory nerve.
Question 2 of 5
The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?
Correct Answer: D
Rationale: The correct answer is D: Glasgow coma scale of 5. A GCS of 5 indicates severe neurological impairment requiring immediate attention. It suggests significant brain dysfunction and potential life-threatening issues. Reporting this finding promptly is crucial for timely intervention.
Choice A is incorrect as it relates to swallowing function, which is not an immediate concern.
Choice B, mild headache, is a common symptom post-MVA and does not indicate a critical issue.
Choice C, weakness, is nonspecific and does not necessarily require immediate reporting. A GCS of 5 trumps all other findings due to its severe implications.
Question 3 of 5
The nurse is teaching a male client about the reproductive system. The nurse recognizes that which structure secretes a thin milky alkaline fluid to enhance the viability of sperm?
Correct Answer: A
Rationale: The correct answer is A: Cowper gland. The Cowper gland, also known as the bulbourethral gland, secretes a thin milky alkaline fluid that helps to neutralize the acidity of the urethra and enhance the viability of sperm. This fluid also lubricates the urethra, aiding in the passage of sperm during ejaculation. The other choices are incorrect because the prostate gland mainly produces a milky alkaline fluid to nourish and protect sperm, while the median sulcus is a groove on the surface of the prostate. The Cowper gland is the specific structure responsible for secreting the described fluid, making it the correct choice in this scenario.
Question 4 of 5
The nurse is performing a physical assessment of the client's mandible and temporal bone. The nurse recognizes that the articulation of the mandible and the temporal bone is called?
Correct Answer: C
Rationale: The correct answer is C: Temporomandibular joint (TMJ). The TMJ is the articulation point between the mandible and the temporal bone. It allows for movements like opening and closing the mouth.
Choice A, Condyle of the mandible, is part of the mandible, not the joint itself.
Choice B, Zygomatic arch of the temporal bone, is not the site of articulation between the mandible and temporal bone.
Choice D, Intervertebral foramen, is not related to the mandible or temporal bone articulation.
Question 5 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.