ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 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: The correct answers are A, D, and E. Abdominal distention is a common symptom of lactose intolerance due to the inability to digest lactose. Occasional diarrhea can occur as the body tries to expel undigested lactose. Flatus is also a common symptom, as undigested lactose is fermented by gut bacteria, leading to gas production. Visible peristalsis (choice
B) is not typically associated with lactose intolerance. Hypoactive bowel sounds (choice
C) are not directly related to lactose intolerance. Overall, choices A, D, and E align with the typical clinical findings of lactose intolerance.
Question 2 of 5
The nurse is percussing a client's abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Recognizes this dullness as indicative of an enlarged liver and refers the client to a provider. This answer is correct because dullness above the right costal margin can indicate hepatomegaly (enlarged liver), which may be due to various conditions like liver disease or infection. Referring the client to a healthcare provider is essential for further evaluation and appropriate management.
Choice B is incorrect because simply documenting the presence of hepatomegaly without further action could delay necessary medical intervention.
Choice C is incorrect as asking about alcohol intake alone may not provide a comprehensive assessment of the client's condition.
Choice D is incorrect because dullness above the right costal margin is not a normal finding and should not be overlooked.
Question 3 of 5
The nurse is caring for a client who is concerned about sexual performance. A 70-year-old male client reported that he is concerned about declining sexual performance. The nurse is engaging in client education to explain internal causes of withdrawal from sexual activity later in life. Which of the following internal causes should the nurse discuss? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Low testosterone levels. Testosterone levels naturally decrease with age, contributing to a decline in sexual performance in older males. This decline can lead to decreased libido and erectile dysfunction. Stress (choice
A) can impact sexual performance but is not specifically related to internal causes of withdrawal from sexual activity later in life. Substance use (choice
C) can also affect sexual function but is not an internal cause. Lack of sleep (choice
D) can impact overall health and energy levels, potentially affecting sexual activity, but it is not a direct internal cause related to declining sexual performance in older males.
Therefore, the nurse should focus on discussing low testosterone levels as an internal cause of withdrawal from sexual activity later in life with the client.
Question 4 of 5
The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?
Correct Answer: C
Rationale: The correct answer is C: The central nervous system is made up of the brain and spinal cord. This is accurate because the central nervous system comprises the brain, which controls cognitive and sensory functions, and the spinal cord, which transmits signals between the brain and the rest of the body. The other choices are incorrect because A incorrectly includes "electrical impulse stimulators," which is not a component of the central nervous system. B is incorrect as the hypothalamus and cerebral nerves are specific structures within the brain and not the entire central nervous system. D is incorrect as it confuses the central nervous system with the broader nervous system, which includes the peripheral and autonomic components.
Question 5 of 5
An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Complete an assessment and notify the emergency department physician immediately. This is the priority action because the excruciating pain in the left testicle could be indicative of a serious condition like testicular torsion, which requires urgent medical attention to prevent tissue damage and loss of the testicle. Performing a comprehensive assessment will help gather essential information for the physician to make an accurate diagnosis and provide timely treatment. Options A, C, and D are incorrect as they do not address the urgency of the situation and do not prioritize the patient's immediate medical needs.