Questions 48

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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: Abdominal distention, diarrhea, and flatus result from gas and undigested lactose fermentation. Visible peristalsis and hypoactive sounds are unrelated.

Question 2 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 3 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: CN XI (accessory) controls head and shoulder movement against resistance.
Tongue, eye, and hearing tests assess other nerves.

Question 4 of 5

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?

Correct Answer: D

Rationale: CN II (optic) governs vision; a Snellen chart tests acuity. Speech, smell, and teeth clenching assess other nerves.

Question 5 of 5

The nurse is describing how to perform a testicular self-examination to a client. Which of the following should be the appropriate statement by the nurse?

Correct Answer: B

Rationale: Noticing an enlarged testicle or lump is key for early detection, warranting a provider call. Weekly exams are excessive, and normal texture isn’t lumpy.

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