ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has difficulty swallowing medications and food. The nurse should recognize that the client is experiencing which of the following:
Correct Answer: C
Rationale: The correct answer is C: Dysphagia. Dysphagia is a difficulty in swallowing, which can lead to problems with both medications and food. Anorexia (
A) refers to loss of appetite, not necessarily difficulty swallowing. Aphasia (
B) is a language disorder, not related to swallowing. Dysphasia (
D) is a term used interchangeably with aphasia, not related to swallowing. In summary, dysphagia is the appropriate choice as it directly relates to the client's difficulty in swallowing medications and food.
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 nurse is providing health promotion teaching to a group of clients. The nurse should include in her teaching which of the following populations has a greater risk factor for osteoporosis.
Correct Answer: C
Rationale: The correct answer is C: Postmenopausal Caucasian women. This population has a greater risk factor for osteoporosis due to hormonal changes during menopause, leading to decreased bone density. African Americans have a lower risk due to higher bone mineral density, Asian men are at risk but not as high as postmenopausal Caucasian women, and American Indians may have a moderate risk. Other choices may not have as significant hormone-related risk factors as postmenopausal Caucasian women.
Question 5 of 5
A male client with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the client?
Correct Answer: D
Rationale: The correct answer is D: Testes. Sperm is produced in the testes through a process called spermatogenesis. The testes contain specialized structures called seminiferous tubules where sperm cells are formed. The other choices are incorrect because the vas deferens is a duct that carries sperm from the testes, the epididymis is a structure where sperm mature and are stored, and the prostate is a gland that produces seminal fluid, but none of these are sites of sperm production.