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
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.
Question 3 of 5
A client tells the nurse about being very unsteady and has difficulty in maintaining balance. The nurses recognize which area of the brain is involved and require further assessment.
Correct Answer: B
Rationale: The correct answer is B: Cerebellum. The cerebellum is responsible for coordinating voluntary movements, maintaining balance, and posture. Symptoms of being unsteady and difficulty maintaining balance indicate dysfunction in the cerebellum. The brainstem (
A) is involved in basic life functions like breathing and heart rate. The extrapyramidal tract (
C) is responsible for involuntary movements. The thalamus (
D) is a relay station for sensory information. In this scenario, the symptoms point towards cerebellar dysfunction, making it the area that requires further assessment.
Question 4 of 5
The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?
Correct Answer: C
Rationale: The correct answer is C. The Phalen test is used to diagnose carpal tunnel syndrome. In this test, the client is instructed to hold both hands back to back while flexing the wrists 90 degrees for 60 seconds. This position compresses the median nerve, causing symptoms in clients with carpal tunnel syndrome. Other choices are incorrect because they do not involve the specific wrist flexion position required for the Phalen test. Plantarflexion and dorsiflexion refer to foot movements, not wrist movements. Hyperextending the wrists is not part of the Phalen test protocol.
Question 5 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.