ATI Nursing 137 Exam 3 Fall 2023 | Nurselytic

Questions 48

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ATI Nursing 137 Exam 3 Fall 2023 Questions

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Question 1 of 5

A nurse is caring for a client with severe bilateral lower extremity edema. The client drove self to the Emergency Department. Stated, "My legs are swollen like balloons and I can hardly walk." The client has bilateral 4+ pitting edema from feet to knees. The nurse is preparing to assess the client's medical history. Which of the following should the nurse recognize to be the underlying cause of lower extremity edema?

Correct Answer: A

Rationale: Heart failure causes severe bilateral edema due to poor pumping, increasing venous pressure. Fluid retention or consumption are less specific, and embolism is less likely bilateral.

Question 2 of 5

During a community screening event for bone density an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

Correct Answer: C

Rationale: Aging wears down spinal cartilage, reducing height. Fat loss or flexibility affect appearance less, and disks thin, not thicken.

Question 3 of 5

The nurse is assessing the male genital organ. The nurse recognizes that which of the following is an accessory glandular structure for the male genital organs?

Correct Answer: C

Rationale: The prostate is an accessory gland producing seminal fluid. Vas deferens transports sperm, scrotum houses testes, and testis produces sperm, not a gland.

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 temporomandibular joint (TMJ) connects the mandible and temporal bone. The condyle is part of it, the zygomatic arch is unrelated, and foramen is spinal.

Question 5 of 5

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

Correct Answer: B

Rationale: CN III (oculomotor) controls pupil response to light. Facial symmetry (CN VII), visual acuity (CN II), and gag reflex (CN IX/X) test other nerves.

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A nurse is caring for a client with severe bilateral lower extremity edema. The client drove self to the Emergency Department. Stated, "My legs are swollen like balloons and I can hardly walk." The client has bilateral 4+ pitting edema from feet to knees. The nurse is preparing to assess the client's medical history. Which of the following should the nurse recognize to be the underlying cause of lower extremity edema?
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