ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is educating a client about blood cell formation in the body. The nurse documents the education and refers to blood cell formation as?
Correct Answer: B
Rationale: The correct answer is B: Hematopoiesis. Hematopoiesis is the process of blood cell formation in the body, which occurs in the bone marrow. This term specifically refers to the production of red blood cells, white blood cells, and platelets. Hepatomegaly (
A) refers to liver enlargement, osteogenesis (
C) is the process of bone formation, and splenomegaly (
D) refers to spleen enlargement. These terms are not related to blood cell formation.
Question 2 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: The correct method to assess cranial nerve II (Optic nerve) is to ask the client to read a Snellen chart. This is because cranial nerve II is responsible for vision. By asking the client to read the Snellen chart, the nurse can assess the client's visual acuity and determine if there are any issues with the optic nerve function. Listening to speech (
Choice
A) assesses cranial nerve VIII (Vestibulocochlear nerve). Identifying scented aromas (
Choice
B) assesses cranial nerve I (Olfactory nerve). Asking the client to clench their teeth (
Choice
C) assesses cranial nerve V (Trigeminal nerve).
Therefore,
Choices A, B, and C are incorrect for assessing cranial nerve II as they test different cranial nerves.
Question 3 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 4 of 5
A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale:
Correct Answer: D. The enlargement of your prostate is caused by hormonal changes, and not cancer.
Rationale: Benign prostatic hypertrophy (BPH) is a non-cancerous condition commonly seen in older men due to hormonal changes. Prostate cancer is a separate condition. By reassuring the patient that BPH is not cancer-related and is due to hormonal changes, the nurse addresses the patient's fear and provides accurate information. This response helps alleviate the patient's concerns about dying from cancer, promoting understanding and reducing anxiety.
Summary:
A: Incorrect. Dismissing the patient's concerns without providing factual information can increase anxiety.
B: Incorrect. Chemotherapy is not a standard treatment for BPH and may confuse the patient.
C: Incorrect. Claiming that the swelling is temporary and will go away is inaccurate and may lead to false hopes.
D: Correct. Explains the cause of BPH, differentiating it from cancer, and provides reassurance.
E, F, G:
Question 5 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: The correct answer is D because Cranial Nerve XI, also known as the spinal accessory nerve, innervates the sternocleidomastoid and trapezius muscles responsible for head and shoulder movements. Testing this nerve involves asking the client to move their head and shoulders against resistance, and if Cranial Nerve XI is intact, the client should be able to do this with equal strength on both sides. This response indicates proper nerve function.
Choice A is incorrect as it describes testing Cranial Nerve XII (Hypoglossal nerve) related to tongue movement.
Choice B is incorrect as it describes testing Cranial Nerve III (Oculomotor nerve) related to eye movements.
Choice C is incorrect as it describes testing Cranial Nerve VIII (Vestibulocochlear nerve) related to hearing.