ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
A nurse is taking a health history from a female client. The client asks to get the vaccine for human papillomavirus (HPV) to get rid of genitalwarts. Which of the following statements should be the nurse's best response?
Correct Answer: B
Rationale: The HPV vaccine prevents, not treats, existing infections like genital warts, making this the most accurate response.
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: Dullness over 11 cm suggests liver enlargement (normal ~6-12 cm but context matters), warranting referral. Documentation or history alone delays evaluation.
Question 3 of 5
The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?
Correct Answer: D
Rationale: A GCS of 5 indicates severe consciousness impairment, requiring urgent reporting. Swallowing, mild headache, or weakness are less immediately critical.
Question 4 of 5
The physician comments that the client has abdominal borborygmic. The nurse recognizes that which of the following is the best description of borborygmic?
Correct Answer: D
Rationale: Borborygmi are loud gurgling sounds from gas and fluid movement. Friction rubs, humming, or hypoactive sounds describe different phenomena.
Question 5 of 5
The nurse is assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:
Correct Answer: D
Rationale: Menopause is the cessation of menses. Salpingitis is tube inflammation, adnexa are uterine structures, and menarche is menstruation onset.