Questions 48

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ATI Nursing 137 Exam 3 Fall 2023 Questions

Extract:


Question 1 of 5

An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?

Correct Answer: B

Rationale: Severe testicular pain could indicate torsion, requiring urgent assessment and physician notification to prevent complications. Reassurance or documentation alone delays critical care.

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 V?

Correct Answer: D

Rationale: Cranial nerve V (trigeminal) controls mastication muscles; clenching teeth tests its motor function. Speech, vision, and smell assess other nerves.

Question 3 of 5

A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

Correct Answer: A,D,E

Rationale: Abdominal distention, diarrhea, and flatus result from gas and undigested lactose fermentation. Visible peristalsis and hypoactive sounds are unrelated.

Question 4 of 5

A client drove himself to the urgent care center for, "Legs that look like balloons and difficulty walking." The nurse assesses 4+ edema of both legs based upon which finding?

Correct Answer: A

Rationale: 4+ edema shows very deep, prolonged pitting, indicating severe fluid buildup, unlike lesser degrees of pitting.

Question 5 of 5

The nurse is preparing to screen a client for deep vein thrombosis (DVT). Which of the following techniques should the nurse recognize as the appropriate technique to screen for DVT?

Correct Answer: B

Rationale: Measuring calf circumference detects swelling indicative of DVT. Ankle measurement, pulse checks, or compression assess circulation, not DVT specifically.

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