ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
During an abdominal assessment,the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?
Correct Answer: C
Rationale: The correct answer is C: Appendix. Tenderness on light palpation in the right lower quadrant indicates possible inflammation of the appendix, which is a classic sign of appendicitis. The appendix is located in the right lower quadrant of the abdomen, making it the most likely organ causing the tenderness. Sigmoid (
A) is located in the left lower quadrant. Liver (
B) is located in the right upper quadrant. Gallbladder (
D) is located in the right upper quadrant.
Therefore, the appendix is the most likely organ causing the tenderness in the right lower quadrant.
Question 2 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: The correct answer is A because the description of "very deep pitting indentation of legs that lasts several minutes" indicates severe edema. This level of pitting edema is associated with a significant accumulation of fluid in the tissues, causing the legs to swell like balloons. The nurse should be concerned about potential serious underlying conditions such as heart failure, kidney disease, or venous insufficiency.
Choice B is incorrect as deep pitting that lasts only a few minutes is less severe than the described scenario.
Choice C is incorrect because mild pitting with no perceptible swelling does not match the client's presentation.
Choice D is incorrect as moderate pitting that subsides rapidly is less severe than what the client is experiencing.
Question 3 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 correct answer is B. The HPV vaccine is not a treatment for existing HPV infections, including genital warts. It is designed to prevent future HPV infections. Choosing option B would help clarify this misconception and educate the client on the purpose of the vaccine. Option A is incorrect because the vaccine is recommended for both sexually active and inactive individuals. Option C is incorrect as it incorrectly states the age range for HPV vaccination. Option D is not the best response as it does not directly address the client's misconception about the purpose of the vaccine.
Question 4 of 5
A client states,I can hear a crunching or grating sound when I kneel and have difficulty getting out of bed in the morning because of pain and stiffness. Which of the following should the nurse expect as an assessment finding?
Correct Answer: B
Rationale: The correct answer is B: Crepitation. Crepitation refers to the crunching or grating sound heard when bones rub against each other due to cartilage wear. It is associated with osteoarthritis, which causes pain and stiffness, especially in the morning. Other choices are incorrect because:
A) Bone spur is a bony projection, not associated with sounds;
C) Tendonitis involves inflammation of tendons, not bones;
D) Fluid in the knee joint (effusion) can cause swelling but not the described symptoms.
Question 5 of 5
The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?
Correct Answer: C
Rationale: The correct answer is C: The central nervous system is made up of the brain and spinal cord. This is accurate because the central nervous system comprises the brain, which controls cognitive and sensory functions, and the spinal cord, which transmits signals between the brain and the rest of the body. The other choices are incorrect because A incorrectly includes "electrical impulse stimulators," which is not a component of the central nervous system. B is incorrect as the hypothalamus and cerebral nerves are specific structures within the brain and not the entire central nervous system. D is incorrect as it confuses the central nervous system with the broader nervous system, which includes the peripheral and autonomic components.