ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
During an abdominal assessment,the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?
Correct Answer: D
Rationale: Clinical guidelines recommend auscultating each quadrant for 5 minutes to confirm absent bowel sounds, ensuring accuracy without excessive delay.
Question 2 of 5
A client tells the nurse about being very unsteady and has difficulty in maintaining balance. The nurses recognize which area of the brain is involved and require further assessment.
Correct Answer: B
Rationale: The cerebellum governs coordination and balance; deficits here cause unsteadiness, unlike the brainstem (vital functions), extrapyramidal tract (motor control), or thalamus (sensory relay).
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
The nurse is performing a scrotal assessment on a male client. Which of the following findings of the scrotum should the nurse recognize as abnormal?
Correct Answer: D
Rationale: Small, firm, yellowish nodules may indicate cysts or pathology requiring evaluation. Asymmetry, tenderness, and sliding contents can be normal or contextual.
Question 5 of 5
A nurse is caring for a client who has difficulty swallowing medications and food. The nurse should recognize that the client is experiencing which of the following:
Correct Answer: C
Rationale: Dysphagia is difficulty swallowing. Anorexia is appetite loss, aphasia is language impairment, and dysphasia overlaps but is less specific here.