ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
During an assessment of the cranial nerves (CNS), the nurse finds the following asymmetry when the client smiles or frowns, uneven lifting of the eyebrows, and escape of air when the nurse presses against the right puffed cheek. The nurse recognized that these findings indicate dysfunction of which cranial nerve(s)?
Correct Answer: D
Rationale: CN VII (facial nerve) motor dysfunction causes facial asymmetry and air escape due to weak muscles, unlike CN X, XI, or IV which affect other functions.
Question 2 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.
Question 3 of 5
The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?
Correct Answer: B
Rationale: Radial pulses 2+ bilaterally indicate normal circulation. Capillary refill <5 seconds is normal but typically <2-3 seconds; pale feet or edema suggest issues.
Question 4 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 5 of 5
The nurse teaches a client that there are shock absorbers in the back to cushion the spine and to help it move. The client understands that which of the following is another name for shock absorbers:
Correct Answer: B
Rationale: Intervertebral disks act as spinal shock absorbers. The vertebral column is the spine, the foramen is a nerve passage, and nucleus pulposus is part of the disk.