ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
The nurse is assessing a client's fingers. The client complains of a swollen,painful knuckle and not being able to remove a ring from that finger. The nurse recognizes which of the following is the correct term for the affected joint.
Correct Answer: A
Rationale: The correct term for the swollen, painful knuckle described in the question is the metacarpophalangeal joint (
Choice
C). This joint is located between the metacarpal bones and the phalanges of the fingers. The client's difficulty in removing a ring indicates swelling around this specific joint. Interphalangeal joints (
Choice
A) are the joints between the phalanges. Tibiotalar (
Choice
B) and Tarsometatarsal (
Choice
D) joints are located in the foot and are not relevant to the client's finger complaint.
Question 2 of 5
The nurse is providing health promotion teaching to a group of clients. The nurse should include in her teaching which of the following populations has a greater risk factor for osteoporosis.
Correct Answer: C
Rationale: The correct answer is C: Postmenopausal Caucasian women. This population has a greater risk factor for osteoporosis due to hormonal changes during menopause, leading to decreased bone density. African Americans have a lower risk due to higher bone mineral density, Asian men are at risk but not as high as postmenopausal Caucasian women, and American Indians may have a moderate risk. Other choices may not have as significant hormone-related risk factors as postmenopausal Caucasian women.
Question 3 of 5
A male client with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the client?
Correct Answer: D
Rationale: The correct answer is D: Testes. Sperm is produced in the testes through a process called spermatogenesis. The testes contain specialized structures called seminiferous tubules where sperm cells are formed. The other choices are incorrect because the vas deferens is a duct that carries sperm from the testes, the epididymis is a structure where sperm mature and are stored, and the prostate is a gland that produces seminal fluid, but none of these are sites of sperm production.
Question 4 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: The correct answers are A, D, and E. Abdominal distention is a common symptom of lactose intolerance due to the inability to digest lactose. Occasional diarrhea can occur as the body tries to expel undigested lactose. Flatus is also a common symptom, as undigested lactose is fermented by gut bacteria, leading to gas production. Visible peristalsis (choice
B) is not typically associated with lactose intolerance. Hypoactive bowel sounds (choice
C) are not directly related to lactose intolerance. Overall, choices A, D, and E align with the typical clinical findings of lactose intolerance.
Question 5 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: The correct answer is B: Complete an assessment and notify the emergency department physician immediately. This is the priority action because the excruciating pain in the left testicle could be indicative of a serious condition like testicular torsion, which requires urgent medical attention to prevent tissue damage and loss of the testicle. Performing a comprehensive assessment will help gather essential information for the physician to make an accurate diagnosis and provide timely treatment. Options A, C, and D are incorrect as they do not address the urgency of the situation and do not prioritize the patient's immediate medical needs.