ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 4
The nurse is assessing a client's joint for range of movement after falling in the shower. The nurse asks the client to move the right arm away from the center of the body. The nurse correctly documents the joint movement as?
Correct Answer: C
Rationale: The correct answer is C: Abduction. Abduction is the movement of a body part away from the midline of the body. In this case, when the nurse asks the client to move the right arm away from the center of the body, it is an abduction movement. Flexion (choice
A) is the bending of a joint, extension (choice
B) is the straightening of a joint, and adduction (choice
D) is the movement of a body part towards the midline of the body. In this scenario, the movement described is specifically away from the midline, making abduction the correct choice.
Question 2 of 4
The nurse is performing a rectal examination on a client and finds a firm, irregularly shaped mass. Which of the following is the next action the nurse should take?
Correct Answer: A
Rationale: The correct answer is A. Upon finding a firm, irregularly shaped mass during a rectal examination, the nurse should report the finding and refer the client to a specialist for further examination. This is crucial because the mass may indicate a serious underlying condition such as colorectal cancer that requires prompt evaluation. By referring the client to a specialist, the nurse ensures that the client receives appropriate diagnostic tests and timely treatment if needed. The other choices are incorrect because telling the client not to worry (
B) could lead to delayed diagnosis and treatment, asking the client to return in a month (
C) could allow the condition to progress further, and continuing the examination and documenting the findings (
D) without further evaluation by a specialist may lead to a missed diagnosis and potential harm to the client.
Question 3 of 4
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: The correct answer is C: Dysphagia. Dysphagia is a difficulty in swallowing, which can lead to problems with both medications and food. Anorexia (
A) refers to loss of appetite, not necessarily difficulty swallowing. Aphasia (
B) is a language disorder, not related to swallowing. Dysphasia (
D) is a term used interchangeably with aphasia, not related to swallowing. In summary, dysphagia is the appropriate choice as it directly relates to the client's difficulty in swallowing medications and food.
Question 4 of 4
The nurse is percussing a client's abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Recognizes this dullness as indicative of an enlarged liver and refers the client to a provider. This answer is correct because dullness above the right costal margin can indicate hepatomegaly (enlarged liver), which may be due to various conditions like liver disease or infection. Referring the client to a healthcare provider is essential for further evaluation and appropriate management.
Choice B is incorrect because simply documenting the presence of hepatomegaly without further action could delay necessary medical intervention.
Choice C is incorrect as asking about alcohol intake alone may not provide a comprehensive assessment of the client's condition.
Choice D is incorrect because dullness above the right costal margin is not a normal finding and should not be overlooked.
Question 5 of 4
The nurse is caring for a client who is concerned about sexual performance. A 70-year-old male client reported that he is concerned about declining sexual performance. The nurse is engaging in client education to explain internal causes of withdrawal from sexual activity later in life. Which of the following internal causes should the nurse discuss? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Low testosterone levels. Testosterone levels naturally decrease with age, contributing to a decline in sexual performance in older males. This decline can lead to decreased libido and erectile dysfunction. Stress (choice
A) can impact sexual performance but is not specifically related to internal causes of withdrawal from sexual activity later in life. Substance use (choice
C) can also affect sexual function but is not an internal cause. Lack of sleep (choice
D) can impact overall health and energy levels, potentially affecting sexual activity, but it is not a direct internal cause related to declining sexual performance in older males.
Therefore, the nurse should focus on discussing low testosterone levels as an internal cause of withdrawal from sexual activity later in life with the client.