ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
The nurse is assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:
Correct Answer: D
Rationale: The correct answer is D: menopause. Menopause is the natural process where a woman's menstrual periods stop permanently due to aging. Cessation of menses is a key characteristic of menopause. Salpingitis (
A) is inflammation of the fallopian tubes, adnexa (
B) refers to the accessory structures of the uterus, and menarche (
C) is the onset of menstruation in a young girl.
Therefore, these choices are incorrect as they do not relate to the cessation of menses.
Question 2 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.
Question 3 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 4 of 5
The nurse is educating a client on different areas of the brain. The nurse recognizes that which of the following statements concerning areas of the brain is correct?
Correct Answer: D
Rationale: The correct answer is D: The hypothalamus controls body temperature and regulates sleep. The hypothalamus plays a crucial role in maintaining homeostasis by regulating body temperature, hunger, thirst, and circadian rhythms, including sleep-wake cycles. It contains specialized nuclei that respond to internal and external stimuli to maintain a balanced internal environment. The other choices are incorrect because:
A) The basal ganglia are primarily involved in motor control and not voluntary movement.
B) Motor pathways synapse in the thalamus for sensory processing, not motor control.
C) The cerebellum is responsible for coordination, balance, and muscle tone, not speech and emotions.
Question 5 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: The correct answer is B: Radial pulses 2+ with regular rate and rhythm bilaterally. This finding indicates normal peripheral perfusion. 2+ denotes a normal, easily palpable pulse, and regular rate and rhythm indicate proper blood flow. Capillary refill <5 seconds (choice
A) is normal but is not specific to peripheral vascular assessment. Feet pale and cool (choice
C) suggest poor perfusion, while ankle edema (choice
D) indicates venous insufficiency or fluid retention, not a normal finding in a peripheral vascular assessment.