ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
The nurse is assessing a female client who reports painful menstruation. Which of the following should the nurse document in the client's record about painful menstruation?
Correct Answer: A
Rationale: Dysmenorrhea is painful menstruation. Dysuria is painful urination, hematuria is blood in urine, and dyschezia is painful defecation.
Question 2 of 5
The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?
Correct Answer: D
Rationale: A GCS of 5 indicates severe consciousness impairment, requiring urgent reporting. Swallowing, mild headache, or weakness are less immediately critical.
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 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 5 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.