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: The correct answer is A: Dysmenorrhea. Dysmenorrhea refers to painful menstruation, which is the main concern reported by the client. Dysuria (
B) refers to painful urination and is unrelated to menstrual pain. Hematuria (
C) is the presence of blood in the urine, not related to menstrual pain. Dyschezia (
D) refers to painful bowel movements, which is also not related to painful menstruation.
Therefore, only dysmenorrhea accurately reflects the client's reported symptom of painful menstruation.
Question 2 of 5
The nurse is performing a physical assessment of the client's mandible and temporal bone. The nurse recognizes that the articulation of the mandible and the temporal bone is called?
Correct Answer: C
Rationale: The correct answer is C: Temporomandibular joint (TMJ). The TMJ is the articulation point between the mandible and the temporal bone. It allows for movements like opening and closing the mouth.
Choice A, Condyle of the mandible, is part of the mandible, not the joint itself.
Choice B, Zygomatic arch of the temporal bone, is not the site of articulation between the mandible and temporal bone.
Choice D, Intervertebral foramen, is not related to the mandible or temporal bone articulation.
Question 3 of 5
A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale:
Correct
Answer: D. The enlargement of your prostate is caused by hormonal changes, and not cancer.
Rationale: Benign prostatic hypertrophy (BPH) is a non-cancerous condition commonly seen in older men due to hormonal changes. Prostate cancer is a separate condition. By reassuring the patient that BPH is not cancer-related and is due to hormonal changes, the nurse addresses the patient's fear and provides accurate information. This response helps alleviate the patient's concerns about dying from cancer, promoting understanding and reducing anxiety.
Summary:
A: Incorrect. Dismissing the patient's concerns without providing factual information can increase anxiety.
B: Incorrect. Chemotherapy is not a standard treatment for BPH and may confuse the patient.
C: Incorrect. Claiming that the swelling is temporary and will go away is inaccurate and may lead to false hopes.
D: Correct. Explains the cause of BPH, differentiating it from cancer, and provides reassurance.
E, F, G:
Question 4 of 5
A client comes to the clinic and reports having weakness in the left arm and leg for the past week. The nurse should perform which type of neurological exam?
Correct Answer: B
Rationale: The correct answer is B: Complete neurological examination. This is the most appropriate choice given the client's symptoms of weakness in the left arm and leg. A complete neurological examination involves assessing cranial nerves, motor function, sensory function, reflexes, coordination, and gait. This will help the nurse identify any underlying neurological issues causing the weakness. The other choices are incorrect because: A: Glasgow Coma Scale assesses level of consciousness, not weakness in limbs. C: Muscular examination focuses on muscle strength and tone, not a comprehensive neurological assessment. D: Neurologic recheck examination is not specific and does not provide a comprehensive assessment for new symptoms.
Question 5 of 5
The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?
Correct Answer: C
Rationale: The correct answer is C. The Phalen test is used to diagnose carpal tunnel syndrome. In this test, the client is instructed to hold both hands back to back while flexing the wrists 90 degrees for 60 seconds. This position compresses the median nerve, causing symptoms in clients with carpal tunnel syndrome. Other choices are incorrect because they do not involve the specific wrist flexion position required for the Phalen test. Plantarflexion and dorsiflexion refer to foot movements, not wrist movements. Hyperextending the wrists is not part of the Phalen test protocol.