ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
The nurse is describing how to perform a testicular self-examination to a client. Which of the following should be the appropriate statement by the nurse?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale:
Choice B is the correct answer because it emphasizes the importance of seeking medical attention if the client notices any abnormalities during the testicular self-examination. This is crucial as early detection of testicular cancer can lead to better treatment outcomes. Calling the health care provider for an enlarged testicle or painless lump ensures prompt evaluation and appropriate management.
Summary of Incorrect
Choices:
A: Incorrect. The timing of the testicular self-examination is not as critical as seeking medical attention for any abnormalities found.
C: Incorrect. Performing a testicular examination once a week may lead to unnecessary anxiety and over-monitoring, as testicular cancer is relatively rare.
D: Incorrect. While the description of the testicle is accurate, this choice does not stress the importance of seeking medical advice for abnormalities found during the examination.
Question 2 of 5
The nurse is assessing a client who reports an abnormal sensation of burning or tingling in extremities. Which of the following should the nurse document in the client's record?
Correct Answer: D
Rationale: The correct answer is D: paresthesia. Paresthesia refers to abnormal sensations like burning or tingling in the extremities, which the client is experiencing. A: paralysis is the inability to move or feel a body part, not related to the client's symptom. B: hemiparesis is weakness on one side of the body, not indicative of the client's reported sensation. C: paraphasia is a language disorder, not relevant to the client's complaint.
Therefore, only paresthesia accurately describes the abnormal sensation reported by the client.
Question 3 of 5
The physician comments that the client has abdominal borborygmic. The nurse recognizes that which of the following is the best description of borborygmic?
Correct Answer: D
Rationale: The correct answer is D: Loud gurgling bowel sounds. Borborygmi are loud, prolonged, high-pitched gurgling bowel sounds caused by increased gastrointestinal motility. This indicates hyperactive bowel sounds.
A: A peritoneal friction rub is a sign of peritoneal inflammation, not related to bowel sounds.
B: Loud continual humming bowel sounds do not describe borborygmi, which are gurgling sounds.
C: Hypoactive bowel sounds are decreased or absent bowel sounds, opposite of borborygmi.
Question 4 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 5 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: The correct answer is B: measure the calf at the widest point with a tape measure. This technique is appropriate for screening DVT because measuring the calf at the widest point helps assess for swelling, a common sign of DVT. This method provides a baseline measurement that can help monitor changes in calf size, indicating potential clot formation. Measuring the circumference of the ankle (choice
A) is not as effective as the calf measurement in detecting DVT. Checking the dorsalis pedis pulse (choice
C) or compressing it (choice
D) are not relevant for screening DVT, as DVT is primarily diagnosed through imaging studies like ultrasound rather than pulse assessment.