ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?
Correct Answer: D
Rationale: The correct method to assess cranial nerve II (Optic nerve) is to ask the client to read a Snellen chart. This is because cranial nerve II is responsible for vision. By asking the client to read the Snellen chart, the nurse can assess the client's visual acuity and determine if there are any issues with the optic nerve function. Listening to speech (
Choice
A) assesses cranial nerve VIII (Vestibulocochlear nerve). Identifying scented aromas (
Choice
B) assesses cranial nerve I (Olfactory nerve). Asking the client to clench their teeth (
Choice
C) assesses cranial nerve V (Trigeminal nerve).
Therefore,
Choices A, B, and C are incorrect for assessing cranial nerve II as they test different cranial nerves.
Question 3 of 5
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 4 of 5
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 5 of 5
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.