ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 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 2 of 5
A nurse is taking a health history from a female client. The client asks to get the vaccine for human papillomavirus (HPV) to get rid of genitalwarts. Which of the following statements should be the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B. The HPV vaccine is not a treatment for existing HPV infections, including genital warts. It is designed to prevent future HPV infections. Choosing option B would help clarify this misconception and educate the client on the purpose of the vaccine. Option A is incorrect because the vaccine is recommended for both sexually active and inactive individuals. Option C is incorrect as it incorrectly states the age range for HPV vaccination. Option D is not the best response as it does not directly address the client's misconception about the purpose of the vaccine.
Question 3 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 4 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: The correct answer is D: Glasgow coma scale of 5. A GCS of 5 indicates severe neurological impairment requiring immediate attention. It suggests significant brain dysfunction and potential life-threatening issues. Reporting this finding promptly is crucial for timely intervention.
Choice A is incorrect as it relates to swallowing function, which is not an immediate concern.
Choice B, mild headache, is a common symptom post-MVA and does not indicate a critical issue.
Choice C, weakness, is nonspecific and does not necessarily require immediate reporting. A GCS of 5 trumps all other findings due to its severe implications.
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.