ATI Nursing 137 Exam 3 Fall 2023 | Nurselytic

Questions 48

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ATI Nursing 137 Exam 3 Fall 2023 Questions

Extract:


Question 1 of 5

The nurse is performing a scrotal assessment on a male client. Which of the following findings of the scrotum should the nurse recognize as abnormal?

Correct Answer: D

Rationale: The correct answer is D: Presence of small, firm, non-tender, yellowish nodules. This finding is abnormal as it could indicate the presence of testicular cancer or other concerning conditions. Small, firm, non-tender nodules should raise suspicion and prompt further evaluation.
A: Asymmetry is normal in most males.
B: Marked tenderness could indicate inflammation or infection but is not necessarily abnormal.
C: Easy sliding of scrotal contents is a normal finding.
In summary, choice D is the correct answer due to the concerning nature of the nodules, while the other choices are either normal findings or not indicative of a serious issue.

Question 2 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.

Question 3 of 5

A nurse is educating a client about blood cell formation in the body. The nurse documents the education and refers to blood cell formation as?

Correct Answer: B

Rationale: The correct answer is B: Hematopoiesis. Hematopoiesis is the process of blood cell formation in the body, which occurs in the bone marrow. This term specifically refers to the production of red blood cells, white blood cells, and platelets. Hepatomegaly (
A) refers to liver enlargement, osteogenesis (
C) is the process of bone formation, and splenomegaly (
D) refers to spleen enlargement. These terms are not related to blood cell formation.

Question 4 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 5 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.

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