ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
The nurse is preparing to complete a muscle strength assessment on a client. Which of the following assessment techniques should the nurse utilize?
Correct Answer: C
Rationale: Applying opposing force tests muscle strength against resistance, a standard method, unlike estimating motion or observing lifting.
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 temporomandibular joint (TMJ) connects the mandible and temporal bone. The condyle is part of it, the zygomatic arch is unrelated, and foramen is spinal.
Question 3 of 5
The nurse is performing an assessment and finds that the client has a non-tarry and black stool. Which of the following subjective data should the nurse document as normal findings consistent with non-tarry black stool?
Correct Answer: C
Rationale: Consuming red meat can cause black stools due to its breakdown products, a normal finding. Iron supplements darken stools differently, while dry heaves and appetite loss are unrelated.
Question 4 of 5
During an abdominal assessment,the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?
Correct Answer: D
Rationale: Clinical guidelines recommend auscultating each quadrant for 5 minutes to confirm absent bowel sounds, ensuring accuracy without excessive delay.
Question 5 of 5
A client drove himself to the urgent care center for, "Legs that look like balloons and difficulty walking." The nurse assesses 4+ edema of both legs based upon which finding?
Correct Answer: A
Rationale: 4+ edema shows very deep, prolonged pitting, indicating severe fluid buildup, unlike lesser degrees of pitting.