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: The correct answer is C. Applying an opposing force when the individual puts a joint in flexion or extension is the appropriate technique for assessing muscle strength. This technique allows the nurse to evaluate the strength of the muscles by resisting the movement initiated by the client, providing a more accurate assessment of muscle strength. Estimating the degree of flexion and extension in each joint (choice
A) does not directly assess muscle strength. Measuring the degree of force to overcome joint flexion or extension (choice
B) focuses on the resistance rather than muscle strength. Observing muscles for contraction when lifting a heavy object (choice
D) assesses muscle function in a specific scenario, not overall strength.
Question 2 of 5
The nurse is assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:
Correct Answer: D
Rationale: The correct answer is D: menopause. Menopause is the natural process where a woman's menstrual periods stop permanently due to aging. Cessation of menses is a key characteristic of menopause. Salpingitis (
A) is inflammation of the fallopian tubes, adnexa (
B) refers to the accessory structures of the uterus, and menarche (
C) is the onset of menstruation in a young girl.
Therefore, these choices are incorrect as they do not relate to the cessation of menses.
Question 3 of 5
The nurse is assessing the male genital organ. The nurse recognizes that which of the following is an accessory glandular structure for the male genital organs?
Correct Answer: C
Rationale: The correct answer is C: Prostate. The prostate is an accessory glandular structure for the male genital organs as it secretes a milky fluid that contributes to semen. The other choices are incorrect because:
A) Vas deferens is a duct that carries sperm from the testes, not a glandular structure.
B) Scrotum is the sac that houses the testes but does not produce any secretions.
D) Testis is the primary male reproductive organ responsible for sperm production but is not an accessory glandular structure.
Question 4 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: The correct answer is C. Applying an opposing force when the individual puts a joint in flexion or extension is the appropriate technique for assessing muscle strength. This technique allows the nurse to evaluate the strength of the muscles by resisting the movement initiated by the client, providing a more accurate assessment of muscle strength. Estimating the degree of flexion and extension in each joint (choice
A) does not directly assess muscle strength. Measuring the degree of force to overcome joint flexion or extension (choice
B) focuses on the resistance rather than muscle strength. Observing muscles for contraction when lifting a heavy object (choice
D) assesses muscle function in a specific scenario, not overall strength.
Question 5 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.