ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 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.
Question 2 of 5
A client diagnosed with osteoporosis asks the nurse. "What is osteoporosis?" The nurse should provide which of the following explanations about osteoporosis?
Correct Answer: A
Rationale: The correct answer is A: It is loss of bone density.
Rationale:
1. Osteoporosis is characterized by a decrease in bone density, leading to weakened bones.
2. This loss of bone density increases the risk of fractures and bone breaks.
3. Other choices are incorrect:
- B: Osteoporosis is not about new bone growth; it is about the weakening of existing bone.
- C: Inadequate calcium intake can contribute to osteoporosis but is not the sole cause.
- D: While menopausal women are at higher risk, osteoporosis can affect men and women of all ages.
Question 3 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 4 of 5
The nurse is performing a neurological assessment on a client with a history of Diabetes. When testing the ability to feel the vibrations of a tuning fork, the nurse notices that the client is unable to feel vibrations on the great toe or ankle bilaterally, but is able to feel vibrations on both patellae. What should the nurse suspect from these assessments?
Correct Answer: B
Rationale: The correct answer is B: Peripheral neuropathy. In Diabetes, peripheral neuropathy is a common complication affecting sensory nerves, leading to decreased ability to feel sensations like vibrations. In this case, the client's inability to feel vibrations on the great toe and ankle bilaterally but being able to feel them on the patellae indicates a distal sensory neuropathy affecting the lower extremities. Hyperalgesia (
A) is increased sensitivity to pain, not related to vibration sensation. Hyperparalysis (
C) is not a recognized medical term. Lesion of the sensory cortex (
D) would present with more widespread sensory deficits rather than a specific pattern like in peripheral neuropathy.
Question 5 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.