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
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 3 of 5
A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. Abdominal distention is a common symptom of lactose intolerance due to the inability to digest lactose. Occasional diarrhea can occur as the body tries to expel undigested lactose. Flatus is also a common symptom, as undigested lactose is fermented by gut bacteria, leading to gas production. Visible peristalsis (choice
B) is not typically associated with lactose intolerance. Hypoactive bowel sounds (choice
C) are not directly related to lactose intolerance. Overall, choices A, D, and E align with the typical clinical findings of lactose intolerance.
Question 4 of 5
During an abdominal assessment,the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?
Correct Answer: C
Rationale: The correct answer is C: Appendix. Tenderness on light palpation in the right lower quadrant indicates possible inflammation of the appendix, which is a classic sign of appendicitis. The appendix is located in the right lower quadrant of the abdomen, making it the most likely organ causing the tenderness. Sigmoid (
A) is located in the left lower quadrant. Liver (
B) is located in the right upper quadrant. Gallbladder (
D) is located in the right upper quadrant.
Therefore, the appendix is the most likely organ causing the tenderness in the right lower quadrant.
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: The correct answer is A because the description of "very deep pitting indentation of legs that lasts several minutes" indicates severe edema. This level of pitting edema is associated with a significant accumulation of fluid in the tissues, causing the legs to swell like balloons. The nurse should be concerned about potential serious underlying conditions such as heart failure, kidney disease, or venous insufficiency.
Choice B is incorrect as deep pitting that lasts only a few minutes is less severe than the described scenario.
Choice C is incorrect because mild pitting with no perceptible swelling does not match the client's presentation.
Choice D is incorrect as moderate pitting that subsides rapidly is less severe than what the client is experiencing.