ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 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 2 of 5
The nurse is providing health promotion teaching to a group of clients. The nurse should include in her teaching which of the following populations has a greater risk factor for osteoporosis.
Correct Answer: C
Rationale: The correct answer is C: Postmenopausal Caucasian women. This population has a greater risk factor for osteoporosis due to hormonal changes during menopause, leading to decreased bone density. African Americans have a lower risk due to higher bone mineral density, Asian men are at risk but not as high as postmenopausal Caucasian women, and American Indians may have a moderate risk. Other choices may not have as significant hormone-related risk factors as postmenopausal Caucasian women.
Question 3 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 4 of 5
A nurse is caring for a client who has difficulty swallowing medications and food. The nurse should recognize that the client is experiencing which of the following:
Correct Answer: C
Rationale: The correct answer is C: Dysphagia. Dysphagia is a difficulty in swallowing, which can lead to problems with both medications and food. Anorexia (
A) refers to loss of appetite, not necessarily difficulty swallowing. Aphasia (
B) is a language disorder, not related to swallowing. Dysphasia (
D) is a term used interchangeably with aphasia, not related to swallowing. In summary, dysphagia is the appropriate choice as it directly relates to the client's difficulty in swallowing medications and food.
Question 5 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 correct answer is C: Temporomandibular joint (TMJ). The TMJ is the articulation point between the mandible and the temporal bone. It allows for movements like opening and closing the mouth.
Choice A, Condyle of the mandible, is part of the mandible, not the joint itself.
Choice B, Zygomatic arch of the temporal bone, is not the site of articulation between the mandible and temporal bone.
Choice D, Intervertebral foramen, is not related to the mandible or temporal bone articulation.