Questions 48

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ATI Nursing 137 Exam 3 Fall 2023 Questions

Extract:


Question 1 of 5

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

Correct Answer: D

Rationale: CN XI (accessory) controls head and shoulder movement against resistance.
Tongue, eye, and hearing tests assess other nerves.

Question 2 of 5

A client states,I can hear a crunching or grating sound when I kneel and have difficulty getting out of bed in the morning because of pain and stiffness. Which of the following should the nurse expect as an assessment finding?

Correct Answer: B

Rationale: Crepitation is the audible grating from joint movement, common in osteoarthritis with pain and stiffness. Spurs, tendonitis, or fluid don’t typically crunch.

Question 3 of 5

The nurse is assessing a female client who reports painful menstruation. Which of the following should the nurse document in the client's record about painful menstruation?

Correct Answer: A

Rationale: Dysmenorrhea is painful menstruation. Dysuria is painful urination, hematuria is blood in urine, and dyschezia is painful defecation.

Question 4 of 5

During a community screening event for bone density an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

Correct Answer: C

Rationale: Aging wears down spinal cartilage, reducing height. Fat loss or flexibility affect appearance less, and disks thin, not thicken.

Question 5 of 5

A client reports pain in the left wrist after falling while playing basketball. After assessing the wrist,which of the following assessment finding would make the nurse suspect a fracture?

Correct Answer: C

Rationale: Sharp pain that worsens with movement is a common fracture sign due to bone movement, unlike dull pain or aches which suggest strain or other issues.

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