ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
The physician comments that the client has abdominal borborygmic. The nurse recognizes that which of the following is the best description of borborygmic?
Correct Answer: D
Rationale: The correct answer is D: Loud gurgling bowel sounds. Borborygmi are loud, prolonged, high-pitched gurgling bowel sounds caused by increased gastrointestinal motility. This indicates hyperactive bowel sounds.
A: A peritoneal friction rub is a sign of peritoneal inflammation, not related to bowel sounds.
B: Loud continual humming bowel sounds do not describe borborygmi, which are gurgling sounds.
C: Hypoactive bowel sounds are decreased or absent bowel sounds, opposite of borborygmi.
Question 2 of 5
The nurse is assessing a client's fingers. The client complains of a swollen,painful knuckle and not being able to remove a ring from that finger. The nurse recognizes which of the following is the correct term for the affected joint.
Correct Answer: A
Rationale: The correct term for the swollen, painful knuckle described in the question is the metacarpophalangeal joint (
Choice
C). This joint is located between the metacarpal bones and the phalanges of the fingers. The client's difficulty in removing a ring indicates swelling around this specific joint. Interphalangeal joints (
Choice
A) are the joints between the phalanges. Tibiotalar (
Choice
B) and Tarsometatarsal (
Choice
D) joints are located in the foot and are not relevant to the client's finger complaint.
Question 3 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 4 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 5 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.