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: Borborygmi are loud gurgling sounds from gas and fluid movement. Friction rubs, humming, or hypoactive sounds describe different phenomena.
Question 2 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: 4+ edema shows very deep, prolonged pitting, indicating severe fluid buildup, unlike lesser degrees of pitting.
Question 3 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 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: Right lower quadrant tenderness suggests appendicitis. Sigmoid (left), liver (upper right), and gallbladder (upper right) are elsewhere.
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.