ATI RN
ATI Nursing 137 Exam 3 Fall 2023 Questions
Extract:
Question 1 of 5
The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?
Correct Answer: C
Rationale: The CNS comprises the brain and spinal cord, processing sensory data. Other options misrepresent its components.
Question 2 of 5
The nurse is taking a health history from a client. The client tells the nurse that. "It feels like the room is spinning." How should the nurse document this finding?
Correct Answer: A
Rationale: Vertigo is the sensation of spinning or movement when stationary, often linked to inner ear issues. Seizure activity involves brain electrical issues, dizziness is broader and less specific, and syncope is fainting.
Question 3 of 5
During an assessment of the cranial nerves (CNS), the nurse finds the following asymmetry when the client smiles or frowns, uneven lifting of the eyebrows, and escape of air when the nurse presses against the right puffed cheek. The nurse recognized that these findings indicate dysfunction of which cranial nerve(s)?
Correct Answer: D
Rationale: CN VII (facial nerve) motor dysfunction causes facial asymmetry and air escape due to weak muscles, unlike CN X, XI, or IV which affect other functions.
Question 4 of 5
The nurse is percussing a client's abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Dullness over 11 cm suggests liver enlargement (normal ~6-12 cm but context matters), warranting referral. Documentation or history alone delays evaluation.
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: Abdominal distention, diarrhea, and flatus result from gas and undigested lactose fermentation. Visible peristalsis and hypoactive sounds are unrelated.