A client grimaces while preforming range of motion of the left knee during an annual health assessment. Which movements should the nurse utilize to assess the client's ability to normally perform range of motion on the right knee?

Adduction, abduction and rotation.

Extension, flexion, and hyperextension.

Internal and external rotation.

Pronation and supination.

Answer and Explanation

The Correct Answer is B

A. Adduction, abduction, and rotation. These movements are more relevant to the hip joint. While rotation can apply to the knee, adduction and abduction do not. These are not the primary movements for assessing knee range of motion.

B. Extension, flexion, and hyperextension. These are the primary movements used to assess the range of motion in the knee joint. Extension and flexion measure the ability of the knee to straighten and bend, respectively. Hyperextension assesses the extent to which the knee can move beyond its normal straight position.

C. Internal and external rotation. While the knee does have some rotational capacity, these movements are limited and not typically used as primary measures of knee range of motion. They are more applicable to hip joint assessments.

D. Pronation and supination. These terms refer to movements of the forearm and wrist, not the knee. They describe the rotational movement of the forearm where the palm turns up (supination) or down (pronation).

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Correct Answer is "{\"xRanges\":[56.109375,86.109375],\"yRanges\":[109,139]}"

Explanation

To auscultate for the presence of a carotid artery bruit, the nurse should place the bell of the stethoscope over the carotid artery. Specifically, the nurse should place the bell of the stethoscope lightly on the skin just medial to the sternocleidomastoid muscle at the level of the thyroid cartilage. The carotid artery can be found in the neck, just lateral to the trachea and medial to the sternocleidomastoid muscle.

A. Dimpled area above anus. B. Flap of tissue at sphincter. C. Hypotonic tone of the anal sphincter. D. Increased pigmentation and coarse skin.

Correct Answer is D

Explanation

A. Dimpled area above anus: This can be a sign of a pilonidal cyst, a condition where hair follicles become embedded under the skin.

B. Flap of tissue at sphincter: This could indicate haemorrhoids, swollen veins in the anus and rectum.

C. Hypotonic tone of the anal sphincter: Weak anal sphincter tone can lead to faecal incontinence.

D. Increased pigmentation and coarse skin: This is a normal finding, especially in adults. The perianal area can have a darker colour and thicker skin texture compared to other areas

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A client grimaces while preforming range of motion of the left knee during an annual health assessment. Which movements should the nurse utilize to assess the client's ability to normally perform range of motion on the right knee?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In auscultating for the presence of a carotid artery bruit, the nurse places the bell of the stethoscope at which location?

Correct Answer is "{\"xRanges\":[56.109375,86.109375],\"yRanges\":[109,139]}"

Explanation

While completing an admission assessment for a client with gastrointestinal bleeding, the nurse inspects the perianal area and anus. Which findings indicate a normal appearance of the anus?

Correct Answer is D

Explanation

The nurse plans to teach a client newly diagnosed with diabetes mellitus how to inject insulin. Upon entering the room with the injection supplies, the nurse finds the client in tears. How should the nurse respond?

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