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 B

Explanation

A. Multiple maculopapular pustules over forehead and chin on an adolescent student: These pustules could be indicative of an infectious process, such as acne or impetigo. While not necessarily an emergency, it’s important to assess and potentially treat these skin lesions promptly. The school nurse should report this to the healthcare provider for further evaluation.

B. Red, swollen, painful nodule located on the upper back of a school-aged student: This finding raises concern for an abscess or localized infection. The pain, redness, and swelling suggest an inflammatory process. The nurse should promptly report this to the healthcare provider for assessment and appropriate management.

C. Small, white flecks on the hair shafts throughout the scalp on a school-aged child: These white flecks are likely nits (lice eggs). While not an emergency, they do require attention. The nurse should inform the parents or guardians and recommend appropriate treatment. However, this finding does not necessitate immediate reporting to the healthcare provider.

D. Bilateral patellar abrasions with eschar formation on a preschool-aged student: Abrasions with eschar (dead tissue) formation can indicate a deeper injury. The nurse should report this to the healthcare provider promptly for assessment and wound care recommendations.

A. Ask questions in a vague, nonspecific format. B. Share personal values to put the client at ease. C. Get the most difficult questions over with first. D. Begin with questions that are less sensitive in nature.

Correct Answer is D

Explanation

A. Ask questions in a vague, nonspecific format: Vague questions won't elicit clear answers.

B. Share personal values to put the client at ease: While building rapport is important, sharing personal values might not be necessary.

C. Get the most difficult questions over with first: This can make the client defensive and less likely to be honest.

D. Begin with less sensitive questions: Starting with general questions about lifestyle habits and then gradually transitioning to more specific questions about alcohol and substance use can create a more comfortable environment for open communication

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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

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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