A 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 that which of the following is the correct term for the affected joint?

Interphalangeal

Tibiotalar

Metacarpophalangeal

Tarsometatarsal

Answer and Explanation

The Correct Answer is A

Choice A rationale: The affected joint described is an interphalangeal joint. Interphalangeal joints are found between the phalanges (fingers and toes).

Choice B rationale: Tibiotalar joints are found in the ankle, not the fingers.

Choice C rationale: Metacarpophalangeal joints are found between the metacarpal bones and the phalanges in the hand.

Choice D rationale: Tarsometatarsal joints are found in the foot, not the fingers.

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Correct Answer is C

Explanation

Choice A rationale: Estimating the degree of flexion and extension in each joint is more related to joint range of motion, not muscle strength.

Choice B rationale: Measuring the degree of force that it takes to overcome joint flexion or extension is not a standard method for assessing muscle strength.

Choice C rationale: To assess muscle strength, the nurse should apply an opposing force when the individual puts a joint in flexion or extension. This helps evaluate the strength of the muscles and their ability to move the joint against resistance.

Choice D rationale: Observing muscles for the degree of contraction when lifting a heavy object may provide information on muscle function but is not a specific muscle strength assessment.

A. When the client sticks out the tongue it is in the midline and without tremors or deviation B. Client follows an object with eyes without nystagmus or strabismus. C. Client demonstrates the ability to hear normal conversation D. Client moves the head and shoulders against resistance with equal strength.

Correct Answer is D

Explanation

Choice A rationale: Sticking out the tongue without tremors or deviation is related to Cranial Nerve XII (hypoglossal nerve), not Cranial Nerve XI.

Choice B rationale: Following an object with the eyes without nystagmus or strabismus is more related to visual tracking and coordination, not Cranial Nerve XI.

Choice C rationale: Hearing ability is primarily associated with Cranial Nerve VIII (vestibulocochlear nerve), not Cranial Nerve XI.

Choice D rationale: Cranial Nerve XI, also known as the accessory nerve, is responsible for the movement of the head and shoulders against resistance. If intact, the client should be able to perform this action with equal strength on both sides.

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A 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 that which of the following is the correct term for the affected joint?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to complete a muscle strength assessment on a client. Which of the following assessment techniques should the nurse utilize?

Correct Answer is C

Explanation

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 is D

Explanation

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