A nurse is performing a physical examination on a client who has cervical radiculopathy due to spondylosis. The nurse asks the client to tilt their head toward their affected shoulder and apply slight pressure. The client reports increased pain radiating from their neck to their arm. The nurse recognizes this as a positive result of which of the following tests?

Spurling's test.

Straight leg raise test.

Tinel's sign.

Phalen's test.

Answer and Explanation

The Correct Answer is A

Choice A reason:

This is the correct answer because Spurling's test is used to diagnose cervical radiculopathy by reproducing radicular pain with neck extension, lateral flexion, and compression. A positive result indicates nerve root compression by a herniated disc, osteophyte, or other lesion.

Choice B reason:

This is incorrect because straight leg raise test is used to diagnose lumbar radiculopathy by reproducing radicular pain with hip flexion and knee extension. A positive result indicates nerve root compression by a herniated disc or other lesion in the lower back.

Choice C reason:

This is incorrect because Tinel's sign is used to diagnose peripheral neuropathy by reproducing tingling or paresthesia with tapping over a damaged nerve. A positive result indicates nerve regeneration or irritation by a scar, tumor, or other lesion.

Choice D reason:

This is incorrect because Phalen's test is used to diagnose carpal tunnel syndrome by reproducing numbness or tingling in the median nerve distribution with wrist flexion for 60 seconds. A positive result indicates median nerve compression by a thickened flexor retinaculum or other lesion in the wrist.

Nursing Test Bank

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Correct Answer is D

Explanation

Choice A reason:

This is a correct statement, as the CNS receives sensory information from various receptors in the body and interprets it.

Choice B reason:

This is a correct statement, as the CNS initiates and coordinates motor commands to control voluntary and involuntary movements.

Choice C reason:

This is a correct statement, as the CNS is involved in higher cognitive functions such as memory, learning, reasoning, and emotions.

Choice D reason:

This is an incorrect statement, as this is the function of the PNS. The PNS consists of cranial and spinal nerves that connect the CNS to the rest of the body and transmit sensory and motor signals.

A. "The steroid will reduce the inflammation and swelling of the nerve root, which will decrease your pain and improve your function." B. "The local anesthetic will block the transmission of pain signals from the nerve root to your brain, which will provide you with temporary relief." C. "The combination of steroid and local anesthetic will shrink the size of the disc or bone spur that is compressing the nerve root, which will restore your mobility and sensation." D. "The injection will deliver medication directly to the affected area of your spine, which will have fewer side effects than oral or intravenous medications."

Correct Answer is A

Explanation

Choice A reason:

This is the correct answer because epidural steroid injections are used to treat radiculopathy by reducing inflammation and edema of the nerve root, which can relieve radicular pain and improve neurological function.

Choice B reason:

This is incorrect because local anesthetic alone can provide temporary pain relief by blocking nerve conduction, but it does not address the underlying cause of radiculopathy, which is nerve root compression.

Choice C reason:

This is incorrect because steroid and local anesthetic do not have any effect on the size or shape of the disc or bone spur that is compressing the nerve root. They only reduce inflammation and pain.

Choice D reason:

This is incorrect because although epidural injections may have fewer systemic side effects than oral or intravenous medications, they still have some risks and complications, such as infection, bleeding, nerve damage, or spinal headache.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about the functions of the central nervous system (CNS). Which of the following statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

A nurse is educating a client who has a history of ischemic stroke about modifiable risk factors. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)

A client has been diagnosed with radiculopathy due to a herniated disc in the lumbar spine. The nurse should instruct the client to avoid which of the following activities? (Select all that apply.)

A nurse is caring for a client who has a seizure disorder. The client asks the nurse how seizures occur. Which of the following responses by the nurse is appropriate?

A nurse is planning care for a client who has ischemic stroke and is at risk for cerebral edema. Which of the following interventions should the nurse include in the plan?

A nurse is assessing a client who has a spinal cord injury at the level of T6. Which of the following functions are likely to be affected by this injury? (Select all that apply.)

A nurse is teaching a client who has peripheral neuropathy about foot care. Which of the following statements by the client indicates an understanding of the teaching?