A young swimmer comes to the sports clinic complaining of a very sore shoulder. He was running at the pool, slipped on some wet concrete, and tried to catch himself with his outstretched hand. He landed on his outstretched hand and has not been able to move his shoulder since. The nurses notices a length discrepancy between his two arms. The nurse suspects:

Tear of rotator cuff.

Adhesive capsulitis.

Joint effusion.

Dislocated shoulder

Answer and Explanation

The Correct Answer is D

A.   A tear in the rotator cuff usually results in pain and limited range of motion, but it doesn't typically cause a length discrepancy in the arms.
B.   Also known as frozen shoulder, this condition is characterized by limited range of motion but would not cause a discrepancy in arm length.
C.   While joint effusion involves fluid accumulation and can cause pain and swelling, it doesn't cause arm length discrepancy or the sudden inability to move the shoulder.
D.   A dislocated shoulder often results in an obvious deformity, such as a length discrepancy between the arms, and could prevent movement due to pain.

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Correct Answer is A

Explanation

A. Changes in size, color, and shape of a mole or spot, especially with the development of a bump, could be indicative of skin cancer, particularly melanoma.
B. That there is nothing to be concerned about. Given the changes in the spot's appearance, this is a concerning sign and requires further investigation, so this choice is not correct.
C. Wounds typically heal without such significant color and shape changes, so this is unlikely to be a normal healing process.
D. A secondary lesion is caused by trauma or infection, but the described changes are more concerning for a potential primary skin malignancy, such as melanoma.

A. As the patient says a long "ee-ee ee" sound, the examiner hears a long "aaaaaa" sound. B. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said C. As the patient says a long "ee-ee-ee sound, the examiner also hears a long "ee-ee-ee" sound. D. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninetynine." E. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice

Correct Answer is ["C","D"]

Explanation

A. As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound. - This indicates a possible consolidation in the lungs, which is abnormal.
B. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said. - This suggests abnormal voice transmission and could indicate lung consolidation or other issues.
C. As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound. - This is normal, indicating clear and symmetrical transmission of voice sounds.
D. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine." - This is also normal, as it indicates normal transmission of sound and no lung consolidation.
E. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice. - This is normal for whispered voice sounds and is not a sign of abnormal lung findings.

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Naxlex Comprehensive Predictor Exams

A client tells a nurse that "this dark spot on my left shoulder has gotten bigger, changed from a reddish to a brownish color, and used to be flat but is now like a small bump." The nurse knows that these findings may suggest

Correct Answer is A

Explanation

The nurse is assessing voice sounds during a respiratory assessment. Which of these findings indicates a normal assessment? (Select All that Apply)

Correct Answer is ["C","D"]

Explanation

During an assessment of the neurological system, a nurse places a key in the hand of a client, and he identifies it as a key. The nurse would describe this finding as

A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended questions when assessing which of the following factors?

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate

The nurse stands behind the client and whispers "5-B-6." This technique is used to assess which of the following Cranial Nerves?

The nurse is reviewing a patient's medical record and notes that he is in a coma. Using the Glasgow Coma Scale, which number indicates that the patient is in a coma?

The nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient.

The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first level priority problem?