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 C

Explanation

A. Flexion involves decreasing the angle between two body parts, such as bending the knee or elbow, not moving the leg laterally.
B. Abduction is the movement of a body part away from the midline of the body. In this case, moving the leg laterally fits this description.
C. Adduction refers to movement toward the body's midline, the opposite of abduction.
D. Extension involves straightening a body part, such as straightening the knee, which does not match the description of moving the leg laterally and medially.

A. Motor component of CN IV B. Motor component of CN VI C. Motor and sensory components of CNX D. Motor component of CN VII

Correct Answer is D

Explanation

A. The trochlear nerve controls the superior oblique muscle of the eye and is not related to facial movements.
B. The abducens nerve controls the lateral rectus muscle of the eye, responsible for eye movement, not facial muscles.
C. The vagus nerve affects the soft palate, pharynx, and larynx, but does not contribute to facial expression.
D. Asymmetry in facial movements, like smiling, frowning, and puffing the cheeks, suggests dysfunction of the facial nerve (CN VII).

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The movement of the leg laterally then medially, with knee straight is referred to as:

Correct Answer is C

Explanation

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

Correct Answer is D

Explanation

A nurse assesses four clients. Which client assessment will require the nurse to perform an immediate focused assessment?

A nurse needs to obtain anthropometric measures of an 80-year-old client. Which of the following statements is true regarding this situation?

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

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 performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.

An adult client is admitted to the nursing unit with a medical diagnosis of Acute Stroke. The client does not respond to verbal stimuli. In this situation, what is the best action by the nurse to provoke a client response?

A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?