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. To assess the maxillary sinuses, the nurse should apply gentle pressure to the area above and below the cheekbones, as this is where the maxillary sinuses are located.
B. The tragus is part of the ear and not relevant to the assessment of the maxillary sinuses. Pressure in this area would not be helpful for evaluating sinus health.
C. While a history of headaches may be relevant to sinus issues, it is not a direct physical assessment of the maxillary sinuses.
D. Ask if the client has a history of sinus infections. While a history of sinus infections is useful, it does not replace the physical assessment of the maxillary sinuses.

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

When performing a physical assessment of a client's maxillary the nurse should.

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

The nurse is preparing to perform a functional assessment of an older patient. What is an appropriate approach for the nurse to take?

A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

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?

A nurse is interviewing a male client who has a hearing impairment. What techniques would be most beneficial in communicating with this client?

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the……..lobe.

The nurse should use which test to check for large amounts of fluid around the patella?

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve 11?

The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal women. Which of these actions is the best way to prevent or delay bone loss in this group?