During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:
Herniated nucleus pulposus.
Meniscus tear.
Scoliosis
Spasm of paravertebral muscles
The Correct Answer is A
A. A herniated disc can cause pain that radiates down the leg (sciatica) when the leg is raised, along with lateral tilting of the spine as the patient attempts to relieve pressure.
B. A meniscus tear is usually associated with knee pain rather than back or leg pain.
C. Scoliosis refers to a lateral curvature of the spine but does not cause radiating leg pain as described in this case.
D. While muscle spasms can cause back pain, they are not typically associated with radiating leg pain or lateral spinal tilting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. A small laceration is typically a second-level priority, as it requires wound care but is not lifethreatening.
B. This suggests a risk for bowel obstruction or other serious gastrointestinal issues that require immediate attention, making it a first-level priority.
C. While important, this is not an urgent, life-threatening situation and is not considered a first-level priority.
D. This is a second-level priority, as it requires pain management but is not as urgent as more critical issues.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.