During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

May indicate disease of the cerebellum or brainstem.

is a sign that the patient is nervous about the examination

Indicates a visual problem, and a referral to an ophthalmologist is indicated.

is a normal occurrence

Answer and Explanation

The Correct Answer is A

A.   Severe nystagmus is often associated with neurological disorders, particularly those affecting the cerebellum or brainstem.
B.   is a sign that the patient is nervous about the examination. Nervousness typically doesn’t cause severe, persistent nystagmus.
C.   Indicates a visual problem, and a referral to an ophthalmologist is indicated. While nystagmus affects vision, it is usually neurologically based, requiring a neurological assessment rather than a referral to an ophthalmologist.
D.   Nystagmus is not typically normal, especially when it is severe and persistent. It warrants further investigation.

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Correct Answer is A

Explanation

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.

A. The left fifth intercostal space B. the left fifth intercostal space at the midclavicular line C. The night second intercostal space D. The le second intercostal space

Correct Answer is D

Explanation

A. This area is used to assess the mitral area, not the pulmonic area.
B. The left fifth intercostal space at the midclavicular line. This is the correct location to assess the mitral area of the heart, not the pulmonic area.
C. This is the correct area to assess the pulmonic valve, not the left side.
D. This is the correct location to assess for the pulmonic area, where the second heart sound is best heard and where pulsations may be noted.

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During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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