The nurse is assessing a client’s joint for range of movement after falling in the shower. The nurse asks the client to move the right arm away from the center of the body. The nurse correctly documents the joint movement as?

Flexion

Extension

Abduction

Adduction

Answer and Explanation

The Correct Answer is C

Choice A rationale: Flexion involves decreasing the angle between two body parts, typically bending a joint.

Choice B rationale: Extension involves increasing the angle between two body parts, typically straightening a joint.

Choice C rationale: Moving the right arm away from the center of the body is an example of abduction, which is the movement of a body part away from the midline.

Choice D rationale: Adduction is the movement of a body part toward the midline.

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Correct Answer is B

Explanation

Choice A rationale: A normal capillary refill time is less than 3 seconds, which indicates adequate blood flow and oxygenation.

Choice B rationale: Radial pulses 2+ with regular rate and rhythm bilaterally are expected findings in a peripheral vascular assessment, indicating normal blood flow to the extremities.

Choice C rationale: Pale and cool feet may indicate decreased blood flow and are not expected findings.

Choice D rationale: Ankle edema may indicate venous insufficiency or other circulatory issues, and it is not an expected finding in a healthy peripheral vascular assessment.

A. Listen to the client's speech. B. Ask the client to read a Snellen chart. C. Ask the client to identify scented aromas D. Ask the client to clench his teeth

Correct Answer is D

Explanation

Choice A rationale: Listening to the client's speech is not related to the assessment of cranial nerve V.

Choice B rationale: Reading a Snellen chart is related to visual acuity and involves cranial nerve II, not cranial nerve V.

Choice C rationale: Identifying scented aromas is related to olfaction, which involves cranial nerve I, not cranial nerve V.

Choice D rationale: Cranial nerve V, the trigeminal nerve, is responsible for sensory input from the face and motor function such as biting and chewing. Asking the client to clench his teeth assesses the motor function of the trigeminal nerve.

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The nurse is assessing a client’s joint for range of movement after falling in the shower. The nurse asks the client to move the right arm away from the center of the body. The nurse correctly documents the joint movement as?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

Correct Answer is B

Explanation

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?

Correct Answer is D

Explanation

The nurse is performing a scrotal assessment on a male client. Which of the following findings of the scrotum should the nurse recognize as abnormal?

A nurse is assessing a client’s cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?

An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?

The nurse teaches a client that there are shock absorbers in the back to cushion the spine and to help it move. The client understands that which of the following is another name for shock absorbers:

A client tells the nurse about being very unsteady and has difficulty in maintaining balance. The nurses recognizes that which area of the brain is involved and requires further assessment?

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?