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. Glasgow Coma Scale B. Complete neurological examination C. Muscular examination D. Neurologic recheck examination

Correct Answer is B

Explanation

Choice A rationale: The Glasgow Coma Scale is used to assess the level of consciousness, not specific weakness in the extremities.

Choice B rationale: A complete neurological examination is appropriate to assess the client's weakness in the left arm and leg. This examination includes evaluating motor function, sensory function, coordination, reflexes, and cranial nerve function.

Choice C rationale: A muscular examination may focus on specific muscle groups but may not provide a comprehensive assessment of neurological function.

Choice D rationale: A neurologic recheck examination is not a standardized term and may not cover all aspects of a complete neurological assessment.

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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 client comes to the clinic and reports having weakness in the left arm and leg for the past week. The nurse should perform which type of neurological exam?

Correct Answer is B

Explanation

During an abdominal assessment, the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?

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 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?

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:

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The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?

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