The nurse is performing a neurological assessment on a client with a history of Diabetes.

When testing the ability to feel the vibrations of a tuning fork, the nurse notices that the client is unable to feel vibrations on the great toe or ankle bilaterally, but is able to feel vibrations on both patellae. What should the nurse suspect from these assessments?

Hyperalgesia

Peripheral neuropathy

Hyperparalysis

Lesion of the sensory cortex

Answer and Explanation

The Correct Answer is B

A.   Hyperalgesia refers to increased sensitivity to pain stimuli, not specifically related to the inability to feel vibrations.
B.   Peripheral neuropathy, a common complication of diabetes, often leads to sensory deficits, especially in distal extremities like the toes and feet.
C.   Hyperparalysis is not a recognized term in neurology.
D.   A lesion of the sensory cortex would likely present with broader sensory deficits rather than a specific loss of vibration sensation in the distal lower extremities.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. The Cowper gland, also known as the bulbourethral gland, secretes a clear, mucus-like pre-ejaculate to lubricate and neutralize urethral acidity.

B.The prostate gland secretes a thin, milky alkaline fluid that nourishes and protects sperm and enhances sperm viability.
C.The bulbourethral gland (Cowper gland) is responsible for producing a clear, mucus-like pre-ejaculatethat neutralizes the urethra.
D.The median sulcus refers to a groove or depression on the surface of an organ and is not associated with secretion in the reproductive system.

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

Correct Answer is D

Explanation

A. Listening to speech primarily involves cranial nerves related to speech production (e.g., CN V, CN VII, CN XII) but not specifically for CN V.
B. Reading a Snellen chart assesses visual acuity, primarily involving cranial nerve II (optic nerve).
C. Identifying scented aromas involves olfactory nerve (cranial nerve I) assessment.
D. Asking the client to clench their teeth evaluates the function of the muscles of mastication, which is controlled by cranial nerve V (trigeminal nerve).

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a male client about the reproductive system. The nurse recognizes that which structure secretes a thin, milky alkaline fluid to enhance the viability of sperm?

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 assessing a client who reports cessation of menses. The nurse should document the cessation of menses in the client's record as:

A nurse is educating a client about blood cell formation in the body. The nurse documents the education and refers to blood cell formation as?

The nurse is providing health promotion teaching to a group of clients. The nurse should include in her teaching which of the following populations has a greater risk factor for osteoporosis.

The nurse is taking a health history from a client. The client tells the nurse that. "It feels like the room is spinning." How should the nurse document this finding?

A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?

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?

The nurse is percussing a client's abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?

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?