The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity.

Which method should help the nurse assess for neck rigidity correctly?

Gently pressing the bones on the neck.

Moving the head toward both sides.

Lightly tapping the lower portion of the neck to detect sensation.

Moving the head and chin toward the chest.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Pressing the bones on the neck does not adequately assess for rigidity and may cause discomfort without providing useful information about the neurologic status.

Choice B rationale

Moving the head toward both sides is a method used to assess range of motion but does not specifically assess for neck rigidity, which requires specific positioning and movement.

Choice C rationale

Lightly tapping the lower portion of the neck to detect sensation does not assess for rigidity; it may be used to test sensory function rather than muscular stiffness or tension.

Choice D rationale

Moving the head and chin toward the chest is the standard method to assess for neck rigidity, especially in cases of suspected meningitis. This movement can reveal stiffness or resistance, which are key indicators of neurologic involvement.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Potassium-rich foods, such as bananas and potatoes, are recommended for clients with prolonged diarrhea to replace lost electrolytes and maintain normal cellular function.

Choice B rationale

High-fat foods are not recommended for clients with prolonged diarrhea, as they can exacerbate symptoms and are difficult to digest.

Choice C rationale

High-fiber foods may worsen diarrhea by increasing stool bulk and frequency.

Choice D rationale

While protein-rich foods are important, they do not specifically address the electrolyte imbalances caused by prolonged diarrhea.

A. Low. B. Inaccurate. C. Within normal limits. D. High.

Correct Answer is A

Explanation

Choice A rationale

A cerebral perfusion pressure (CPP) of 40 mm Hg is considered low, as the normal range for CPP is typically between 60 and 80 mm Hg. Low CPP can lead to inadequate blood flow to the brain.

Choice B rationale

An accurate CPP reading is crucial for assessing intracranial pressure and cerebral blood flow. A reading of 40 mm Hg is not typically considered inaccurate.

Choice C rationale

A CPP of 40 mm Hg is not within normal limits, as it is significantly below the normal range.

Choice D rationale

A CPP of 40 mm Hg is not high; it is considered low and requires medical attention.

View Question and Answer

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

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being treated for prolonged diarrhea. Which foods should the nurse encourage the client to consume?

Correct Answer is A

Explanation

A client with increased intracranial pressure has a cerebral perfusion pressure (CPP) of 40 mm Hg. This CPP reading is considered:

Correct Answer is A

Explanation

Which posture is exhibited by abnormal flexion of the upper extremities and extension of the lower extremities?

A client has sustained traumatic injuries that involve several bone fractures. A fracture of what type of bone may interfere with the protection of the client's vital organs?

A client is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elicited. What dysfunction does the nurse determine the client has?

A nurse practitioner prescribes a therapeutic bath for a client with an exacerbation of psoriasis. The nurse tells the client to make sure the bath area is well ventilated. Which of the following is the therapeutic bath solution prescribed by the nurse?

Pressure ulcers are caused by:

A client is diagnosed with a brain tumor. The nurse's assessment reveals that the client has difficulty interpreting visual stimuli. Based on these findings, the nurse suspects injury to which lobe of the brain?

During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of lesion.

A nurse is performing a neurological assessment on a client at home. During the assessment, the nurse notices that the client has a flat affect. Which lobe of the brain is responsible for a person's affect?

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity.

Which method should help the nurse assess for neck rigidity correctly?