The nurse should use which test to check for large amounts of fluid around the patella?

Ballottement

McMurray test

Tinel sign

Phalen test

Answer and Explanation

The Correct Answer is A

A.   The ballottement test involves pressing on the knee joint to check for the presence of fluid, which can indicate joint effusion.
B.   The McMurray test is used to assess for meniscal tears, not for fluid around the patella.
C.   The Tinel sign is used to assess for nerve compression, not fluid accumulation.
D.   The Phalen test is used to diagnose carpal tunnel syndrome, not to assess for joint effusion.

Nursing Test Bank

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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. Motor component of CN IV B. Motor component of CN VI C. Motor and sensory components of CNX D. Motor component of CN VII

Correct Answer is D

Explanation

A. The trochlear nerve controls the superior oblique muscle of the eye and is not related to facial movements.
B. The abducens nerve controls the lateral rectus muscle of the eye, responsible for eye movement, not facial muscles.
C. The vagus nerve affects the soft palate, pharynx, and larynx, but does not contribute to facial expression.
D. Asymmetry in facial movements, like smiling, frowning, and puffing the cheeks, suggests dysfunction of the facial nerve (CN VII).

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The nurse should use which test to check for large amounts of fluid around the patella?

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

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

Correct Answer is D

Explanation

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