The nursing preceptor is observing the nursing student providing a neurological assessment focusing on various tests for cerebellar function. What would be the priority test the preceptors should expect the student to perform on their client?

Graphesthesia

Stereognosis

Vibration

Gait and balance

Answer and Explanation

The Correct Answer is D

Choice A reason: Graphesthesia tests parietal lobe sensory processing, not cerebellar function. The cerebellum coordinates movement, not cortical interpretation, making this irrelevant to assessing ataxia or balance issues expected in a cerebellar-focused exam entirely here fully.
Choice B reason: Stereognosis assesses parietal tactile recognition, not cerebellar motor control. This sensory test misses the cerebellum’s role in coordination and balance, excluding it as a priority for evaluating cerebellar dysfunction in this assessment comprehensively.
Choice C reason: Vibration tests posterior column sensation, not cerebellar function. While neurological, it targets spinal pathways, not the cerebellum’s coordination role, rendering it secondary to movement-based tests for cerebellar evaluation in this context fully here.
Choice D reason: Gait and balance directly assess cerebellar function, critical for coordination. Ataxia or wide-based gait from cerebellar damage makes this the priority test, aligning with the preceptor’s focus on cerebellar performance accurately and effectively here.

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Correct Answer is D

Explanation

Choice A reason: Slow venous return causes edema, not deep, painful wounds. This venous issue lacks the arterial insufficiency link to tissue necrosis, misaligning with the circular ulcer’s ischemic profile, which requires oxygen delivery, not just drainage, here fully.

Choice B reason: Osmotic pressure disruption affects fluid balance, not localized wounds. This systemic issue doesn’t explain a toe ulcer’s depth and pain, missing the vascular supply deficit driving tissue breakdown in this specific extremity finding entirely and clearly.

Choice C reason: Lymphatic blockage or infection causes swelling or lymphangitis, not deep, circular wounds. This lacks the ischemic etiology of toe ulcers, which stem from arterial insufficiency, not lymphatic dysfunction, distinguishing it from the observed pathology here fully.

Choice D reason: Inadequate arterial blood supply, as in peripheral artery disease, causes deep, painful toe ulcers due to tissue ischemia. Poor oxygen delivery leads to necrosis, matching the wound’s characteristics, making this the most likely etiology accurately and precisely.

A. Prolonged tonsillar enlargement B. History of allergies C. Incomplete immunization record D. History of epistaxis nosebleeds

Correct Answer is B

Explanation

Choice A reason: Prolonged tonsillar enlargement may cause throat issues or obstruction, but rhinorrhea stems from nasal inflammation, not tonsils. This focuses on oropharyngeal anatomy, missing the direct nasal etiology tied to runny nose in upper airway complaints here entirely.

Choice B reason: Allergies trigger nasal inflammation via histamine, causing rhinorrhea as IgE-mediated mast cells release mediators. A history of this is key, directly linking environmental triggers to the client’s runny nose, making it the most relevant assessment area accurately.

Choice C reason: Incomplete immunizations increase infection risk, but rhinorrhea more commonly ties to allergies or viruses than vaccine-preventable diseases here. This is less specific to the symptom’s etiology without fever or systemic signs, reducing its pertinence significantly.

Choice D reason: Epistaxis (nosebleeds) relates to vascular fragility, not mucus production like rhinorrhea. Past bleeding doesn’t explain runny nose, focusing on a separate nasal issue, making it less relevant to the upper airway complaint’s root cause in this case fully.

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The nursing preceptor is observing the nursing student providing a neurological assessment focusing on various tests for cerebellar function. What would be the priority test the preceptors should expect the student to perform on their client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse's inspection of a client's extremities reveals a deep, circular, painful wound on the client's great toe. What should the nurse suspect as the etiology of the client's wound?

Correct Answer is D

Explanation

A client presents with a cluster of upper airway complaints that include rhinorrhea. Which area of assessment would yield the most pertinent information to the etiology of rhinorrhea?

Correct Answer is B

Explanation

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