The test done to evaluate and compare the patency of the ulnar and radial arteries is:

Romberg test

Rapid alternating movement test

Tinel test

Allen test

Answer and Explanation

The Correct Answer is D

A) Romberg test: The Romberg test is used to assess a person’s balance and proprioception by asking them to stand with their eyes closed. It does not evaluate the patency of the ulnar and radial arteries.
B) Rapid alternating movement test: The rapid alternating movement test evaluates motor function and coordination by asking the patient to perform tasks like rapidly alternating hand movements. This test is not related to assessing arterial patency.
C) Tinel test: The Tinel test is used to detect nerve compression or irritation by tapping over a nerve, such as the median nerve at the wrist, to see if it elicits a tingling sensation. It does not assess the patency of the ulnar and radial arteries.
D) Allen test: The Allen test is specifically designed to evaluate the patency of the ulnar and radial arteries. It involves occluding both arteries at the wrist while the patient makes a fist and then releasing one artery to assess blood flow to the hand. This test ensures that there is adequate blood supply to the hand if one of the arteries is compromised.

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Correct Answer is C

Explanation

A. Assist the client to a standing position: While positioning can be important for various assessments, inspecting the apical impulse is best done with the client in a supine or left lateral position. Standing may not provide the best view or palpation for the apical impulse, which is usually assessed more accurately in a different position.

B. Focus a penlight on the client's chest: A penlight alone may not provide sufficient illumination for detailed inspection of the apical impulse. It is more important to use appropriate lighting techniques to ensure a clear view of the heart's movements.

C. Use tangential lighting: Tangential lighting is particularly useful for inspecting and palpating the apical impulse because it casts light across the surface, highlighting contours and movements. This type of lighting helps the nurse visualize the apical impulse more clearly by creating shadows that accentuate the impulse's presence and movements.

D. Use perpendicular lighting: Perpendicular lighting might not be as effective in highlighting the subtle movements of the apical impulse. Tangential lighting is preferred because it creates shadows and contrasts that make the apical impulse more visible and easier to assess.

A. Right knee +1; Left knee 0 B. Right knee +3; Left knee +2 C. Right knee +2; Left knee +1 D. Right knee +4; Left knee +3

Correct Answer is C

Explanation

A) Right knee +1; Left knee 0: The scale for grading reflexes typically ranges from 0 to 4. A score of 0 indicates no reflex, which does not align with the description of having a diminished but not absent reflex. A score of +1 suggests a reduced but present reflex, which would be appropriate for a diminished reflex on the left side.

B) Right knee +3; Left knee +2: A score of +3 indicates an exaggerated or brisk reflex, while +2 denotes a normal reflex. Since the right knee reflex is normal, it should be documented as +2. A diminished reflex on the left side is more accurately reflected by a score of +1, not +2.
C) Right knee +2; Left knee +1: This is the most accurate documentation. A score of +2 denotes a normal reflex, which applies to the right knee. A score of +1 reflects a diminished reflex, which is appropriate for the left knee where the reflex is present but reduced.
D) Right knee +4; Left knee +3: A score of +4 represents a very brisk or hyperactive reflex, which is not consistent with a normal finding. Similarly, a score of +3 would indicate an exaggerated reflex, which does not fit the description of the right knee being normal. The correct grading for a normal reflex is +2, and for a diminished reflex is +1.

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The test done to evaluate and compare the patency of the ulnar and radial arteries is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning to inspect a client's apical heart impulses. What should the nurse do to ensure an accurate assessment of this organ?

Correct Answer is C

Explanation

A client's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes, how should the nurse document this finding?

Correct Answer is C

Explanation

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