A client states “I can hear a crunching or grating sound when I kneel and have difficulty getting out the bed in the morning because of pain and stiffness”. Which of the following should the nurse expect as an assessment finding?

Bone spur

Crepitation

Tendonitis

Fluid in the knee joint

Answer and Explanation

The Correct Answer is B

Choice A rationale: While a bone spur could contribute to joint symptoms, the description provided by the client is more indicative of crepitation.

Choice B rationale: The client's complaint of a crunching or grating sound when kneeling and difficulty getting out of bed in the morning is indicative of crepitation, which is often associated with joint degeneration.

Choice C rationale: Tendonitis typically presents with inflammation and pain associated with specific tendons but may not produce a crunching sound.

Choice D rationale: Fluid in the knee joint (effusion) may cause swelling and limited range of motion but may not necessarily produce crepitation.

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Correct Answer is D

Explanation

Choice A rationale: The vas deferens is a duct that carries sperm from the testes to the urethra but is not the site of sperm production.

Choice B rationale: The epididymis is a structure where sperm mature and are stored but is not the primary site of sperm production.

Choice C rationale: The prostate is a gland that contributes to seminal fluid but is not involved in the production of sperm.

Choice D rationale: Sperm is produced in the testes.

A. When the client sticks out the tongue it is in the midline and without tremors or deviation B. Client follows an object with eyes without nystagmus or strabismus. C. Client demonstrates the ability to hear normal conversation D. Client moves the head and shoulders against resistance with equal strength.

Correct Answer is D

Explanation

Choice A rationale: Sticking out the tongue without tremors or deviation is related to Cranial Nerve XII (hypoglossal nerve), not Cranial Nerve XI.

Choice B rationale: Following an object with the eyes without nystagmus or strabismus is more related to visual tracking and coordination, not Cranial Nerve XI.

Choice C rationale: Hearing ability is primarily associated with Cranial Nerve VIII (vestibulocochlear nerve), not Cranial Nerve XI.

Choice D rationale: Cranial Nerve XI, also known as the accessory nerve, is responsible for the movement of the head and shoulders against resistance. If intact, the client should be able to perform this action with equal strength on both sides.

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A client states “I can hear a crunching or grating sound when I kneel and have difficulty getting out the bed in the morning because of pain and stiffness”. Which of the following should the nurse expect as an assessment finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client with possible fertility problems asks the nurse where sperm is produced. Which answer should the nurse give the client?

Correct Answer is D

Explanation

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

Correct Answer is D

Explanation

A client diagnosed with osteoporosis asks the nurse “What is osteoporosis?” The nurse should provide which of the following explanations about osteoporosis?

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