A nurse is assessing a client's fingers. The client complains of a swollen, painful knuckle and not being able to remove a ring from that finger. The nurse recognizes which of the following is the correct term for the affected joint.

Interphalangeal

Tibiotalar

Metacarpophalangeal

Tarsometatarsal

Answer and Explanation

The Correct Answer is A

A.   Interphalangeal joints are the joints between the phalanges, since the client is unable to remove a ring, the most likely affected joint is the interphalangeal joint.
B.   The Tibiotalar joint is the ankle joint.
C.   Metacarpophalangeal joint refers to the joint between the metacarpal bones in the upper limbs and the phalanges.
D.   Tarsometatarsal joints are the joints between the tarsal bones of the foot and metatarsal bones.

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Correct Answer is D

Explanation

A. Asymmetry of the scrotum is often normal; one side may hang lower than the other without indicating pathology.
B. Marked tenderness on palpation could suggest inflammation or infection but doesn’t necessarily indicate abnormality in all cases.
C. Easy sliding of scrotal contents is a normal finding; the testes should move easily within the scrotum.
D. The presence of small, firm, non-tender, yellowish nodules could indicate an abnormal finding such as sebaceous cysts or other nodules that may require further evaluation.

A. 1 minute in the center of the abdomen. B. 10 minutes in each quadrant. C. 1 minute in each quadrant. D. 5 minutes in each quadrant. E. None F. None

Correct Answer is D

Explanation

A. One minute may not provide a sufficient duration to declare absent bowel sounds, especially if the client has a slower bowel motility.
B.

Listening for 10 minutes in each quadrant is excessive and not supported by clinical guidelines. It would unnecessarily delay care and increase patient discomfort.

C. One minute in each quadrant might not provide an adequate assessment time.
D. This is the correct answer because clinical guidelines recommend auscultating for at least 5 minutes in each quadrant before concluding that bowel sounds are absent. This ensures sufficient time to detect infrequent bowel sounds and accurately assess the situation.

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A nurse is assessing a client's fingers. The client complains of a swollen, painful knuckle and not being able to remove a ring from that finger. The nurse recognizes which of the following is the correct term for the affected joint.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a scrotal assessment on a male client. Which of the following findings of the scrotum should the nurse recognize as abnormal?

Correct Answer is D

Explanation

During an abdominal assessment, the nurse is unable to hear bowel sounds in a client's abdomen. How long should the nurse listen before reporting absent bowel sounds?

Correct Answer is D

Explanation

The nurse is percussing a client's abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?

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The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?