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 that which of the following is the correct term for the affected joint?

Interphalangeal

Tibiotalar

Metacarpophalangeal

Tarsometatarsal

Answer and Explanation

The Correct Answer is A

Choice A rationale: The affected joint described is an interphalangeal joint. Interphalangeal joints are found between the phalanges (fingers and toes).

Choice B rationale: Tibiotalar joints are found in the ankle, not the fingers.

Choice C rationale: Metacarpophalangeal joints are found between the metacarpal bones and the phalanges in the hand.

Choice D rationale: Tarsometatarsal joints are found in the foot, not the fingers.

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Correct Answer is D

Explanation

Choice A rationale: CN X (vagus nerve) and CN VII (facial nerve) are separate cranial nerves, and the described findings are more indicative of dysfunction in the motor component of CN VII.

Choice B rationale: CN XI (accessory nerve) is primarily involved in motor function related to the sternocleidomastoid and trapezius muscles. It is not likely to cause the described facial asymmetry.

Choice C rationale: CN IV (trochlear nerve) is responsible for eye movement and would not be directly related to the described facial findings.

Choice D rationale: The described findings, such as asymmetry when smiling or frowning, uneven lifting of the eyebrows, and escape of air when pressing against a puffed cheek, indicate dysfunction of the motor component of cranial nerve VII (facial nerve).

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 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 that which of the following is the correct term for the affected joint?

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Naxlex Comprehensive Predictor Exams

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

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