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A nurse is caring for a client who has been hospitalized and is performing active range-of-motion exercises. Which of the following body movements should indicate to the nurse that the client has full range of motion of the shoulder?

Abducting the arm to a 90-degree angle from the side of the body

Adducting the arm so that is lies next to the client's side

Flexing the shoulder by raising the arm from a side position to a 180-degree angle

Circumducting the shoulder in a 180-degree half circle

Answer and Explanation

The Correct Answer is C

A. Abducting the arm to a 90-degree angle from the side of the body

This is only partial abduction; full ROM involves more than 90 degrees.

B. Adducting the arm so that it lies next to the client's side

Adduction is part of the range, but not a complete indicator of full shoulder ROM.

C. Flexing the shoulder by raising the arm from a side position to a 180-degree angle

This demonstrates full shoulder flexion, from rest to above the head.

D. Circumducting the shoulder in a 180-degree half circle

Circumduction is a circular movement, but a 180° half-circle isn’t a full demonstration of the shoulder’s capacity.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Elevate the foot:

Elevation helps reduce swelling by promoting venous return.

B. Encourage range-of-motion exercises of the foot:

Movement should be limited until the injury is evaluated to prevent further damage.

C. Provide the client with a light snack:

This can be appropriate if there are no contraindications, especially if the client has been waiting and is hungry. It doesn’t worsen the injury and supports comfort.

D. Apply a compression bandage:

Compression helps reduce swelling and provides support to the injured joint.

E. Apply ice to the ankle:

Ice reduces inflammation and helps with pain management during the acute phase of a soft-tissue injury.

A. warm feet and hands. B. numbness of distal limb. C. palpable peripheral pulses. D. capillary refill of 3 seconds.

Correct Answer is B

Explanation

A. Warm feet and hands.

Warmth suggests good blood flow and is a normal finding.

B. Numbness of distal limb.

Numbness is a sign of neurovascular compromise, possibly from swelling or impaired circulation due to the cast.

C. Palpable peripheral pulses.

Pulses are a positive finding indicating adequate perfusion.

D. Capillary refill of 3 seconds.

Capillary refill less than or equal to 3 seconds is considered normal.

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A nurse is caring for a client who has been hospitalized and is performing active range-of-motion exercises. Which of the following body movements should indicate to the nurse that the client has full range of motion of the shoulder?

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Naxlex Comprehensive Predictor Exams

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. While the client waits for the x-ray technician, which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse performing a head to toe neurovascular check on a patient in a long leg cast notes an indication of altered perfusion as evidenced by:

Correct Answer is B

Explanation

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