A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

Determine the cause of current health problems

validate current symptoms

Identify current and past health problems

identify actual health problems

Answer and Explanation

The Correct Answer is C

A.   A review of systems helps assess overall health and symptoms, but it may not always pinpoint the cause directly.
B.   While this may be a part of the review of systems, the primary purpose is broader—identifying both current and past health problems.
C.   The review of systems is designed to gather information on both current and past health problems, helping to form a comprehensive health history.
D.   This is part of the process but is too narrow compared to identifying both current and past health concerns.

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Correct Answer is D

Explanation

A. The trochlear nerve controls the superior oblique muscle of the eye and is not related to facial movements.
B. The abducens nerve controls the lateral rectus muscle of the eye, responsible for eye movement, not facial muscles.
C. The vagus nerve affects the soft palate, pharynx, and larynx, but does not contribute to facial expression.
D. Asymmetry in facial movements, like smiling, frowning, and puffing the cheeks, suggests dysfunction of the facial nerve (CN VII).

A. Bone spur B. Crepitation C. Loose tendon D. Fluid in the knee joint

Correct Answer is B

Explanation

A. A bone spur typically does not cause crunching or grating sounds and is not usually associated with morning stiffness.
B. Crepitation is the medical term for a grating or crunching sound often caused by joint issues, such as osteoarthritis, which could be the cause of the symptoms described.
C. A loose tendon would not typically cause a crunching or grating sound.
D. Fluid accumulation in the knee (effusion) would likely cause swelling and pain, but it would not typically produce a grating sound

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A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

Correct Answer is D

Explanation

A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

Correct Answer is B

Explanation

During an assessment of a 62-year-old man, the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. These findings would be consistent with:

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