A very pertinent part of the physical examination on a patient with back pain is

inspection of the extremities.

auscultation of the lungs.

percussion of the flank areas of the back.

auscultation of bowel sounds.

Answer and Explanation

The Correct Answer is C

A.   While extremity inspection is important, it is not as directly related to assessing back pain as evaluating the back itself.

B.   Auscultating the lungs is essential in respiratory assessments but is not the priority when examining a patient with back pain.
C.   Percussion of the flank areas is a key part of the physical examination for back pain, particularly if there are concerns of kidney involvement or other internal issues causing discomfort.
D.   Bowel sounds are not directly related to back pain unless gastrointestinal issues are suspected.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The normal response to light in the eye is pupil constriction. This indicates that the optic and oculomotor nerves are functioning properly.
B. While a sluggish reaction can occur in some individuals, a noticeable sluggish response could indicate neurological issues, especially in a head injury.
C. Pupils should constrict in response to light, not dilate, unless there is a significant neurological impairment.
D. Pupil checks should ideally be performed in dim lighting for better visibility of pupillary reactions, not with the room lights on.

A. a drop of 15 to 20 mm Hg from baseline when changing position. B. dizziness upon rising to a standing position. C. blurred vision. D. syncope.

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

Explanation

A. A significant drop in blood pressure when standing (typically greater than 20 mm Hg systolic or 10 mm Hg diastolic) is a hallmark of orthostatic hypotension.
B. Dizziness upon standing is a classic symptom of orthostatic hypotension due to decreased blood flow to the brain.
C. Blurred vision can also result from decreased blood flow and is a common symptom of orthostatic hypotension.
D. Syncope (fainting) can occur as a result of orthostatic hypotension when the brain does not receive enough oxygenated blood due to the drop in blood pressure.

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A very pertinent part of the physical examination on a patient with back pain is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is instructing a nursing student on performing pupillary checks on a patient with a possible head injury. Which statement indicates that the nursing student understands the concept?

Correct Answer is A

Explanation

The nurse assesses that the 86-year-old patient is experiencing orthostatic hypotension when assessments indicate: (Select all that apply.)

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

Explanation

A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

It is the responsibility of the nurse to perform a quick focused assessment of the patient upon:

The nurse taking a blood pressure should:

A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

The nurse who is assessing the patient with the Glasgow Coma Scale finds a patient who can open his eyes spontaneously, obeys all commands, and is oriented. The nurse documents a score of

When caring for a victim with a gunshot wound to the abdomen who has lost a significant amount of blood, the nurse would anticipate the vital signs to reflect:

The home health nurse is instructing a caregiver about caring for a patient with hypothermia. The nurse recognizes that further instruction when the caregiver states, "I will