A young swimmer comes to the sports clinic complaining of a very sore shoulder. He was running at the pool, slipped on some wet concrete, and tried to catch himself with his outstretched hand. He landed on his outstretched hand and has not been able to move his shoulder since. The nurses notices a length discrepancy between his two arms. The nurse suspects:

Tear of rotator cuff.

Adhesive capsulitis.

Joint effusion.

Dislocated shoulder

Answer and Explanation

The Correct Answer is D

A.   A tear in the rotator cuff usually results in pain and limited range of motion, but it doesn't typically cause a length discrepancy in the arms.
B.   Also known as frozen shoulder, this condition is characterized by limited range of motion but would not cause a discrepancy in arm length.
C.   While joint effusion involves fluid accumulation and can cause pain and swelling, it doesn't cause arm length discrepancy or the sudden inability to move the shoulder.
D.   A dislocated shoulder often results in an obvious deformity, such as a length discrepancy between the arms, and could prevent movement due to pain.

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Correct Answer is D

Explanation

A. Dry mouth (xerostomia) may occur after a stroke, but it is not the most likely symptom when there is facial drooping, which suggests more significant swallowing and motor function issues.
B. Rhinorrhea (runny nose) is not directly associated with a stroke and would not typically be expected in this scenario.
C. Dysphagia (difficulty swallowing) is a common finding in patients who have suffered a stroke, particularly when there is facial drooping or difficulty with facial muscle control.
D. Nosebleeds are not directly linked to stroke symptoms and are unlikely to be caused by the facial drooping.

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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Naxlex Comprehensive Predictor Exams

A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?

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

A client tells a nurse that "this dark spot on my left shoulder has gotten bigger, changed from a reddish to a brownish color, and used to be flat but is now like a small bump." The nurse knows that these findings may suggest

A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?

When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:

An adult client is admitted to the nursing unit with a medical diagnosis of Acute Stroke. The client does not respond to verbal stimuli. In this situation, what is the best action by the nurse to provoke a client response?

When performing a physical assessment of a client's maxillary the nurse should.

The nurse is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain?

During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects: