During the health history a client describes recent episodes of intermittent facial pain lasting several minutes. The vital signs are 98.6°F orally, pulse 86, respirations 20, blood pressure 142/88 and O2 saturation of 96%. The nurse should recognize that this complaint is suggestive of what health problem?

Trigeminal neuralgia

Meningitis

Migraine headache

Temporomandibular joint dysfunction

Answer and Explanation

The Correct Answer is A

Choice A reason: Trigeminal neuralgia causes sharp, intermittent facial pain lasting minutes due to cranial nerve V irritation. Normal vitals and no systemic symptoms align with this neuropathic condition, distinguishing it from inflammatory or vascular headache causes in this presentation.

Choice B reason: Meningitis presents with fever, neck stiffness, and severe headache, not intermittent facial pain. Normal temperature and vitals here rule out this acute infection, which affects meninges broadly, not just facial nerves, making it an unlikely fit.

Choice C reason: Migraines involve throbbing head pain, often with nausea or photophobia, lasting hours, not minutes of facial pain. The client’s brief, episodic description and normal vitals don’t match migraine’s typical systemic or prolonged profile, excluding it here.

Choice D reason: TMJ dysfunction causes jaw pain, often with chewing difficulty or joint sounds, not intermittent facial pain alone. Normal vitals and no joint-specific complaints suggest this isn’t TMJ-related, pointing instead to a neural origin like trigeminal neuralgia.

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Correct Answer is C

Explanation

Choice A reason: Thin, gray-white discharge suggests infection like bacterial vaginosis, not menopause. Menopause features dryness, not discharge, making this unrelated to hormonal decline, excluding it as a trigger for menopause education in this case fully here.
Choice B reason: Urinary difficulty may relate to aging or prolapse, not directly menopause. While estrogen loss can affect the urethra, it’s less specific than vaginal symptoms, rendering it secondary for menopause-focused education entirely and accurately here.
Choice C reason: Irregular bleeding and vaginal dryness are hallmark menopause signs, from estrogen drop. Perimenopause causes erratic periods, and dryness reflects atrophy, making this the key finding for targeted menopause education comprehensively and accurately here.
Choice D reason: Painless vaginal lumps suggest cysts or tumors, not menopause. These structural issues lack hormonal ties to estrogen decline, excluding them as menopause indicators needing education compared to bleeding and dryness fully here entirely.

A. The client will close the eyes and identify what number the nurse writes in the palm of the client's hand with a blunt-ended object. B. The nurse will simultaneously touch the client in the same area on both sides of the body, and the client will identify where the touch occurred. C. The nurse will ask the client to close his eyes, and will ask that he identify a familiar object placed in the client’s hand. D. The client is asked to identify the number of points felt when the nurse touches the client with the ends of two applicators at the same time.

Correct Answer is A

Explanation

Choice A reason: Graphesthesia tests cortical sensory function by tracing numbers on the palm with eyes closed. A right-sided stroke may impair this on the left side, making this the correct method to assess parietal lobe processing accurately here.
Choice B reason: Simultaneous bilateral touch tests extinction, not graphesthesia. This assesses neglect, not the ability to interpret shapes, missing the specific sensory integration focus needed for graphesthesia in this stroke assessment entirely and fully here.
Choice C reason: Identifying objects with eyes closed tests stereognosis, not graphesthesia. This evaluates tactile recognition, not number tracing, diverging from the precise cortical sensory skill targeted in this neurological exam for stroke effects here.
Choice D reason: Two-point discrimination tests sensory acuity, not graphesthesia. This measures point differentiation, not shape recognition, making it unrelated to assessing the parietal lobe’s interpretive ability post-stroke as intended in this scenario fully.

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Naxlex Comprehensive Predictor Exams

A nurse is providing a subjective data assessment for an older female. The client verbalizes a list of symptoms regarding their concern. Which findings would lead the nurse to supply education about menopause?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

The client reports a decreased sense of smell for the past week. Which condition would the nurse assess for?

The nurse's inspection of a client's extremities reveals a deep, circular, painful wound on the client's great toe. What should the nurse suspect as the etiology of the client's wound?

A client has a family history of prostate cancer and is committed to regular screening. What should the nurse teach the client about prostate-specific antigen (PSA) blood testing?

A decrease in tongue strength is noted on examination of a client. The nurse interprets this as indicating a problem with which cranial nerve?

A client comes in with complaints of a headache. The client states, "I always wake up with a headache in the morning, but it gets better in a couple hours. I notice that it always gets worse if I cough or sneeze." What action by the nurse is most appropriate?

When performing a genitourinary assessment of an older male patient, the nurse notes that the urethral meatus is positioned dorsally. What is the most important concern the nurse identifies from their assessment?