The nurse is assessing a client's joint for range of movement after falling in the shower. The nurse asks the client to move the right arm away from the center of the body. The nurse correctly documents the joint movement as?

Flexion

Extension

Abduction

Adduction

Answer and Explanation

The Correct Answer is C

A.   Flexion refers to bending a joint, usually decreasing the angle between two body parts.
B.   Extension refers to straightening or increasing the angle between two body parts.
C.   Abduction involves moving a body part away from the midline or center of the body.
D.   Adduction involves moving a body part toward the midline or center of the body.

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Correct Answer is B

Explanation

A. Measuring the circumference of the ankle is not a specific method for screening DVT.
B. Assessing the calf at its widest point with a tape measure can reveal differences in calf size, which might indicate swelling due to a DVT.
C. Checking the dorsalis pedis pulse assesses peripheral circulation but doesn't specifically screen for DVT.
D. Compressing the dorsalis pedis pulse to check for blood return is part of assessing peripheral circulation but doesn’t directly screen for DVT.

A. Capillary refill <5 seconds. B. Radial pulses 2+ with regular rate and rhythm bilaterally. C. Feet pale and cool to the touch. D. Right ankle 1+ edema with no perceptible swelling of the leg.

Correct Answer is B

Explanation

A. A capillary refill of less than 5 seconds is considered normal.
B. Radial pulses 2+ with regular rate and rhythm bilaterally indicate good peripheral circulation.
C. Feet that are pale and cool to the touch could indicate decreased perfusion or vascular compromise.
D. Right ankle 1+ edema may suggest some fluid retention but no perceptible swelling of the leg indicates relatively normal findings in that area.

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The nurse is assessing a client's joint for range of movement after falling in the shower. The nurse asks the client to move the right arm away from the center of the body. The nurse correctly documents the joint movement as?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to screen a client for deep vein thrombosis (DVT). Which of the following techniques should the nurse recognize as the appropriate technique to screen for DVT?

Correct Answer is B

Explanation

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings?

Correct Answer is B

Explanation

The nurse is performing a physical assessment of the client's mandible and temporal bone. The nurse recognizes that the articulation of the mandible and the temporal bone is called?

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

A client states, "I can hear a crunching or grating sound when I kneel and have difficulty getting out of bed in the morning because of pain and stiffness." Which of the following should the nurse expect as an assessment finding?

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?

The nurse is educating a client on different areas of the brain. The nurse recognizes that which of the following statements concerning areas of the brain is correct?

A nurse is educating a client about blood cell formation in the body. The nurse documents the education and refers to blood cell formation as?

The nurse is performing a scrotal assessment on a male client. Which of the following findings of the scrotum should the nurse recognize as abnormal?