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

Choice A rationale: Flexion involves decreasing the angle between two body parts, typically bending a joint.

Choice B rationale: Extension involves increasing the angle between two body parts, typically straightening a joint.

Choice C rationale: Moving the right arm away from the center of the body is an example of abduction, which is the movement of a body part away from the midline.

Choice D rationale: Adduction is the movement of a body part toward the midline.

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Correct Answer is C

Explanation

Choice A rationale: The sigmoid is part of the large intestine and is located in the left lower quadrant.

Choice B rationale: The liver is located in the right upper quadrant.

Choice C rationale: Tenderness in the right lower quadrant during light palpation is a potential indication of appendicitis. The appendix is located in the lower right quadrant of the abdomen.

Choice D rationale: The gallbladder is typically located in the right upper quadrant, and tenderness in the right lower quadrant is not directly associated with gallbladder issues.

A. Recognizes this dullness as indicative of an enlarged liver, and refers the client to a provider B. Document the presence of hepatomegaly C. Ask additional health history questions regarding alcohol intake D. Recognizes this finding as normal, and proceed with the examination

Correct Answer is D

Explanation

Choice A rationale: The normal liver span is 6-12 cm above the right coastal margin hence this finding is normal.

Choice B rationale: This finding is normal and does not indicate hepatomegaly.

Choice C rationale: Additional health history questions regarding alcohol intake may not be relevant in this case since the patient has a normal liver span.

Choice D rationale: The normal liver span in the midclavicular line is 6 to 12 cm, so an area of dullness of 11 cm above the right costal margin is within the normal range.

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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

During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes that this finding could indicate a problem with which organ?

Correct Answer is C

Explanation

The nurse is percussing a client’s abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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?

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