Questions 117

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Adult Health Med Surg NCLEX Test Bank Questions

Extract:


Question 1 of 5

The nurse is assessing a client for movement after halo traction placement for a C8 fracture. The nurse should document which of the following?

Correct Answer: A

Rationale: A C8 fracture affects the lower cervical nerves, but shoulder shrug (trapezius, innervated by cranial nerve XI and C3-C4) should remain intact. Arm movements and hand grasp involve C5-C8 and may be impaired, making shoulder shrug the most reliable intact movement to document.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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