2024 PN NCLEX Questions Nursing Practice Question
A nurse in the emergency department is assisting with data collection of a client. The presence of which condition would cause the nurse to avoid testing range of motion (ROM) of the cervical spine?
Correct Answer: B
Rationale: Testing the range of motion (ROM) of the cervical spine should be avoided in the presence of neck trauma (Option B) due to the risk of exacerbating an injury or causing further damage. In cases of trauma, stabilizing the spine is crucial to prevent complications.
Headache (Option A) does not inherently contraindicate ROM testing, as it may be unrelated to cervical stability. A sinus infection (Option C) typically affects the nasal passages and does not directly impact cervical spine movement. Muscle spasms (Option D), while painful, may allow for limited ROM testing if done carefully, but neck trauma poses a greater risk and should be prioritized for safety.