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    Hesi rn health assessment proctored exam

    The nurse assesses a client who comes to the clinic with neck stiffness and discomfort. Which finding of the cervical spine should the nurse inquire further about lifestyle habits?

    Explanation & Rationale

    A. Observation of cervical range of motion reveals flexion and extension is 25 degrees. This limited range of motion indicates a significant restriction, which could be related to lifestyle factors such as posture, ergonomics at work, or physical activities. B. Evaluation of cranial nerve XI reveals flexion is maintained against full resistance. This finding is normal and suggests good strength and function of the sternocleidomastoid and trapezius muscles, not necessarily related to lifestyle habits. C. Inspection of head and neck is observed in a straight alignment without lateral curves. This is a normal finding and does not indicate any need for further inquiry about lifestyle habits. D. Palpation of the spinous processes and surrounding muscles are non-tender. This is a normal finding, indicating no immediate issues with the cervical spine or surrounding muscles that would necessitate further lifestyle inquiries.

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