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

Listen to the client's speech.

Ask them to read a Snellen chart.

Ask them to identify scented aromas.

Ask them to clench their teeth.

Answer and Explanation

The Correct Answer is D

A.   Listening to speech primarily involves cranial nerves related to speech production (e.g., CN V, CN VII, CN XII) but not specifically for CN V.
B.   Reading a Snellen chart assesses visual acuity, primarily involving cranial nerve II (optic nerve).
C.   Identifying scented aromas involves olfactory nerve (cranial nerve I) assessment.
D.   Asking the client to clench their teeth evaluates the function of the muscles of mastication, which is controlled by cranial nerve V (trigeminal nerve).

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Correct Answer is C

Explanation

A. The sigmoid is a part of the large intestine located in the left lower quadrant, so tenderness in the right lower quadrant is unlikely to be related to the sigmoid.
B. The liver is situated higher in the abdomen, typically more towards the right upper quadrant, and its tenderness wouldn't manifest in the right lower quadrant.
C. Tenderness in the right lower quadrant is a classic sign of appendicitis, suggesting inflammation of the appendix.
D. The gallbladder is positioned closer to the liver, in the right upper quadrant, and wouldn't typically cause tenderness in the right lower quadrant.

A. Glasgow Coma Scale B. Complete neurological examination C. Muscular examination D. Neurologic recheck examination

Correct Answer is B

Explanation

A. The Glasgow Coma Scale assesses a patient's level of consciousness, not specifically limb weakness.
B. A complete neurological examination would involve assessing cranial nerves, motor and sensory functions, reflexes, coordination, and gait, which are essential when a client presents with unilateral weakness in the arm and leg.
C. A muscular examination might focus more on muscle strength and tone but might not cover the breadth of neurological assessment needed in this scenario.
D. Neurologic recheck examination suggests a reassessment after an initial neurological exam but doesn’t specify the need for a comprehensive evaluation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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