A nurse is assessing a client’s cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?
Listen to the client’s speech
Ask the client to identify scented aromas
Ask the client to clench his teeth
Ask the client to read a Snellen chart
The Correct Answer is D
Choice A rationale: Listening to the client's speech is not related to the assessment of cranial nerve II.
Choice B rationale: Assessing the ability to identify scented aromas is more related to cranial nerve I (olfactory nerve).
Choice C rationale: Asking the client to clench their teeth is related to the assessment of cranial nerve V (trigeminal nerve).
Choice D rationale: Cranial nerve II, the optic nerve, is responsible for vision. The nurse should use the Snellen chart to assess visual acuity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Asymmetry with one side hanging lower than the other is a normal variation in scrotal anatomy.
Choice B rationale: Marked tenderness on palpation of the scrotum is abnormal and may indicate inflammation or infection.
Choice C rationale: Easy sliding of scrotal contents when palpated is a normal finding.
Choice D rationale: Small, firm, nontender, yellowish nodules may represent sebaceous cysts or Fordyce spots, which are typically benign and not a cause for concern.
Correct Answer is C
Explanation
Choice A rationale: The vas deferens is a duct that carries sperm from the testes to the urethra but is not a glandular structure.
Choice B rationale: The scrotum is a pouch of skin and muscle that houses and protects the testes but is not a glandular structure.
Choice C rationale: The prostate is an accessory glandular structure for the male genital organs. It produces a fluid that combines with sperm and seminal vesicle fluid to form semen.
Choice D rationale: The testis is a male reproductive organ that produces sperm and testosterone but is not an accessory glandular structure.
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