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

Answer and Explanation

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.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale: Abdominal distention is a common clinical finding in individuals with lactose intolerance due to the inability to digest lactose, leading to gas production and bloating.

Choice B rationale: Visible peristalsis is not a typical finding associated with lactose intolerance.

Choice C rationale: Hypoactive bowel sounds are not a characteristic feature of lactose intolerance.

Choice D rationale: Occasional diarrhea is a symptom of lactose intolerance, resulting from the presence of undigested lactose in the intestines.

Choice E rationale: Flatus (gas) is produced as a result of bacterial fermentation of undigested lactose in the colon, contributing to symptoms in individuals with lactose intolerance.

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

Correct Answer is B

Explanation

Choice A rationale: The Glasgow Coma Scale is used to assess the level of consciousness, not specific weakness in the extremities.

Choice B rationale: A complete neurological examination is appropriate to assess the client's weakness in the left arm and leg. This examination includes evaluating motor function, sensory function, coordination, reflexes, and cranial nerve function.

Choice C rationale: A muscular examination may focus on specific muscle groups but may not provide a comprehensive assessment of neurological function.

Choice D rationale: A neurologic recheck examination is not a standardized term and may not cover all aspects of a complete neurological assessment.

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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 II?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

Correct Answer is ["A","D","E"]

Explanation

A client comes to the clinic and reports having weakness in the left arm and leg for the past week. The nurse should perform which type of neurological exam?

Correct Answer is B

Explanation

The nurse is completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?

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