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 C
Explanation
Choice A rationale: One minute is not sufficient to determine the absence of bowel sounds, especially in all quadrants.
Choice B rationale: Ten minutes in each quadrant is excessive and not a standard practice.
Choice C rationale: The nurse should listen for at least 1 minute in each quadrant before concluding that bowel sounds are absent, as they may be very faint or irregular.
Choice D rationale: Five minutes in each quadrant is excessive and not a standard practice.
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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