A nurse is assessing a school-age child's cranial nerve function.
Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?
Follow a light in the six cardinal positions.
Move their tongue in all directions.
Show their teeth while smiling.
Shrug their shoulders against mild pressure.
The Correct Answer is D
The accessory nerve is tested by evaluating the function of the trapezius and sternocleidomastoid muscles.
The trapezius muscle is tested by asking the patient to shrug their shoulders with and without resistance.
Choice A is wrong because following a light in the six cardinal positions tests the function of cranial nerves III, IV, and VI.
Choice B is wrong because moving their tongue in all directions tests the function of cranial nerve XII.
Choice C is wrong because showing their teeth while smiling tests the function of cranial nerve VII.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Bradycardia, or a slow heart rate, is a sign of digoxin toxicity in infants.
Digoxin is a medication used to improve the strength and efficiency of the heart and to control the rate and rhythm of the heartbeat.
However, an overdose can cause changes in the rate or rhythm of the heartbeat, including bradycardia.
Choice A is wrong because polyuria is not a sign of digoxin toxicity.
Choice B is wrong because diaphoresis is not a sign of digoxin toxicity.
Choice D is wrong because jaundice is not a sign of digoxin toxicity.
Correct Answer is C
Explanation
A potassium level of.2 mEq/L is considered low.
Low potassium levels can cause muscle weakness and spasms.
Hyporeflexia refers to below normal or absent reflexes and can be a sign of muscle weakness.
Choice A is wrong because oliguria, or decreased urine output, is not a common symptom of low potassium levels.
Choice B is wrong because hypertension, or high blood pressure, is not a common symptom of low potassium levels.
Choice D is wrong because hyperactive bowel sounds are not a common symptom of low potassium levels.
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