A nurse is getting ready to conduct a cranial nerve examination on a patient.
What steps should the nurse take to examine cranial nerve XI (Spinal Accessory)?
Check the patient’s visual acuity using a Snellen chart.
Whisper in one of the patient’s ears while blocking the other.
Observe the patient’s ability to turn their head from side to side.
Ask the patient to identify specific smells.
Ask the patient to identify specific smells.
The Correct Answer is C
Choice A rationale
Checking the patient’s visual acuity using a Snellen chart is used to assess cranial nerve II (Optic), not cranial nerve XI (Spinal Accessory)3.
Choice B rationale
Whispering in one of the patient’s ears while blocking the other is a method used to assess cranial nerve VIII (Vestibulocochlear), not cranial nerve XI4.
Choice C rationale
Observing the patient’s ability to turn their head from side to side is a correct method to assess cranial nerve XI. This nerve innervates the sternocleidomastoid and trapezius muscles, which are responsible for turning the head and shrugging the shoulders respectively.
Choice D rationale
Asking the patient to identify specific smells is used to assess cranial nerve I (Olfactory), not cranial nerve XI3.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
This statement is incorrect. As people age, the flexibility of the lens of the eye actually decreases, not increases. This can lead to conditions such as presbyopia, which is difficulty focusing on close objects.
Choice B rationale
As people age, their depth perception can decrease. This can make it more difficult to judge distances and can increase the risk of falls.
Choice C rationale
This statement is incorrect. As people age, the tone of the eye muscles can decrease, not increase. This can lead to conditions such as presbyopia.
Choice D rationale
This statement is incorrect. As people age, the natural lens of the eye can actually thicken, not reduce. This can lead to conditions such as cataracts.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale
Repentance is not typically included in the five stages of grief as outlined by psychiatrist Elisabeth Kübler-Ross.
Choice B rationale
Bargaining is one of the five stages of grief. It often involves the individual making deals or promises to a higher power in an attempt to reverse or lessen the loss.
Choice C rationale
Depression is a stage of grief where the individual may experience intense feelings of sadness, hopelessness, and despair.
Choice D rationale
Acceptance is the final stage of grief, where the individual begins to accept the reality of their loss.
Choice E rationale
Anger is a stage of grief where the individual may feel intense anger towards the situation, themselves, or others.
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