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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale
Socioeconomic stressors are related to a person’s social and economic status. Homelessness is a clear example of a socioeconomic stressor, as it is often caused by factors such as unemployment, poverty, and lack of affordable housing.
Choice B rationale
Adventitious stressors are unexpected and often traumatic events that occur outside of the normal course of life. These could include natural disasters, accidents, or violent crimes. While homelessness can be traumatic, it is not considered an adventitious stressor because it is related to the individual’s social and economic circumstances.
Choice C rationale
Developmental stressors are those that occur as a result of going through the normal stages of life, such as starting school, getting a job, getting married, having children, and retiring. Homelessness is not a developmental stressor because it is not a normal or expected part of life.
Choice D rationale
Cultural stressors are related to a person’s cultural background and experiences. While culture can influence a person’s socioeconomic status, homelessness itself is not a cultural stressor.

A. “I can take analgesics every four hours for pain.”. B. “I will chew on the affected side to prevent swallowing issues.”. C. “I can still brush my teeth with no issues.”. D. “I will apply this protective eye shield before going to bed.”. .

Correct Answer is B

Explanation

Choice A rationale
Analgesics can be used to manage pain associated with Bell’s palsy. Therefore, this statement does not indicate a need for further education.
Choice B rationale
This is the correct answer. Chewing on the affected side can actually exacerbate swallowing issues. Therefore, this statement indicates a need for further education.
Choice C rationale
Brushing teeth should not be affected by Bell’s palsy. Therefore, this statement does not indicate a need for further education.
Choice D rationale
Applying a protective eye shield before going to bed is a recommended practice for patients with Bell’s palsy. This helps to protect the eye from injury and keep it moist, as Bell’s palsy can cause difficulty in blinking or closing the eye.

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who reports stress related to homelessness. The nurse should identify that the patient is experiencing which of the following types of stressors?

Correct Answer is A

Explanation

In the context of outpatient care for a client diagnosed with Bell’s palsy, which of the following statements, if made by the client, would indicate the need for further education?

Correct Answer is B

Explanation

A nurse overhears two assistive personnel (APs) disagreeing about patient care assignments. Which of the following actions by the nurse demonstrates conflict resolution?

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A nurse is assessing a patient who reports feeling stress and anxiety. The patient appears restless and is pacing in the room. The patient is alert and oriented to person, place, and time. Which of the following findings is subjective?

a nurse is caring for a patient who states, “I did not take my medication because my partner forgot to remind me.”. The nurse should identify that the patient is demonstrating which of the following defense mechanisms?

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)?