A nurse is preparing to assess a client. Which action should the nurse take to check cranial nerve VI?

Open the client’s visual acuity using a Snellen chart.

Whisper none of the client’s ears while blocking the other.

Ask the client to inspect up.

Ask the client to smile.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

Open the client’s visual acuity using a Snellen chart is incorrect. This action assesses cranial nerve II (optic nerve), which is responsible for vision. The Snellen chart is used to measure visual acuity, not the function of cranial nerve VI

Choice B Reason:

Whisper none of the client’s ears while blocking the other is incorrect. This action assesses cranial nerve VIII (vestibulocochlear nerve), which is responsible for hearing and balance. Whispering tests the auditory function of this nerve.

Choice C Reason:

Ask the client to inspect up is correct. Cranial nerve VI (abducens nerve) controls the lateral rectus muscle, which is responsible for moving the eye outward. Asking the client to look up and outward helps assess the function of this nerve.

Choice D Reason:

Ask the client to smile is incorrect. This action assesses cranial nerve VII (facial nerve), which controls the muscles of facial expression. Smiling tests the motor function of this nerve.

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Correct Answer is ["A"]

Explanation

Choice A reason: Pee privacy

Ensuring privacy for a patient, especially one who is pregnant, is crucial. Privacy helps maintain the patient’s dignity and comfort during medical procedures. It also fosters a trusting relationship between the patient and the healthcare provider. In this context, “Pee privacy” likely refers to ensuring the patient has privacy when providing a urine sample, which is a common procedure during pregnancy check-ups to monitor for conditions like gestational diabetes or preeclampsia.

Choice B reason: Otoscope

An otoscope is a medical device used to look into the ears. While it is an essential tool in many medical examinations, it is not specifically related to the care of a pregnant patient unless there is a specific concern about ear health. Therefore, this choice is less relevant in the context of routine pregnancy care.

Choice C reason: Tannic acid

Tannic acid is a substance that can be used for various medical purposes, including treating burns and stopping bleeding. However, it is not typically associated with routine pregnancy care. Its inclusion in this list seems out of place unless there is a specific, unusual medical condition being addressed.

Choice D reason: Pupil dilation

Pupil dilation is a procedure often performed during eye examinations to allow a better view of the retina and other structures inside the eye. While important in ophthalmology, it is not a standard procedure in the care of a pregnant patient unless there is a specific concern about the patient’s vision or eye health.

Correct Answer is ["3"]

Explanation

Step-by-Step Calculation:

Step 1: Determine the dose required.

Dose required = 1.5 mg

Step 2: Determine the dose available per tablet.

Dose available per tablet = 0.5 mg

Step 3: Calculate the number of tablets needed.

Number of tablets = Dose required ÷ Dose available per tablet
Number of tablets = 1.5 mg ÷ 0.5 mg/tablet

Step 4: Perform the division.

1.5 ÷ 0.5 = 3

Result: The nurse should administer 3 tablets.

Therefore, the nurse should administer 3 tablets.

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A nurse is preparing to assess a client. Which action should the nurse take to check cranial nerve VI?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who is pregnant. Check the name tag (select all that apply):

Correct Answer is ["A"]

Explanation

A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

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