A nurse is preparing to perform a cranial nerve examination for a client. Which of the following actions should the nurse take to check cranial nerve XI?

Have the client identify specific smells.

Check the client's visual acuity using a Snellen chart.

Observe for the ability of the client to turn their head side to sidê.

Whisper in one of the client's ears while occluding the other.

Answer and Explanation

The Correct Answer is C

A.   Identifying specific smells checks cranial nerve I (olfactory).
B.   Checking visual acuity with a Snellen chart assesses cranial nerve II (optic).
C.   Observing for the ability to turn the head side to side tests cranial nerve XI (accessory), which controls the sternocleidomastoid and trapezius muscles responsible for head movement.
D.   Whispering in one ear while occluding the other tests cranial nerve VIII (vestibulocochlear).

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Correct Answer is D

Explanation

A. A nodule is a solid, raised lesion that is typically larger than 1 cm in diameter and extends deeper into the skin.
B. A papule is a small, raised, solid lesion, less than 1 cm, but not typically used for documenting freckles.
C. A wheal is a raised, erythematous area, often a result of an allergic reaction, not a freckle.
D. A macule is a flat, pigmented area of skin, less than 1 cm in diameter, which accurately describes freckles.

A. Macular degeneration B. Diabetic retinopathy C. Cataracts D. Glaucoma

Correct Answer is C

Explanation

A. Macular degeneration: This condition affects the macula, leading to central vision loss, not cloudiness in the lens.
B. Diabetic retinopathy: This condition affects the blood vessels of the retina and can cause vision loss, but it does not cause cloudiness in the lens.
C. Cataracts: Cataracts cause the lens of the eye to become cloudy or opaque, leading to blurred or reduced vision.
D. Glaucoma: Glaucoma affects the optic nerve and can cause peripheral vision loss but does not cause cloudiness in the lens.

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A nurse is preparing to perform a cranial nerve examination for a client. Which of the following actions should the nurse take to check cranial nerve XI?

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Naxlex Comprehensive Predictor Exams

When assessing a client's skin, the nurse finds freckles. How would the nurse document the lesions?

Correct Answer is D

Explanation

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?

Correct Answer is C

Explanation

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