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

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

Observe for facial symmetry while the client smiles.

Have the client identify specific smells.

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

Answer and Explanation

The Correct Answer is B

A.   Check the client's visual acuity using a Snellen chart: This assesses cranial nerve II (optic), not cranial nerve VII.
B.   Observe for facial symmetry while the client smiles: This is the correct method to assess cranial nerve VII (facial nerve), which controls facial muscles, including those responsible for smiling.
C.   Have the client identify specific smells: This tests cranial nerve I (olfactory), not cranial nerve VII.

D.   Whisper in one of the client's ears while occluding the other: This assesses cranial nerve VIII (vestibulocochlear), not cranial nerve VII.

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Correct Answer is D

Explanation

A. A GCS of 15 indicates full consciousness and alertness.
B. A GCS of 12 indicates moderate impairment of consciousness.
C. A GCS of 6 indicates severe impairment, but not necessarily comatose.
D. A GCS of 8 or below is considered to indicate a comatose state.

A. The ability to hear each of the three words in the whisper test B. The ability to identify an object placed in the hand with eyes closed C. The ability to identify a letter or number drawn on the hand with eyes closed D. The ability to hear the tuning fork evenly in both ears during the Weber and Rinne tests

Correct Answer is B

Explanation

A. This refers to the ability to hear words whispered in the whisper test, which assesses hearing, not stereognosis.
B. Stereognosis is the ability to identify objects through touch alone, with the eyes closed.
C. This refers to graphesthesia, the ability to recognize writing on the skin, not stereognosis.
D. This refers to the Rinne and Weber tests, which assess hearing function, not tactile sensation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

Correct Answer is D

Explanation

What is stereognosis?

Correct Answer is B

Explanation

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