A patient is unable to taste in the 2/3 anterior of his tongue. Which cranial nerve is affected?

VII

XII

Answer and Explanation

The Correct Answer is A

A. VII: The Facial nerve (VII) is responsible for taste sensation in the anterior two-thirds of the tongue. An inability to taste in this area indicates a dysfunction in this nerve.

B. XII: The Hypoglossal nerve (XII) controls tongue movements but does not involve taste sensation.

C. V: The Trigeminal nerve (V) provides sensation to the face and mouth but is not responsible for taste.

D. II: The Optic nerve (II) is involved in vision, not taste.

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Correct Answer is D

Explanation

A. "When was the last time you experienced a fever?": This question pertains to the assessment of body temperature, which is part of the vital signs but not the "fifth vital sign."

B. "Do you consider yourself a happy person?": This question focuses on emotional well-being, not the "fifth vital sign."

C. "Do you monitor your blood pressure regularly?": This pertains to blood pressure monitoring, which is one of the vital signs but not the "fifth vital sign."

D. "Are you experiencing any pain right now?": Pain is often referred to as the "fifth vital sign" and is assessed to understand a patient's overall health and comfort.

A. Blood pressure pattern B. Dyspnea C. Vision Acuity D. Peripheral Edema E. Constipation

Correct Answer is ["A","B","D"]

Explanation

Rationale:
A. Blood pressure pattern: Monitoring blood pressure patterns is essential for evaluating cardiovascular health as it provides information on hypertension or hypotension, which are significant for heart function.

B. Dyspnea: Dyspnea (difficulty breathing) can indicate cardiovascular issues such as heart failure, making it a relevant aspect of cardiovascular assessment.

C. Vision Acuity: While vision acuity is important for overall health, it is not directly related to cardiovascular assessment and does not provide specific information about heart or vascular health.

D. Peripheral Edema: Peripheral edema (swelling in the extremities) can be a sign of cardiovascular problems like heart failure or venous insufficiency, thus important for cardiovascular assessment.

E. Constipation: Although constipation affects general health, it does not directly relate to cardiovascular assessment and is not typically included in this context.

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A patient is unable to taste in the 2/3 anterior of his tongue. Which cranial nerve is affected?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which general survey question focuses on the common "fifth vital sign"?

Correct Answer is D

Explanation

The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

The nurse is assessing the seven attributes of a client's symptom using the mnemonic OLD CART. In which section of the comprehensive health history will the nurse document this information?

While inspecting the external eye of a client, the nurse notes that the client's right eyelid droops. Which term would the nurse use to document this finding?

When assessing for appendicitis, what signs might the nurse look for? (Select all that apply.)

The nurse notes a break in the skin, which appears blister-like, it looks superficial with loss up to the dermis layer. The nurse would interpret this finding as indicating which stage of pressure ulcer?

Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment?

The nurse is conducting a health history with a female client who reports upper back and jaw pain. In order to assess the client's risk for a cardiac event, which question should the nurse ask first?

During a physical assessment, the nurse should implement which actions initially when determining if a client's radial pulse is irregular? (Select all that apply.)

When performing a head-to-toe assessment, during which part would the nurse assess the sensory function of cranial nerve VIII?