During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

Motor component of CN IV

Motor component of CN VI

Motor and sensory components of CNX

Motor component of CN VII

Answer and Explanation

The Correct Answer is D

A.   The trochlear nerve controls the superior oblique muscle of the eye and is not related to facial movements.
B.   The abducens nerve controls the lateral rectus muscle of the eye, responsible for eye movement, not facial muscles.
C.   The vagus nerve affects the soft palate, pharynx, and larynx, but does not contribute to facial expression.
D.   Asymmetry in facial movements, like smiling, frowning, and puffing the cheeks, suggests dysfunction of the facial nerve (CN VII).

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Correct Answer is C

Explanation

A. Hormonal changes can occur, but they typically do not cause significant vasodilation or hypotension in the elderly.
B. Atrophy of the muscles causing venous insufficiency. While venous insufficiency can occur in aging, muscle atrophy is not the primary factor in this issue.
C. Peripheral blood vessels become more rigid producing a rise in systolic blood pressure. This is a common and expected finding in the elderly due to arteriosclerosis, leading to increased systolic blood pressure.
D. The inferior vena cava does not typically narrow with age, and varicosities are more likely due to vein elasticity changes, not narrowing.

A. Large body stature B. History of bone fracture during childhood C. Smokes 1 pack of cigarettes per day D. Drinks one alcoholic beverage per day

Correct Answer is C

Explanation

A. Larger body size does not increase the risk for osteoporosis. In fact, individuals with a larger body may have more bone mass, offering some protection.
B. Although a history of fractures may indicate fragile bones, childhood fractures do not significantly contribute to the development of osteoporosis in adulthood.
C. Smoking is a well-established risk factor for osteoporosis. It reduces bone density and impairs bone regeneration, making smokers more prone to fractures and bone loss.
D. While excessive alcohol consumption can increase the risk of osteoporosis, consuming one alcoholic beverage per day is generally considered moderate and does not pose a high risk for osteoporosis by itself.

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During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

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Naxlex Comprehensive Predictor Exams

During a cardiovascular assessment of an 80-year-old adult, a nurse should consider which of the following as expected findings?

Correct Answer is C

Explanation

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

Correct Answer is C

Explanation

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:

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When performing a physical assessment of a client's maxillary the nurse should.

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