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 A

Explanation

A. Severe nystagmus is often associated with neurological disorders, particularly those affecting the cerebellum or brainstem.
B. is a sign that the patient is nervous about the examination. Nervousness typically doesn’t cause severe, persistent nystagmus.
C. Indicates a visual problem, and a referral to an ophthalmologist is indicated. While nystagmus affects vision, it is usually neurologically based, requiring a neurological assessment rather than a referral to an ophthalmologist.
D. Nystagmus is not typically normal, especially when it is severe and persistent. It warrants further investigation.

A. Bone spur B. Crepitation C. Loose tendon D. Fluid in the knee joint

Correct Answer is B

Explanation

A. A bone spur typically does not cause crunching or grating sounds and is not usually associated with morning stiffness.
B. Crepitation is the medical term for a grating or crunching sound often caused by joint issues, such as osteoarthritis, which could be the cause of the symptoms described.
C. A loose tendon would not typically cause a crunching or grating sound.
D. Fluid accumulation in the knee (effusion) would likely cause swelling and pain, but it would not typically produce a grating sound

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

Correct Answer is A

Explanation

A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

Correct Answer is B

Explanation

During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:

The nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient.

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Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

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