During an assessment of the cranial nerves (CNS), the nurse finds the following asymmetry when the client smiles or frowns, uneven lifting of the eyebrows, and escape of air when the nurse presses against the right puffed cheek. The nurse recognized that these findings indicate dysfunction of which cranial nerve(s)?

Motor component of CN X and sensory component of CN VII

Motor and sensory component of CN XI

Motor component of CN IV

Motor component of CN VII

Answer and Explanation

The Correct Answer is D

A.   Dysfunction of the motor component of CN X (vagus nerve) and sensory component of CN VII (facial nerve) would present with different symptoms, such as difficulty swallowing and impaired taste sensation, not the observed facial asymmetry and puffing of cheeks.
B.   CN XI (accessory nerve) dysfunction primarily affects the sternocleidomastoid and trapezius muscles and wouldn't cause the observed facial asymmetry.
C.   Dysfunction of CN IV (trochlear nerve) leads to issues with downward and inward eye movement, not the facial asymmetry described.
D.   Dysfunction of the motor component of CN VII (facial nerve) leads to facial asymmetry during expressions and difficulty controlling facial muscles, which matches the observed findings.

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Correct Answer is B

Explanation

A. Reassurance is important, but it should be given after a thorough assessment and appropriate actions have been taken.
B. Completing an assessment and promptly informing the physician allows for timely intervention in case of testicular torsion or other serious conditions causing severe testicular pain.
C. Performing a focused assessment is crucial but shouldn't delay immediate notification of the physician in such a critical situation.
D. Documenting pain assessment is important but not the priority when a client presents with severe, acute pain in a sensitive area like the testicles.

A. "With aging, a large amount of subcutaneous fat is lost, which gives the appearance of decreased height." B. "With aging, the spine is not as flexible, which doesn't permit the individual to stand as tall." C. "With aging, the cartilage between the bones in the spine gets worn down, which causes decreased height." D. "With aging, thickening of the intervertebral disks occurs, which causes pressure breakdown of the spinal vertebrae."

Correct Answer is C

Explanation

A. Loss of subcutaneous fat might contribute to changes in appearance but is not primarily responsible for the decrease in height with aging.
B. Reduced spinal flexibility may contribute to posture changes but doesn’t sufficiently explain the decrease in height.
C. With aging, the intervertebral discs and cartilage between spinal bones wear down, leading to a decrease in height due to changes in the spine's structure.
D. Thickening of intervertebral discs is not a typical occurrence with aging and does not explain the decrease in height.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent male is brought to the emergency department with complaints of excruciating pain in his left testicle. Which of the following should be the priority action by the nurse?

Correct Answer is B

Explanation

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

Correct Answer is C

Explanation

A client tells the nurse about being very unsteady and has difficulty in maintaining balance. The nurses recognize which area of the brain is involved and require further assessment.

The nurse is assessing a female client who reports painful menstruation. Which of the following should the nurse document in the client's record about painful menstruation?

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?

The physician comments that the client has abdominal borborygmic. The nurse recognizes that which of the following is the best description of borborygmic?

A nurse is caring for a client who has difficulty swallowing medications and food. The nurse should recognize that the client is experiencing which of the following:

The nurse is percussing a client's abdomen during a physical assessment. The nurse observes an area of dullness above the right costal margin of approximately 11 cm. Which of the following actions should the nurse take?

The nurse is teaching a male client about the reproductive system. The nurse recognizes that which structure secretes a thin, milky alkaline fluid to enhance the viability of sperm?

The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?