How would the nurse assess CN VIII Acoustic, vestibulocochlear: Select all that Apply

Weber test

Magazine

Rhine test

Whispered voice test

Answer and Explanation

Correct Answer : A,C,D

A. Weber test: The Weber test is used to assess hearing by placing a vibrating tuning fork on the center of the forehead. It helps evaluate lateralization of sound and can indicate whether hearing loss is conductive or sensorineural. This test is pertinent for assessing CN VIII, which is responsible for hearing.
B. Magazine: This option is not relevant to the assessment of CN VIII. A magazine is not used in evaluating hearing or vestibular function. The appropriate assessments for CN VIII focus on hearing and balance.
C. Rinne test: The Rinne test involves placing a vibrating tuning fork on the mastoid bone and then near the ear canal to compare air conduction (AC) and bone conduction (BC) of sound. This test helps differentiate between conductive and sensorineural hearing loss and is directly related to assessing CN VIII.
D. Whispered voice test: This test involves the nurse whispering numbers or words while occluding one ear and assessing the client's ability to hear and repeat them. It is a simple way to assess hearing ability and thus evaluates the function of CN VIII.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A) This is an abnormal breath sound due to bronchial airways being narrowed, bronchoconstriction: Wheezing is an abnormal breath sound characterized by a high-pitched whistling noise produced during breathing. It occurs when the bronchial airways are narrowed due to bronchoconstriction, inflammation, or mucus, common in conditions like asthma. This narrowing of the airways creates turbulent airflow, leading to the wheezing sound.

B) This is a normal breath sound due to normal gas exchange: Wheezing is not a normal breath sound and is indicative of an obstruction or narrowing in the airways. Normal breath sounds, such as vesicular breath sounds, are smooth and do not include wheezing.

C) This is an abnormal breath sound due to bronchial airways being dilated, bronchodilation: Wheezing results from airway narrowing, not dilation. Bronchodilation, which is the widening of the airways, would typically reduce or resolve wheezing rather than cause it.

D) This is a normal breath sound due to the alveoli being fluid-filled: Wheezing is related to airway narrowing rather than fluid in the alveoli. Fluid in the alveoli would more commonly cause crackles or rales, not wheezing.

A. the tricuspid area. B. Erb's point. C. the mitral area. D. the aortic area.

Correct Answer is D

Explanation

A) The tricuspid area: The tricuspid area is located at the lower left sternal border, around the 4th or 5th intercostal space. It is where the tricuspid valve sounds are best heard, not the area for auscultating the 2nd rib space.
B) Erb's point: Erb's point is located at the left sternal border in the 3rd intercostal space. It is a key area for auscultating both the aortic and pulmonic valves, as well as the mitral and tricuspid valves, but it is not associated with the right 2nd rib space.
C) The mitral area: The mitral area, also known as the mitral valve area, is located at the 5th intercostal space at the midclavicular line on the left side. This area is used for auscultating the mitral valve, not the right 2nd rib space.
D) The aortic area: The right 2nd rib space, also known as the 2nd intercostal space at the right sternal border, is the location where the aortic valve sounds are best auscultated. This area is used to listen to the aortic valve's closure and is the first location for cardiac auscultation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

How would the nurse assess CN VIII Acoustic, vestibulocochlear: Select all that Apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nursing student asked the respiratory floor nurse why the adventitious wheezing breath sounds are present in asthmatic patients. The nurse should respond:

Correct Answer is A

Explanation

The right 2nd rib space is the first location for cardiac auscultation and is also known as:

Correct Answer is D

Explanation

How would the nurse assess CN VIII Acoustic, vestibulocochlear: Select all that Apply

A nurse is teaching a newly licensed nurse about evaluating a cardiac rhythm. Which of the following options should the nurse identify as the P wave in the ECG complex? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

A nurse is doing a community teaching about the consequences of uncontrolled hypertension. What health problems should the nurse describe? Select all that apply.

The nurse suspects an older adult client has congestive heart failure. Which of the following did the nurse most likely assess in the client?

Which of the following should the nurse include in her teaching plan to address home safety for an older adult client? (Select all that apply.)

During the physical examination of the mouth, the nurse identifies vesicular eruptions along the client's lips and surrounding skin. The nurse should document which problem?

When preparing to test a client for meningeal irritation, which of the following would be most important for the nurse to do first?

A client's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes, how should the nurse document this finding?