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.

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Correct Answer is B

Explanation

A) Dysuria: Dysuria, or painful urination, is not typically associated with menopause. It is more commonly linked to urinary tract infections or other urinary tract conditions.
B) Dyspareunia: Dyspareunia, or pain during intercourse, is a common symptom experienced during menopause. Decreased estrogen levels can lead to vaginal dryness and thinning of vaginal tissues, contributing to discomfort during sexual activity.
C) Urinary frequency: While urinary frequency can be a symptom of various conditions, it is not a primary symptom of menopause. However, changes in estrogen levels can sometimes impact urinary function, but it is less common than symptoms like dyspareunia.
D) Vaginal discharge: Vaginal discharge is usually not a symptom of menopause. Instead, menopause is often associated with reduced vaginal discharge or dryness due to decreased estrogen levels. Increased discharge could indicate other issues such as infections or hormonal imbalances.

A. Assist the client to a standing position. B. Focus a penlight on the client's chest. C. Use tangential lighting D. Use perpendicular lighting.

Correct Answer is C

Explanation

A. Assist the client to a standing position: While positioning can be important for various assessments, inspecting the apical impulse is best done with the client in a supine or left lateral position. Standing may not provide the best view or palpation for the apical impulse, which is usually assessed more accurately in a different position.

B. Focus a penlight on the client's chest: A penlight alone may not provide sufficient illumination for detailed inspection of the apical impulse. It is more important to use appropriate lighting techniques to ensure a clear view of the heart's movements.

C. Use tangential lighting: Tangential lighting is particularly useful for inspecting and palpating the apical impulse because it casts light across the surface, highlighting contours and movements. This type of lighting helps the nurse visualize the apical impulse more clearly by creating shadows that accentuate the impulse's presence and movements.

D. Use perpendicular lighting: Perpendicular lighting might not be as effective in highlighting the subtle movements of the apical impulse. Tangential lighting is preferred because it creates shadows and contrasts that make the apical impulse more visible and easier to assess.

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

The nurse is planning to inspect a client's apical heart impulses. What should the nurse do to ensure an accurate assessment of this organ?

Correct Answer is C

Explanation

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

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