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.

Demonstrates the ability to hear normal conversation.

Moves the head and shoulders against resistance with equal strength

Follows an object with his or her eyes without nystagmus or strālismus

Sticks out the tongue midline without tremors or deviation.

Answer and Explanation

The Correct Answer is B

A.   This tests cranial nerve VIII (vestibulocochlear), not cranial nerve XI.
B.   Moves the head and shoulders against resistance with equal strength. Cranial nerve XI (accessory nerve) innervates the sternocleidomastoid and trapezius muscles. The expected response would be equal strength when the patient moves their head and shoulders against resistance.
C.   Follows an object with his or her eyes without nystagmus or strabismus. This describes the function of cranial nerve II (optic) or cranial nerve III (oculomotor), not cranial nerve XI.
D.   Sticks out the tongue midline without tremors or deviation. This tests cranial nerve XII (hypoglossal), not cranial nerve XI.

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Correct Answer is D

Explanation

A. Although the medical record can provide background information, it does not give the real-time assessment of the patient's current functional abilities.
B. While this information can be valuable, observing the patient directly provides the most accurate assessment of his abilities.
C. The physician’s perspective is important but may not fully capture the patient's day-to-day functional capacity.
D. Direct observation allows the nurse to assess the patient’s current functional status and make necessary adjustments to the care plan.

A. Basal ganglia are responsible for controlling voluntary movements B. Hypothalamus controls temperature and regulates sleep C. Temporal lobe controls sensations and visual reception D. Cerebellum is the center for speech and emotions

Correct Answer is A

Explanation

A. The basal ganglia play a crucial role in initiating and coordinating voluntary movements, and their dysfunction is associated with disorders such as Parkinson's disease.
B. The hypothalamus does regulate temperature and sleep, but it also regulates other critical functions like hunger, thirst, and hormone release, making this statement incomplete.
C. The parietal lobe primarily handles sensations and the occipital lobe is mainly involved in visual reception.
D. The cerebellum primarily manages coordination and balance. Speech and emotional regulation are functions of other parts of the brain, such as the frontal and temporal lobes.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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