The nurse performs that technique shown when assessing the client. What cranial nerve is the nurse assessing?

XII

VII

Answer and Explanation

The Correct Answer is C

A. XII: Cranial nerve XII (hypoglossal) controls tongue movements, but is not typically assessed by the technique described.

B. V: Cranial nerve V (trigeminal) is assessed for facial sensation and mastication, not the technique in question.

C. VII: Cranial nerve VII (facial) is responsible for facial expressions and is assessed by asking the client to perform various facial movements.

D. XI: Cranial nerve XI (accessory) is involved in shoulder and neck movements, not facial expressions.

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Correct Answer is A

Explanation

A. Reduce all environmental noise: Minimizing environmental noise ensures that bowel sounds can be clearly heard during auscultation.

B. Percuss the region before auscultating: Percussion is not necessary before auscultation for detecting bowel sounds; auscultation should be done first.

C. Palpate the region before auscultating: Palpation can alter bowel sounds or cause false findings, so it is best to auscultate first.

D. Assist the client to a sitting position: The client’s position is less critical than reducing background noise; the client can be in various positions as long as the area is accessible.

A. Blood pressure pattern B. Dyspnea C. Vision Acuity D. Peripheral Edema E. Constipation

Correct Answer is ["A","B","D"]

Explanation

Rationale:
A. Blood pressure pattern: Monitoring blood pressure patterns is essential for evaluating cardiovascular health as it provides information on hypertension or hypotension, which are significant for heart function.

B. Dyspnea: Dyspnea (difficulty breathing) can indicate cardiovascular issues such as heart failure, making it a relevant aspect of cardiovascular assessment.

C. Vision Acuity: While vision acuity is important for overall health, it is not directly related to cardiovascular assessment and does not provide specific information about heart or vascular health.

D. Peripheral Edema: Peripheral edema (swelling in the extremities) can be a sign of cardiovascular problems like heart failure or venous insufficiency, thus important for cardiovascular assessment.

E. Constipation: Although constipation affects general health, it does not directly relate to cardiovascular assessment and is not typically included in this context.

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The nurse performs that technique shown when assessing the client. What cranial nerve is the nurse assessing?

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Naxlex Comprehensive Predictor Exams

The nurse is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

Correct Answer is A

Explanation

The nurse is assessing a client's cardiovascular status within the comprehensive health history. What should the nurse include in this section of the assessment? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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