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. History of present illness: The OLD CART mnemonic is used to evaluate the characteristics of a symptom, which is documented under the history of present illness.

B. Initial Information: This section includes basic demographic and background information rather than detailed symptom analysis.

C. Review of Systems: This section includes a systematic review of body systems and their functions, not the detailed attributes of a specific symptom.

D. Health Patterns: This section covers the client’s overall health patterns and lifestyle but not the detailed attributes of a specific symptom.

A. 4+ B. 2+ C. 1+ D. 3+

Correct Answer is D

Explanation

A. 4+: This indicates very brisk reflexes with possible clonus, which is more than just brisk reflexes.

B. 2+: This indicates normal reflexes, not brisk.

C. 1+: This indicates diminished or hypoactive reflexes, not brisk.

D. 3+: This indicates brisk reflexes, which are faster than normal but without evidence of clonus.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the seven attributes of a client's symptom using the mnemonic OLD CART. In which section of the comprehensive health history will the nurse document this information?

Correct Answer is A

Explanation

The nurse assesses brisk reflexes in a client. The nurse would document this finding as which of the following?

Correct Answer is D

Explanation

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