The nurse performs that technique shown when assessing the client. What cranial nerve is the nurse assessing?
XII
V
VII
XI
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A. Moist nasal mucosa: This is generally a normal finding and does not usually require immediate follow-up unless there are other symptoms suggesting infection or other issues.
B. Cerumen in the ear: While cerumen can impact hearing, it is typically not an urgent issue and can be managed with appropriate ear care.
C. Enlarged lymph node in the neck: Enlarged lymph nodes can indicate an underlying infection or malignancy, especially if persistent or accompanied by other symptoms, thus requiring immediate follow-up.
D. Acne lesions on the face and upper chest: Acne is common and usually not an urgent concern unless it is severe or causing significant distress.
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