The nurse stands behind the client and whispers "5-B-6." This technique is used to assess which of the following Cranial Nerves?
Cranial Nerve VIll (Vestibulocochlear)
Cranial Nerve X (Magus)
Cranial Nerve VI (Abducens)
Cranial Nerve IV (Trochlear)
The Correct Answer is A
A. The whispered voice test is used to assess the function of Cranial Nerve VIII, which is responsible for hearing and balance. The nurse's whisper tests the auditory function of this nerve.
B. The vagus nerve is involved in swallowing, voice production, and parasympathetic functions but is not assessed by whispering.
C. This nerve controls lateral eye movement, and a whispered voice test does not assess eye movement.
D. This nerve also controls eye movement, specifically the superior oblique muscle, and is not evaluated by the whispered voice test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While this is useful for clients who know sign language, it's important to first determine the communication method that the client prefers.
B. Each client may have different preferences or needs when it comes to communication, so it’s important to assess their preferred method before taking any further steps.
C. Speaking loudly is not effective and can distort words for those with hearing impairments. The focus should be on clear communication, such as lip-reading or using writing.
D. Facial and hand gestures can be helpful for communication, especially for individuals with hearing impairments. Avoiding them is unnecessary and could hinder understanding.
Correct Answer is B
Explanation
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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