The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?
When the client sticks out the tongue it is in the midline and without tremors or deviation.
Client follows an object with eyes without nystagmus or strabismus.
Client demonstrates the ability to hear normal conversation.
Client moves the head and shoulders against resistance with equal strength.
The Correct Answer is D
A. Cranial Nerve XI (Accessory nerve) is not involved in tongue movement; it controls muscles involved in head and shoulder movement.
B. Eye movement and control relate more to Cranial Nerves III, IV, and VI, which control eye muscles.
C. Hearing is primarily assessed by Cranial Nerve VIII (Vestibulocochlear nerve).
D. Cranial Nerve XI innervates the sternocleidomastoid and trapezius muscles, enabling movements like head turning and shoulder shrugging against resistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The Cowper gland, also known as the bulbourethral gland, secretes a clear, mucus-like pre-ejaculate to lubricate and neutralize urethral acidity.
B.The prostate gland secretes a thin, milky alkaline fluid that nourishes and protects sperm and enhances sperm viability.
C.The bulbourethral gland (Cowper gland) is responsible for producing a clear, mucus-like pre-ejaculatethat neutralizes the urethra.
D.The median sulcus refers to a groove or depression on the surface of an organ and is not associated with secretion in the reproductive system.
Correct Answer is C
Explanation
A. Estimating the degree of flexion and extension in each joint primarily assesses the range of motion, not specifically muscle strength.
B. Measuring the degree of force required to overcome joint flexion or extension may assess resistance but doesn't directly evaluate muscle strength.
C. Applying an opposing force when the individual puts a joint in flexion or extension is an accurate method to assess muscle strength, as it evaluates the force the muscle can generate against resistance.
D. Observing muscles for contraction while lifting a heavy object evaluates muscle usage but doesn’t offer a standardized way to assess muscle strength.
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