The nursing preceptor is observing the nursing student providing a neurological assessment focusing on various tests for cerebellar function. What would be the priority test the preceptors should expect the student to perform on their client?

Graphesthesia

Stereognosis

Vibration

Gait and balance

Answer and Explanation

The Correct Answer is D

Choice A reason: Graphesthesia tests parietal lobe sensory processing, not cerebellar function. The cerebellum coordinates movement, not cortical interpretation, making this irrelevant to assessing ataxia or balance issues expected in a cerebellar-focused exam entirely here fully.
Choice B reason: Stereognosis assesses parietal tactile recognition, not cerebellar motor control. This sensory test misses the cerebellum’s role in coordination and balance, excluding it as a priority for evaluating cerebellar dysfunction in this assessment comprehensively.
Choice C reason: Vibration tests posterior column sensation, not cerebellar function. While neurological, it targets spinal pathways, not the cerebellum’s coordination role, rendering it secondary to movement-based tests for cerebellar evaluation in this context fully here.
Choice D reason: Gait and balance directly assess cerebellar function, critical for coordination. Ataxia or wide-based gait from cerebellar damage makes this the priority test, aligning with the preceptor’s focus on cerebellar performance accurately and effectively here.

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Correct Answer is B

Explanation

Choice A reason: Paraphimosis involves foreskin retraction, not meatal position, and isn’t prostate-related. Dorsal urethral meatus points to a congenital defect, not this acquired condition, making it an incorrect concern for this genitourinary finding entirely here fully.
Choice B reason: Epispadias is a congenital dorsal urethral opening, a key concern in males. This abnormal positioning may cause urinary issues or infertility, making it the most significant finding requiring attention in this assessment accurately and comprehensively here.
Choice C reason: Urethral stricture narrows the urethra, not shifting its position dorsally. This acquired issue isn’t bladder-specific, misaligning with the congenital anomaly observed, excluding it as the primary concern in this genitourinary exam fully here.
Choice D reason: Age doesn’t reposition the urethral meatus dorsally; this is congenital, not degenerative. Normal aging affects prostate size, not meatal anatomy, rendering this less critical than epispadias as the identified issue in this case entirely here.

A. Bell palsy B. Leukoplakia C. Nasal polyps D. Lesion of cranial nerve V

Correct Answer is C

Explanation

Choice A reason: Bell palsy affects cranial nerve VII, causing facial paralysis, not smell, which is cranial nerve I’s domain. A week of anosmia doesn’t align with this motor nerve issue, ruling it out as a cause of olfactory dysfunction here.

Choice B reason: Leukoplakia involves oral white patches, unrelated to smell, which cranial nerve I governs. It’s a mucosal condition, not nasal, missing the anatomical link to olfactory loss reported by the client over the past week entirely.

Choice C reason: Nasal polyps, benign growths in nasal passages, obstruct airflow, impairing cranial nerve I’s smell function. A week-long decrease fits this common cause, making it the priority to assess for physical blockage or inflammation in the nasal cavity accurately.

Choice D reason: Cranial nerve V (trigeminal) handles facial sensation, not smell, which is cranial nerve I’s role. A lesion here causes pain or numbness, not anosmia, excluding it as a relevant condition for this olfactory complaint specifically and fully.

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The nursing preceptor is observing the nursing student providing a neurological assessment focusing on various tests for cerebellar function. What would be the priority test the preceptors should expect the student to perform on their client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing a genitourinary assessment of an older male patient, the nurse notes that the urethral meatus is positioned dorsally. What is the most important concern the nurse identifies from their assessment?

Correct Answer is B

Explanation

The client reports a decreased sense of smell for the past week. Which condition would the nurse assess for?

Correct Answer is C

Explanation

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