The six (6) eye muscles that control eye movement are innervated by cranial nerves:
I, II, V.
III, IV, VI.
III, V, XI.
II, V, VI. .
The Correct Answer is B
Choice A rationale
Cranial nerve I (olfactory) is responsible for smell, and cranial nerve II (optic) is responsible for vision. Cranial nerve V (trigeminal) is involved in facial sensation and mastication. These nerves are not primarily involved in controlling the extrinsic eye muscles responsible for eye movement.
Choice B rationale
Cranial nerve III (oculomotor) innervates the superior, inferior, and medial recti, and the inferior oblique muscles, and controls eyelid elevation. Cranial nerve IV (trochlear) innervates the superior oblique muscle. Cranial nerve VI (abducens) innervates the lateral rectus muscle. Together, these three cranial nerves precisely coordinate all six extraocular muscles for conjugate gaze.
Choice C rationale
While cranial nerve III (oculomotor) is correctly identified, cranial nerve V (trigeminal) and cranial nerve XI (accessory) are not primarily involved in eye movement. Cranial nerve V is involved in facial sensation and mastication, and cranial nerve XI innervates the sternocleidomastoid and trapezius muscles for head and shoulder movement.
Choice D rationale
Cranial nerve II (optic) is responsible for vision, transmitting visual information from the retina to the brain. Cranial nerve V (trigeminal) is involved in facial sensation and chewing. Cranial nerve VI (abducens) is correctly identified as innervating the lateral rectus, but the other two nerves listed do not control the majority of eye movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Allergic reactions involve the body's immune system producing antibodies, not antigens, in response to a specific drug perceived as a foreign substance. Antigens are typically the foreign substances that trigger the immune response. This sensitization leads to the release of inflammatory mediators upon subsequent exposure.
Choice B rationale
Allergic reactions can occur at any time, including on initial exposure or after repeated exposures to a drug, not solely after discontinuation. The immune system's memory allows for a rapid response upon re-exposure, even if discontinued for a period.
Choice C rationale
Allergic drug reactions are inherently unpredictable due to individual variability in immune responses and sensitization. While certain drug classes are more commonly associated with allergies, a specific individual's reaction cannot be foreseen.
Choice D rationale
Allergic drug reactions manifest through a wide spectrum of signs and symptoms, varying from mild dermatological reactions like urticaria and rash to severe, life-threatening anaphylaxis involving multiple organ systems, including respiratory and cardiovascular compromise.
Correct Answer is D
Explanation
Choice A rationale
Having the patient lie flat before administering medications through a tube increases the risk of aspiration, as gastric contents can reflux into the esophagus and potentially enter the airway. Proper patient positioning is crucial to promote safe medication delivery and prevent pulmonary complications.
Choice B rationale
Administering medications when gastric residual volume is 200 mL or more is generally not recommended. A high residual volume indicates delayed gastric emptying, increasing the risk of aspiration and potentially affecting medication absorption. Typically, residuals of 200-250 mL or more warrant holding the feeding and reassessing.
Choice C rationale
Mixing all medications together before administration is often inappropriate and can lead to several problems. Drug incompatibilities can occur, altering medication effectiveness, causing precipitation, or leading to tube occlusion. Each medication should generally be administered separately, flushed with water between doses.
Choice D rationale
Elevating the head of the patient's bed to at least 30 degrees before administering medications through a tube significantly reduces the risk of aspiration. This semi-Fowler's position utilizes gravity to keep gastric contents in the stomach, promoting safe passage of medications and minimizing reflux into the esophagus and lungs.
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