Which general survey question focuses on the common "fifth vital sign"?

"When was the last time you experienced a fever?"

"Do you consider yourself a happy person?"

"Do you monitor your blood pressure regularly?"

"Are you experiencing any pain right now?"

Answer and Explanation

The Correct Answer is D

A. "When was the last time you experienced a fever?": This question pertains to the assessment of body temperature, which is part of the vital signs but not the "fifth vital sign."

B. "Do you consider yourself a happy person?": This question focuses on emotional well-being, not the "fifth vital sign."

C. "Do you monitor your blood pressure regularly?": This pertains to blood pressure monitoring, which is one of the vital signs but not the "fifth vital sign."

D. "Are you experiencing any pain right now?": Pain is often referred to as the "fifth vital sign" and is assessed to understand a patient's overall health and comfort.

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Correct Answer is A

Explanation

A. Tuning fork: A tuning fork is used in auditory assessments, such as hearing tests, to evaluate hearing loss and bone conduction.

B. Stethoscope: While a stethoscope is essential for auscultation of heart and lung sounds, it is not used for examining the ears.

C. Ophthalmoscope: An ophthalmoscope is used for examining the eyes, not the ears.

D. Tongue depressor: A tongue depressor is used for examining the mouth and throat, not the ears.

A. VII B. XII C. V D. II

Correct Answer is A

Explanation

A. VII: The Facial nerve (VII) is responsible for taste sensation in the anterior two-thirds of the tongue. An inability to taste in this area indicates a dysfunction in this nerve.

B. XII: The Hypoglossal nerve (XII) controls tongue movements but does not involve taste sensation.

C. V: The Trigeminal nerve (V) provides sensation to the face and mouth but is not responsible for taste.

D. II: The Optic nerve (II) is involved in vision, not taste.

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Which general survey question focuses on the common "fifth vital sign"?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a head-to-toe assessment and is preparing to examine the client's ears. Which equipment would the nurse need to have readily available?

Correct Answer is A

Explanation

A patient is unable to taste in the 2/3 anterior of his tongue. Which cranial nerve is affected?

Correct Answer is A

Explanation

When performing a head-to-toe assessment, during which part would the nurse assess the motor function of cranial nerve VII?

While inspecting the external eye of a client, the nurse notes that the client's right eyelid droops. Which term would the nurse use to document this finding?

Which type of assessment includes a health history and physical assessment?

When performing a head-to-toe assessment, during which part would the nurse assess the sensory function of cranial nerve VIII?

When performing a head-to-toe assessment, during which part would the nurse evaluate cranial nerve (CN) IX, X, and XII?

During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

During chest auscultation, the nurse hears a quiet murmur immediately upon placing the stethoscope on the client's chest. The nurse interprets this as which grade?

Use of tobacco products and excessive alcohol consumption are principal risk factors for oral carcinoma.