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 C

Explanation

A. Wound infection: While important to address, a wound infection does not directly impact airway, breathing, or circulation unless it leads to severe complications.

B. Bacteremia: This condition is serious and can lead to sepsis, which affects circulation, but immediate airway and breathing issues take precedence.

C. Aspiration pneumonia: This directly affects breathing by causing respiratory complications, making it a priority when considering airway and breathing issues.

D. Urinary tract infection: Although it requires treatment, it does not immediately impact airway, breathing, or circulation like aspiration pneumonia can.

A. Facial, Trigeminal, Vestibulocochlear B. Oculomotor, Trochlear, and Abducens C. Spinal Accessory, Facial, Trigeminal D. Glossopharyngeal, Vagus, Hypoglossal

Correct Answer is B

Explanation

A. Facial, Trigeminal, Vestibulocochlear: The Facial nerve (VII) controls facial expressions, the Trigeminal nerve (V) is involved in facial sensation, and the Vestibulocochlear nerve (VIII) handles hearing and balance, none of which are directly related to eye movements.

B. Oculomotor, Trochlear, and Abducens: The Oculomotor nerve (III) controls most eye movements, the Trochlear nerve (IV) controls the superior oblique muscle for downward and outward movements, and the Abducens nerve (VI) controls the lateral rectus muscle for lateral eye movement.

C. Spinal Accessory, Facial, Trigeminal: The Spinal Accessory nerve (XI) controls neck and shoulder movements, while the Facial nerve (VII) and Trigeminal nerve (V) are not involved in eye movements.

D. Glossopharyngeal, Vagus, Hypoglossal: The Glossopharyngeal nerve (IX) is involved in taste and salivation, the Vagus nerve (X) affects parasympathetic functions, and the Hypoglossal nerve (XII) controls tongue movements, none of which are related to eye movements.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When applying the principle of ABC (airway, breathing, circulation) prioritization, which complication is priority for the nurse to address?

Correct Answer is C

Explanation

Cranial nerves involved in eye movements are:

Correct Answer is B

Explanation

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