Which of the following tests would be most appropriate for the nurse to use when assessing motor function of the trigeminal nerve?

Assess dilatation of pupils with direct light.

Ask the client to differentiate between sharp and dull sensations on the client's face.

Palpates temporal and masseter muscles while client clenches teeth.

Have the client smile, frown, and wrinkle the forehead.

Answer and Explanation

The Correct Answer is C

A.   This test assesses the function of the oculomotor nerve (CN III), not the trigeminal nerve. The oculomotor nerve controls the constriction and dilation of the pupils, as well as some eye movements. Therefore, this choice is not appropriate for assessing the trigeminal nerve.
B.   This test assesses the sensory function of the trigeminal nerve (CN V). The trigeminal nerve provides sensation to the face, and testing the ability to differentiate between sharp and dull sensations evaluates

the sensory component of this nerve. However, this test does not assess the motor function of the trigeminal nerve.
C.   This test evaluates the motor function of the trigeminal nerve. The trigeminal nerve controls the muscles involved in chewing, including the temporal and masseter muscles. By palpating these muscles while the client clenches their teeth, the nurse assesses the strength and function of these muscles, which are innervated by the trigeminal nerve. This is a direct test of motor function for CN V.
D.   This test assesses the function of the facial nerve (CN VII), which controls the muscles of facial expression. It is not relevant for assessing the trigeminal nerve, which is involved in both sensory functions of the face and motor functions related to chewing.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Expressive aphasia (also known as Broca’s aphasia) is a condition where the individual has difficulty producing speech or writing, despite having relatively intact comprehension and awareness of their

communication difficulties. This condition often results from damage to Broca’s area in the left frontal lobe of the brain
B. Aphonia refers to the loss of voice or the inability to produce vocal sounds. It is typically associated with a physical issue affecting the vocal cords or larynx, such as vocal cord paralysis or severe laryngitis. Aphonia does not necessarily affect comprehension or the ability to understand speech, but rather the ability to produce sound.
C. Receptive aphasia (also known as Wernicke’s aphasia) is characterized by difficulty understanding or processing language, despite fluent speech production. Individuals with receptive aphasia often speak in long sentences that lack meaning or include incorrect or nonsensical words, and they have impaired comprehension
D. Dysphonia refers to difficulty in producing speech due to issues with the voice, such as hoarseness or discomfort, often related to vocal cord problems. While it affects the quality of the voice, it does not necessarily impact the ability to understand language or produce speech in a meaningful way. Dysphonia is not the correct choice for the scenario described.

A. Hallucination B. Perseveration C. Fugue state D. Illusion

Correct Answer is A

Explanation

A. A hallucination is a sensory experience that occurs without any external stimulus. It involves perceiving things that are not present in the environment, such as hearing voices or seeing things that are not there. The young man hearing his deceased sister talking to him in his head is an example of an auditory hallucination, which is a common symptom in schizophrenia.
B. Perseveration is the repetitive and persistent repetition of a particular response, such as a word or action, despite the absence of a stimulus or the problem being resolved. It is not related to abnormal sensory perceptions but rather to repetitive behaviors or speech. The young man's experience of hearing voices does not fit this description.
C. A fugue state is a type of dissociative disorder where a person suddenly and unexpectedly travels away from home or customary work locations and cannot recall their past. It often involves amnesia for personal history. The scenario described does not involve such travel or amnesia but rather auditory experiences, making this term irrelevant.
D. An illusion is a misperception of an actual external stimulus. It involves incorrectly interpreting a real sensory input, such as mistaking a shadow for a person. Since the young man is not misinterpreting a real external stimulus but rather hearing something that is not present at all, an illusion does not accurately describe his experience.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following tests would be most appropriate for the nurse to use when assessing motor function of the trigeminal nerve?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a health history with a client who has recently had a stroke. The nurse notes the client is unable to speak, although his comprehension/ understanding is intact. Which disorder of speech is the nurse observing in this client?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

While conducting an assessment the nurse suspects that a client is making up things in response to specific questions. What behavior is this client demonstrating?

During an assessment, the nurse asks a client to explain what the following means: "A penny saved is a penny earned." The nurse is assessing which of the following?

Stroke Warning signs includes? Select all that applied.

When implementing nursing interventions for a client who has attempted suicide, which of the following is most important?

The nurse places a coin in the patient's hand, the patient is with eyes closed. The ability to identify an object by feeling it is defined as:

In the Neuro ICU (intensive care unit) while performing a neurological assessment of the patient the nurse noticed the patient: patient opens eyes, looks at you, responds slowly, and is somewhat confused. What level of consciousness (LOC) is this patient presenting?

A 75-year-old male patient who recently started playing Tennis at the local adult care center is complaining of elbow pain associated with extension and flexion range of movement. The nurse knows the likely cause of this patient discomfort is due to:

A nurse is having difficulty eliciting a patellar reflex. Which of the following would be most appropriate for the nurse to have the client do?