While conducting a focused neurological assessment, the nurse includes testing the function of cranial nerve XI in a client. What assessment findings indicate the nerve is intact and functioning?

The client is able to stick out the tongue midline and side to side.

The client follows an object with the eyes without nystagmus or strabismus.

The client has equal strength when moving both shoulders against resistance.

The client is able to hear normally with the whispered voice test.

Answer and Explanation

The Correct Answer is C

A. Sticking out the tongue assesses cranial nerve XII (hypoglossal nerve), not XI.

B. Following an object with the eyes assesses cranial nerves III, IV, and VI, not XI.

C. Cranial nerve XI (the accessory nerve) controls the sternocleidomastoid and trapezius muscles, and testing involves shoulder shrugging and head rotation against resistance.

D. Hearing normally assesses cranial nerve VIII (vestibulocochlear nerve).

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Correct Answer is {"dropdown-group-1":"B"}

Explanation

Hand hygiene is universally recognized as one of the most effective measures to prevent the transmission of infections, including respiratory illnesses like influenza and secondary infections such as acute otitis media. Proper handwashing significantly reduces the risk of spreading pathogens.

A. Have the place a plastic bag over their head and breathe. B. Teach the client breathing techniques that focus on breathing and relaxing C. Position the client in a high-Fowler position. D. Encourage the client to try to remain calm.

Correct Answer is B

Explanation

A. Having the client place a plastic bag over their head is dangerous and should never be done.

B. Teaching breathing techniques, such as diaphragmatic breathing or using a paper bag, helps the client retain more carbon dioxide and can prevent respiratory alkalosis.

C. Positioning the client in a high-Fowler position may be helpful for breathing but does not address hyperventilation or respiratory alkalosis directly.

D. While encouraging the client to remain calm may help, it is not as effective as teaching specific breathing techniques.

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While conducting a focused neurological assessment, the nurse includes testing the function of cranial nerve XI in a client. What assessment findings indicate the nerve is intact and functioning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"B"}

Explanation

A nurse in the community clinic is providing care to a client who is anxious and hyperventilating. What should the nurse do to reduce the risk of respiratory alkalosis?

Correct Answer is B

Explanation

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