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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Free Nursing Study Resources

Correct Answer is ["0.25"]

Explanation

To calculate the volume of lidocaine to administer, you would use the formula: Volume = Dose / Concentration. Here, the dose needed is 50 mg, and the concentration available is 200 mg/mL. Dividing the required dose by the concentration gives: 50 mg / 200 mg/mL = 0.25 mL.

A. Inspect the nailbeds for the presence of clubbing. B. Inspect the nailbeds and mucous membranes for the presence of cyanosis. C. Palpate for areas of decreased tactile fremitus. D. Auscultate for the presence of any adventitious breath sounds.

Correct Answer is B

Explanation

A. Clubbing is a sign of chronic hypoxia, not acute hypoxemia.

B. Cyanosis, a bluish discoloration of the skin and mucous membranes, is an indicator of acute hypoxemia.

C. Palpating for decreased tactile fremitus is related to fluid or air in the lungs, not specifically hypoxemia.

D. Auscultation for adventitious breath sounds can reveal respiratory issues but does not directly confirm hypoxemia.

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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

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.25"]

Explanation

You are examining a client with respiratory distress. Which physical assessment would best determine if the client has acute hypoxemia?

Correct Answer is B

Explanation

What physical assessment technique would the nurse use to obtain a pulse on a client?

A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which assessment findings for this client.

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The nurse performs an admission assessment on a client admitted with chest pain. The nurse knows that using the bell of the stethoscope is appropriate to auscultate for which type of sounds?

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Select the words from the choices below to fill in each blank in the sentences. The client is most likely exhibiting dropdown . dropdown .is an appropriate nursing intervention.