While taking a history, the nurse observes that the patient's facial cranial nerves (CN VII) are intact based on which behaviors of the patient?

The sides of the mouth are symmetric when the patient smiles.

The patient's eyes move to the left, right, up, down, and obliquely during conversation.

The patient's eyelids blink periodically.

The patient moistens the lips with the tongue.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The sides of the mouth being symmetric when the patient smiles indicate intact function of the facial cranial nerve (CN VII). This nerve controls the muscles responsible for facial expressions, including smiling, frowning, and closing the eyes. Symmetry in these actions suggests that the facial nerve is functioning properly and that there is no nerve damage or weakness.

Choice B rationale

The patient's eyes moving to the left, right, up, down, and obliquely during conversation are functions of the oculomotor nerve (CN III), trochlear nerve (CN IV), and abducens nerve (CN VI), not the facial cranial nerve (CN VII). These nerves work together to control the movements of the eye muscles, enabling the eyes to move in different directions and maintain proper alignment.

Choice C rationale

Periodic blinking of the eyelids involves the oculomotor nerve (CN III) and the facial nerve (CN VII). The oculomotor nerve controls the muscles that lift the eyelid, while the facial nerve controls the muscles that close the eyelid. Blinking is a coordinated action involving both nerves, but the observation alone is not sufficient to determine the integrity of CN VII.

Choice D rationale

The patient moistening the lips with the tongue involves the function of the hypoglossal nerve (CN XII), which controls the movements of the tongue. The hypoglossal nerve is responsible for the motor control of most of the tongue muscles, allowing for actions like licking the lips, speaking, and swallowing. It is not related to the facial cranial nerve (CN VII).

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Vitiligo is a condition caused by the destruction or malfunction of melanocytes, the cells responsible for producing melanin pigment. This leads to the development of white patches on the skin, as melanin is absent in these areas. Vitiligo is an autoimmune condition and can affect any part of the body, including the skin, hair, and mucous membranes.

Choice B rationale

Excess apocrine glands in the feet are not related to vitiligo. Apocrine glands are sweat glands found primarily in the underarm and genital areas and are responsible for the secretion of a thick, odorless fluid. Their overactivity does not result in the white patches seen in vitiligo.

Choice C rationale

Impetigo is a bacterial skin infection characterized by red sores, blisters, and crusting. It is not related to vitiligo and does not cause depigmentation. Impetigo is treated with antibiotics, whereas vitiligo requires different management strategies to address the loss of pigment.

Choice D rationale

Vitiligo is not caused by an excess of melanin pigment. Rather, it is the result of melanin loss or the absence of melanocytes in certain areas of the skin, leading to the characteristic white patches.

A. Rhonchi. B. Stridor. C. Wheezes. D. Crackles.

Correct Answer is C

Explanation

Choice A rationale

Rhonchi are low-pitched, coarse sounds typically heard during expiration, associated with secretions in large airways, not high-pitched continuous sounds.

Choice B rationale

Stridor is a high-pitched sound heard during inspiration, typically indicating upper airway obstruction.

Choice C rationale

Wheezes are continuous high-pitched whistling sounds heard during expiration, common in conditions like chronic obstructive pulmonary disease, where airway narrowing is present.

Choice D rationale

Crackles are discontinuous sounds heard during inspiration, usually associated with fluid in the lungs or alveolar opening, not continuous high-pitched sounds. .

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

While taking a history, the nurse observes that the patient's facial cranial nerves (CN VII) are intact based on which behaviors of the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is especially worried about an area of skin on her feet that has turned white.The health care provider has told her that her condition is vitiligo.The nurse explains to her that vitiligo is:

Correct Answer is A

Explanation

A nurse is auscultating the breath sounds of a client who has chronic obstructive pulmonary disease.When the client exhales, the nurse hears continuous high-pitched whistling sound.The nurse should document this as?

Correct Answer is C

Explanation

A nurse is assessing the eyes on a patient and during the inspection the conjunctival sac is red, itchy, and has white thick drainage.Which finding are these consistent with?

Which cranial nerve is assessed by using the Snellen visual acuity chart?

While taking a history, the nurse observes that the patient's facial cranial nerves (CN VII) are intact based on which behaviors of the patient?

On assessment of the client's tongue, the client is unable to protrude the tongue and has poor strength on testing against resistance.This would indicate dysfunction of which cranial nerve?

After auscultating which adventitious breath sound should the nurse have the patient cough and then auscultate again?

The nurse is speaking to the client and suspects a weakness in eye muscle after observing the eyes cross.What test should the nurse administer to further assess this problem?

A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts.The nurse should expect the client to report:

On assessment of the client's tongue, the client is unable to protrude the tongue and has poor strength on testing against resistance.This would indicate dysfunction of which cranial nerve?