A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?

Listen to the client's speech.

Ask them to read a Snellen chart.

Ask them to identify scented aromas.

Ask them to clench their teeth.

Answer and Explanation

The Correct Answer is D

A.   Listening to speech primarily involves cranial nerves related to speech production (e.g., CN V, CN VII, CN XII) but not specifically for CN V.
B.   Reading a Snellen chart assesses visual acuity, primarily involving cranial nerve II (optic nerve).
C.   Identifying scented aromas involves olfactory nerve (cranial nerve I) assessment.
D.   Asking the client to clench their teeth evaluates the function of the muscles of mastication, which is controlled by cranial nerve V (trigeminal nerve).

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Correct Answer is C

Explanation

A. Estimating the degree of flexion and extension in each joint primarily assesses the range of motion, not specifically muscle strength.
B. Measuring the degree of force required to overcome joint flexion or extension may assess resistance but doesn't directly evaluate muscle strength.
C. Applying an opposing force when the individual puts a joint in flexion or extension is an accurate method to assess muscle strength, as it evaluates the force the muscle can generate against resistance.
D. Observing muscles for contraction while lifting a heavy object evaluates muscle usage but doesn’t offer a standardized way to assess muscle strength.

A. Capillary refill <5 seconds. B. Radial pulses 2+ with regular rate and rhythm bilaterally. C. Feet pale and cool to the touch. D. Right ankle 1+ edema with no perceptible swelling of the leg.

Correct Answer is B

Explanation

A. A capillary refill of less than 5 seconds is considered normal.
B. Radial pulses 2+ with regular rate and rhythm bilaterally indicate good peripheral circulation.
C. Feet that are pale and cool to the touch could indicate decreased perfusion or vascular compromise.
D. Right ankle 1+ edema may suggest some fluid retention but no perceptible swelling of the leg indicates relatively normal findings in that area.

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A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?

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