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 D

Explanation

A. Ability to swallow pureed foods suggests some functional capacity and is not an immediate concern requiring immediate reporting.
B. A mild headache reported by the client might not indicate a critical issue requiring immediate reporting.
C. Weakness can be a concerning symptom, but the severity or extent of weakness needs further clarification before urgent reporting.
D. A Glasgow Coma Scale (GCS) score of 5 is indicative of severe impairment of consciousness, requiring immediate attention and further evaluation by the healthcare provider.

A. Dysmenorrhea B. Dysuria C. Hematuria D. Dyschezia

Correct Answer is A

Explanation

A. Dysmenorrhea refers to painful menstruation, commonly associated with cramping in the lower abdomen.
B. Dysuria is painful or difficult urination, unrelated to menstrual pain.
C. Hematuria is the presence of blood in the urine, not associated with menstrual pain.
D. Dyschezia refers to painful bowel movements, not related to menstrual pain.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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