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

Listen to the client’s speech

Ask the client to identify scented aromas

Ask the client to clench his teeth

Ask the client to read a Snellen chart

Answer and Explanation

The Correct Answer is D

Choice A rationale: Listening to the client's speech is not related to the assessment of cranial nerve II.

Choice B rationale: Assessing the ability to identify scented aromas is more related to cranial nerve I (olfactory nerve).

Choice C rationale: Asking the client to clench their teeth is related to the assessment of cranial nerve V (trigeminal nerve).

Choice D rationale: Cranial nerve II, the optic nerve, is responsible for vision. The nurse should use the Snellen chart to assess visual acuity.

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Correct Answer is A

Explanation

Choice A rationale: Finding a firm, irregularly shaped mass during a rectal examination raises concerns about the possibility of colorectal pathology, including cancer. The nurse should report the finding and refer the client to a specialist for further examination and diagnostic testing.

Choice B rationale: Dismissing the mass without further investigation may lead to a delay in diagnosis and appropriate treatment.

Choice C rationale: Instructing the client to return for a repeat assessment in 1 month is not appropriate when a potentially serious finding is present. Immediate referral for further evaluation is necessary.

Choice D rationale: Continuing the examination without addressing the finding and obtaining appropriate follow-up could compromise the client's health and delay necessary interventions.

A. African Americans B. Asian men C. Postmenopausal caucasian women D. American Indians

Correct Answer is C

Explanation

Choice A rationale: African Americans generally have a lower risk of osteoporosis compared to Caucasians. They tend to have higher bone mineral density, which reduces their susceptibility to osteoporosis.

Choice B rationale: Asian men may have a lower risk of osteoporosis than postmenopausal Caucasian women. However, the risk factors for osteoporosis can vary among individuals, and it's essential to consider factors such as lifestyle, genetics, and overall health.

Choice C rationale: According to research, postmenopausal caucasian women have the highest risk of osteoporosis among all population groups. This is because they tend tohave lower bone mass, lower estrogen levels, and longer life expectancy than other groups.

Choice D rationale: While American Indians may have varying risks of osteoporosis, the general risk pattern indicates that postmenopausal Caucasian women are at a higher risk. The prevalence of osteoporosis is influenced by a combination of genetic, environmental, and lifestyle factors.

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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 II?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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