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 D

Explanation

Choice A rationale: Sticking out the tongue without tremors or deviation is related to Cranial Nerve XII (hypoglossal nerve), not Cranial Nerve XI.

Choice B rationale: Following an object with the eyes without nystagmus or strabismus is more related to visual tracking and coordination, not Cranial Nerve XI.

Choice C rationale: Hearing ability is primarily associated with Cranial Nerve VIII (vestibulocochlear nerve), not Cranial Nerve XI.

Choice D rationale: Cranial Nerve XI, also known as the accessory nerve, is responsible for the movement of the head and shoulders against resistance. If intact, the client should be able to perform this action with equal strength on both sides.

A. "It would be very unusual for a man your age to have cancer of the prostate." B. We will treat you with chemotherapy so we can control the cancer" C. "The swelling in your prostate is only temporary and will go away" D. "The enlargement of your prostate is caused by hormonal changes, and not cancer."

Correct Answer is D

Explanation

Choice A rationale: Stating that it would be very unusual for a man his age to have prostate cancer may not be accurate, as prostate cancer can occur in older individuals.

Choice B rationale: Discussing chemotherapy implies a cancer treatment plan, which may not be applicable to BPH.

Choice C rationale: Describing the swelling in the prostate as temporary and going away may not be accurate for BPH, as it is a chronic condition.

Choice D rationale: The nurse provides accurate information by explaining that benign prostatic hypertrophy (BPH) is caused by hormonal changes and is not cancerous.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

Correct Answer is D

Explanation

A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

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