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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Asymmetry with one side hanging lower than the other is a normal variation in scrotal anatomy.
Choice B rationale: Marked tenderness on palpation of the scrotum is abnormal and may indicate inflammation or infection.
Choice C rationale: Easy sliding of scrotal contents when palpated is a normal finding.
Choice D rationale: Small, firm, nontender, yellowish nodules may represent sebaceous cysts or Fordyce spots, which are typically benign and not a cause for concern.
Correct Answer is C
Explanation
Choice A rationale: Dull throbbing pain that increases with rest is less suggestive of a fracture.
Choice B rationale: A dull ache may be present with various conditions and is not specific to a fracture.
Choice C rationale: Sharp pain that increases with movement is indicative of a possible fracture, as movement can cause the fractured ends of the bone to rub against each other.
Choice D rationale: Deep pain in the wrist is nonspecific and may not be strongly indicative of a fracture.
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