A nurse is assessing a school-age child's cranial nerve function.
Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?

Follow a light in the six cardinal positions.

Move their tongue in all directions.

Show their teeth while smiling.

Shrug their shoulders against mild pressure.

Answer and Explanation

The Correct Answer is D

The accessory nerve is tested by evaluating the function of the trapezius and sternocleidomastoid muscles.

The trapezius muscle is tested by asking the patient to shrug their shoulders with and without resistance.

Choice A is wrong because following a light in the six cardinal positions tests the function of cranial nerves III, IV, and VI.

Choice B is wrong because moving their tongue in all directions tests the function of cranial nerve XII.

Choice C is wrong because showing their teeth while smiling tests the function of cranial nerve VII.

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Correct Answer is A

Explanation

The nurse should position the opening of the bag over the urethra and the anus.

Choice B is wrong because placing a snug-fitting diaper over the drainage bag is not necessary.

Choice C is wrong because there is no need to apply lidocaine gel to the perineum before attaching the bag.

Choice D is wrong because there is no need to stretch the perineum taut when applying the bag.

A. Request verbal consent from the client. B. Contact the client's parents to obtain phone consent. C. Postpone the testing until the client's parents are present. D. Obtain written consent from the client.

Correct Answer is A

Explanation

The nurse should request verbal consent from the client for STI testing.

All 50 states and the District of Columbia explicitly allow minors to consent for their own STI services.

Choice B is wrong because it is not necessary to contact the client’s parents to obtain phone consent.

Choice C is wrong because it is not necessary to postpone the testing until the client’s parents are present.

Choice D is wrong because written consent is not required for STI testing.

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A nurse is assessing a school-age child's cranial nerve function. Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?

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A nurse is assessing a school-age child's cranial nerve function.
Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?