A nurse is preparing to perform a cranial nerve examination for a client. Which of the following actions should the nurse take to check cranial nerve XI?

Have the client identify specific smells.

Check the client's visual acuity using a Snellen chart.

Observe for the ability of the client to turn their head side to sidê.

Whisper in one of the client's ears while occluding the other.

Answer and Explanation

The Correct Answer is C

A.   Identifying specific smells checks cranial nerve I (olfactory).
B.   Checking visual acuity with a Snellen chart assesses cranial nerve II (optic).
C.   Observing for the ability to turn the head side to side tests cranial nerve XI (accessory), which controls the sternocleidomastoid and trapezius muscles responsible for head movement.
D.   Whispering in one ear while occluding the other tests cranial nerve VIII (vestibulocochlear).

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Correct Answer is B

Explanation

A. Scale refers to flakes of dead skin cells and is not typically used to describe acne lesions.
B. Pustules are small, inflamed, pus-filled lesions, which are characteristic of acne.

C. A macule is a flat, discolored spot on the skin and does not apply to the raised, pus-filled lesions seen in acne.
D. A papule is a small, solid, raised lesion, but it is not filled with pus like a pustule. Acne lesions are often described as pustules when they contain pus.

A. The ability to hear each of the three words in the whisper test B. The ability to identify an object placed in the hand with eyes closed C. The ability to identify a letter or number drawn on the hand with eyes closed D. The ability to hear the tuning fork evenly in both ears during the Weber and Rinne tests

Correct Answer is B

Explanation

A. This refers to the ability to hear words whispered in the whisper test, which assesses hearing, not stereognosis.
B. Stereognosis is the ability to identify objects through touch alone, with the eyes closed.
C. This refers to graphesthesia, the ability to recognize writing on the skin, not stereognosis.
D. This refers to the Rinne and Weber tests, which assess hearing function, not tactile sensation.

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A nurse is preparing to perform a cranial nerve examination for a client. Which of the following actions should the nurse take to check cranial nerve XI?

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Correct Answer is B

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Correct Answer is B

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