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 A

Explanation

A. "Silvery, white scales": This is the classic presentation of psoriasis, a chronic skin disorder that results in the rapid turnover of skin cells, leading to thick, scaly patches, usually on the scalp, elbows, and knees.
B. Serous drainage: This is more common in conditions like infected wounds or abscesses, not psoriasis.
C. Intense pain: Psoriasis can cause discomfort, but it is typically not painful unless there are complications such as cracks or secondary infections.
D. Unilateral lesions: Psoriasis typically affects both sides of the body symmetrically, not unilaterally.

A. Check the client's visual acuity using a Snellen chart. B. Observe for facial symmetry while the client smiles. C. Have the client identify specific smells. D. Whisper in one of the client's ears while occluding the other.

Correct Answer is B

Explanation

A. Check the client's visual acuity using a Snellen chart: This assesses cranial nerve II (optic), not cranial nerve VII.
B. Observe for facial symmetry while the client smiles: This is the correct method to assess cranial nerve VII (facial nerve), which controls facial muscles, including those responsible for smiling.
C. Have the client identify specific smells: This tests cranial nerve I (olfactory), not cranial nerve VII.

D. Whisper in one of the client's ears while occluding the other: This assesses cranial nerve VIII (vestibulocochlear), not cranial nerve VII.

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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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Naxlex Comprehensive Predictor Exams

A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

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