A nurse observes a patient whose right eye is fixed and dilated, for which cranial nerve (CN) would the nurse suspect nerve compression?
CNV
CN VIII
CN IV
CN III
The Correct Answer is D
A. CN V (Trigeminal nerve) is responsible for sensation in the face and motor function for chewing, not eye movement or pupil constriction.
B. CN VIII (Vestibulocochlear nerve) deals with hearing and balance, not eye function.
C. CN IV (Trochlear nerve) controls eye movement, but it does not typically affect the pupil in this way.
D. Cranial nerve III (Oculomotor nerve) controls most eye movements and pupil constriction. A fixed and dilated pupil typically indicates damage to CN III, which may be due to nerve compression, often from increased intracranial pressure or herniation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Strabismus refers to misalignment of the eyes, not an infection.
B. A hordeolum, also known as a stye, is an infection of a sebaceous gland, presenting as a painful, red nodule near the eyelid margin.
C. Blepharitis refers to inflammation of the eyelid and would present with redness or flaking, not a white nodule.
D. Conjunctivitis is inflammation of the conjunctiva, not an infection of a sebaceous gland.
Correct Answer is B
Explanation
B. Brain cells begin to die within 2 minutes if blood flow is interrupted, which is why rapid intervention is crucial during a stroke or other conditions that block cerebral blood flow.
A. 8 minutes is too long for brain cells to survive without oxygen.
C. 20 minutes is too long for brain cells to survive without oxygen.
D. 5 minutes is too long for brain cells to survive without oxygen.
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