During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

Motor component of CN IV

Motor component of CN VI

Motor and sensory components of CNX

Motor component of CN VII

Answer and Explanation

The Correct Answer is D

A.   The trochlear nerve controls the superior oblique muscle of the eye and is not related to facial movements.
B.   The abducens nerve controls the lateral rectus muscle of the eye, responsible for eye movement, not facial muscles.
C.   The vagus nerve affects the soft palate, pharynx, and larynx, but does not contribute to facial expression.
D.   Asymmetry in facial movements, like smiling, frowning, and puffing the cheeks, suggests dysfunction of the facial nerve (CN VII).

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Correct Answer is C

Explanation

A. A review of systems helps assess overall health and symptoms, but it may not always pinpoint the cause directly.
B. While this may be a part of the review of systems, the primary purpose is broader—identifying both current and past health problems.
C. The review of systems is designed to gather information on both current and past health problems, helping to form a comprehensive health history.
D. This is part of the process but is too narrow compared to identifying both current and past health concerns.

A. Pulse 68 bpm B. 7 x 4 cm scar on the left lower abdomen. C. Blood pressure 148/92 D. History of allergies E. Last menstrual period F. Shortness of breath G. Pain 8/10 H. Brawny edema in lower extremities. I. Temperature 101 SF J. Use of medications at home

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"},"H":{"answers":"B"},"I":{"answers":"B"},"J":{"answers":"A"}}

Explanation

Subjective data are based on what the patient reports. These include personal history and symptoms (e.g., allergies, menstrual period, pain level, and medication use).

Objective data are measurable facts that are observed or measured by the nurse, such as vital signs, physical findings (e.g., scars, edema), and lab results (e.g., temperature, blood pressure).

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During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

Correct Answer is C

Explanation

​​​​​​​The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"},"H":{"answers":"B"},"I":{"answers":"B"},"J":{"answers":"A"}}

Explanation

To enhance muscle relaxation prior to an abdominal examination the nurse would

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