The nurse stands behind the client and whispers "5-B-6." This technique is used to assess which of the following Cranial Nerves?

Cranial Nerve VIll (Vestibulocochlear)

Cranial Nerve X (Magus)

Cranial Nerve VI (Abducens)

Cranial Nerve IV (Trochlear)

Answer and Explanation

The Correct Answer is A

A.   The whispered voice test is used to assess the function of Cranial Nerve VIII, which is responsible for hearing and balance. The nurse's whisper tests the auditory function of this nerve.
B.   The vagus nerve is involved in swallowing, voice production, and parasympathetic functions but is not assessed by whispering.
C.   This nerve controls lateral eye movement, and a whispered voice test does not assess eye movement.
D.   This nerve also controls eye movement, specifically the superior oblique muscle, and is not evaluated by the whispered voice test.

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Correct Answer is C

Explanation

A. Flexion involves decreasing the angle between two body parts, such as bending the knee or elbow, not moving the leg laterally.
B. Abduction is the movement of a body part away from the midline of the body. In this case, moving the leg laterally fits this description.
C. Adduction refers to movement toward the body's midline, the opposite of abduction.
D. Extension involves straightening a body part, such as straightening the knee, which does not match the description of moving the leg laterally and medially.

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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The nurse stands behind the client and whispers "5-B-6." This technique is used to assess which of the following Cranial Nerves?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The movement of the leg laterally then medially, with knee straight is referred to as:

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

When assessing muscle strength, the nurse observes that a patient has complete range of motion against gravity with full resistance. What grade of muscle strength should the nurse record using a 0- to 5-point scale?

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