The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

When the client sticks out the tongue it is in the midline and without tremors or deviation.

Client follows an object with eyes without nystagmus or strabismus.

Client demonstrates the ability to hear normal conversation.

Client moves the head and shoulders against resistance with equal strength.

Answer and Explanation

The Correct Answer is D

A.   Cranial Nerve XI (Accessory nerve) is not involved in tongue movement; it controls muscles involved in head and shoulder movement.
B.   Eye movement and control relate more to Cranial Nerves III, IV, and VI, which control eye muscles.
C.   Hearing is primarily assessed by Cranial Nerve VIII (Vestibulocochlear nerve).
D.   Cranial Nerve XI innervates the sternocleidomastoid and trapezius muscles, enabling movements like head turning and shoulder shrugging against resistance.

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Correct Answer is A

Explanation

A. Osteoporosis involves a reduction in bone density, making bones weaker and more susceptible to fractures.
B. Osteoporosis doesn't refer to new bone growth; instead, it involves the weakening of existing bone structure.
C. While calcium intake is crucial for bone health, osteoporosis is a multifactorial condition influenced by various factors beyond just calcium intake.
D. Osteoporosis can occur in menopausal women due to hormonal changes, but it's not solely attributed to the lack of hormone replacement therapy. Hormones play a role in bone health, but osteoporosis is fundamentally about bone density loss.

A. "It would be very unusual for a man your age to have cancer of the prostate." B. “We will treat you with chemotherapy so we can control the cancer." C. "The swelling in your prostate is only temporary and will go away." D. "The enlargement of your prostate is caused by hormonal changes, and not cancer."

Correct Answer is D

Explanation

A. While prostate cancer risk increases with age, it's not rare for a 60-year-old man to have prostate cancer. This response might provide false reassurance.
B. Chemotherapy is not typically the primary treatment for benign prostatic hypertrophy (BPH) and doesn’t relate to the concerns raised by the client.
C. BPH is a chronic condition characterized by non-cancerous prostate enlargement, not temporary swelling that goes away.
D. BPH is commonly caused by hormonal changes and does not predispose a person to prostate cancer. It's important to differentiate between BPH and prostate cancer.

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The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with osteoporosis asks the nurse. "What is osteoporosis?" The nurse should provide which of the following explanations about osteoporosis?

Correct Answer is A

Explanation

A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

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