The nurse would palpate the axillae during examination of which area?
Anterior chest
Breasts
Heart
Neck
The Correct Answer is B
A. Anterior chest: While the anterior chest examination is important, axillary palpation is more specific to the breast area.
B. Breasts: Palpation of the axillae is part of the breast examination to check for lymph nodes or masses.
C. Heart: The heart is assessed through auscultation and palpation of the chest, not the axillae.
D. Neck: The neck examination does not typically involve palpation of the axillae.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. To allow for the client to focus on the illness: Accurate and complete information is crucial for developing a proper care plan but not directly related to the client’s focus on their illness.
B. To allow for the client to spend more time with the nurse: Accurate information helps in forming a plan but does not necessarily impact the amount of time spent with the nurse.
C. To allow the nurse more time to know the client: While knowing the client is important, the primary reason for accurate information is to develop effective interventions.
D. To develop a plan with interventions that promote health: Accurate and complete assessment information is essential for developing a comprehensive care plan and interventions that address the client’s health needs.
Correct Answer is B
Explanation
A. Facial, Trigeminal, Vestibulocochlear: The Facial nerve (VII) is primarily responsible for facial expressions and taste sensation. The Trigeminal nerve (V) is involved in facial sensation and chewing. The Vestibulocochlear nerve (VIII) deals with hearing and balance, not eye movements.
B. Oculomotor, Trochlear, and Abducens: The Oculomotor nerve (III) controls most of the eye's movements, including constriction of the pupil. The Trochlear nerve (IV) innervates the superior oblique muscle, enabling downward and outward eye movements. The Abducens nerve (VI) controls the lateral rectus muscle, responsible for lateral eye movement.
C. Spinal Accessory, Facial, Trigeminal: The Spinal Accessory nerve (XI) controls neck and shoulder movements, not eye movements. The Facial nerve (VII) and Trigeminal nerve (V) are also not involved in eye movements.
D. Glossopharyngeal, Vagus, Hypoglossal: The Glossopharyngeal nerve (IX) is involved in taste and salivation. The Vagus nerve (X) controls parasympathetic functions and throat muscles. The Hypoglossal nerve (XII) controls tongue movements. None of these nerves are responsible for eye movements.
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