The sensory root of the facial nerve
- A. Arises from the sulcus between the pons and medulla
- B. Is called the nervus intermedius
- C. Presents as a swelling in the bend called the otic ganglion
- D. Emerges from the base of the skull through the foramen ovale
Correct Answer: B
Rationale: The sensory root of the facial nerve is called the nervus intermedius. It carries taste fibers from the anterior two-thirds of the tongue and parasympathetic fibers to salivary glands.
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Which of the following is not a realistic outcome to establish with a client who has multiple sclerosis (MS)? The client will develop:
- A. Joint mobility
- B. Muscle strength
- C. Cognition
- D. Mood elevation
Correct Answer: B
Rationale: While joint mobility, cognition, and mood elevation can be improved or maintained, muscle strength is often progressively affected by MS and may not be fully restored.
You are conducting a cranial nerve assessment on a new patient. She cannot feel vibration of the tuning fork when the Weber test is performed. She exhibits a deficit of which cranial nerve?
- A. II
- B. III
- C. VI
- D. VIII
Correct Answer: D
Rationale: The Weber test assesses hearing and involves cranial nerve VIII (vestibulocochlear nerve). If the patient cannot feel vibration, it indicates a deficit in CN VIII. CN II (optic), CN III (oculomotor), and CN VI (abducens) are not involved in hearing.
Which type of seizure occurs in children, is also known as a petit mal seizure, and consists of a staring spell that lasts for a few seconds?
- A. Atonic
- B. Simple focal
- C. Typical absence
- D. Atypical absence
Correct Answer: C
Rationale: Absence seizures are brief staring spells common in children
A patient who was in an automobile accident 30 minutes ago reports that he or she is unable to move his or her legs. What is the best response?
- A. Swelling due to the initial trauma may make the injury seem more severe than it actually is. A more accurate assessment will be made once the swelling goes down.
- B. Swelling owing to the initial trauma prevents you from moving your legs.
- C. There are good rehabilitation centers that will help restore sensation to your legs.
- D. You should have been wearing your seatbelt.
Correct Answer: A
Rationale: Swelling after trauma can temporarily affect mobility and should be addressed before making long-term predictions.
A 28-year-old female patient has been diagnosed with occipital lobe damage after a car accident. What should the nurse expect the patient to need help with?
- A. Being able to feel heat
- B. Processing visual images
- C. Identifying smells appropriately
- D. Being able to say what she means
Correct Answer: B
Rationale: The occipital lobe is primarily responsible for processing visual images.