What is a normal response when testing cranial nerve IX (Glossopharyngeal nerve) and X (Vagus nerve)?
- A. The uvula should remain midline when the patient says "ah."
- B. The patient should be able to smell different scents.
- C. The patient should have normal hearing.
- D. The patient should exhibit symmetrical facial expressions.
Correct Answer: A
Rationale: Cranial nerves IX and X are tested by observing the uvula's position when the patient says "ah." A midline uvula indicates normal function. Smell, hearing, and facial expressions are assessed by other cranial nerves.
You may also like to solve these questions
What type of diet is recommended for people with seizures or epilepsy?
- A. high carbohydrate diet
- B. fruit-only diet
- C. ketogenic diet
- D. low-fat diet
Correct Answer: C
Rationale: The ketogenic diet is a high-fat, low-carbohydrate diet that has been shown to reduce seizure frequency in some individuals with epilepsy, particularly those who do not respond well to medication. It works by altering the body's metabolism to produce ketones, which may have anticonvulsant effects.
A patient with a fractured tibia accompanied by extensive soft tissue damage initially has a splint applied and held in place with an elastic bandage. What early sign should alert the nurse that the patient is developing compartment syndrome?
- A. Paralysis of the toes
- B. Absence of peripheral pulses
- C. Distal pain unrelieved by opioid analgesics
- D. Skin over the injury site is blanched when the bandage is removed
Correct Answer: C
Rationale: Unrelieved pain despite opioids is a hallmark of compartment syndrome.
Which of the following is NOT part of the endocrine system?
- A. pons
- B. pancreas
- C. parathyroid
- D. pineal gland
Correct Answer: A
Rationale: The pons is part of the brainstem and is involved in regulating sleep, respiration, and communication between different parts of the brain. It is not part of the endocrine system, which consists of glands that secrete hormones, such as the pancreas, parathyroid, and pineal gland. The pons plays a role in motor control and sensory processing, but it does not produce hormones.
An appropriate nursing intervention for this patient?
- A. Post clocks and calendars in the patient's environment.
- B. Establish and consistently follow a daily schedule with the patient.
- C. Monitor the patient's activities to maintain a safe patient environment.
- D. Stimulate thought processes by asking the patient questions about recent activities.
Correct Answer: B
Rationale: Consistent schedules help orient patients with dementia
Aldosterone:
- A. increases mRNA synthesis
- B. deficiency results in hypotension
- C. increases sodium reabsorption from sweat
- D. all above
Correct Answer: D
Rationale: Aldosterone increases mRNA synthesis to enhance sodium reabsorption, and its deficiency can lead to hypotension. It also promotes sodium reabsorption from sweat, helping maintain electrolyte balance.