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Nursing 111 Unit 2 Test Questions With Complete Solutions
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Nursing 111 Unit 2 Test Questions With Complete Solutions
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Nursing 111 Unit 2 Test Questions With Complete SolutionsAre you allowed to shake a dry powder inhaler? Correct
Answer No
Can you still be confused, yet oriented? Correct Answer yes
Chid participation? Correct Answer must be 18 in NC, 16 yr
old to be emancipated
Describe a patient history? Correct Answer -past medical
history
-prior level of function
-medication review
-other major symptoms
Describe delirium? Correct Answer -affects anyone
-caused by infections, metabolic imbalances, trauma, nutritional
deficiencies, CNS disease, hypoxia, hypothermia, hyperthermia,
circulatory problems, low blood glucose, toxin exposure, sleep
deprivation, drugs/alcohol
-often seen in hospitalized patients
Describe personal and family history? Correct Answer -brief
personal profile/description of patient
-brief family history
-source of info and the mental status of patient
Describe the abducens nerve? Correct Answer -cranial nerve 6
-eye movement laterally
-motor
,-test six cardinal fields of gaze
-dysfunction: horizontal diplopia, medial deviation of the eye
Describe the accessory nerve? Correct Answer -cranial nerve
11
-movement of head and neck, proprioception
-motor
-test resisted shoulder elevation and head rotation
-dysfunction: atrophy and weakness, fasciculations, neck or
shoulder deviation
Describe the acoustic/vestibulocochlear nerve? Correct Answer
-cranial nerve 8
-sense of balance and hearing
-sensory
-tests: rinne, webber, audiology, whisper, fingertips
-dysfunction: vertigo, nystagmus, disequilibrium, sensorineural
deafness
Describe the facial nerve? Correct Answer -cranial nerve 7
-facial movements, secretions from glands, and taste sensations
-both
-tests: facial expression, taste to the anterior 2/3 of tongue
-dysfunction: hemiparesis, dry eye, lagophthalmos, dry mouth,
loss of taste
Describe the glossopharyngeal nerve? Correct Answer -cranial
nerve 9
-swallowing, gag reflex, secretions, taste, regulation of BP,
touch, pressure, and pain from pharynx
-both
,-tests: swallowing, gag reflex, taste of posterior 1/3 of tongue
-dysfunction: dysphagia, dry mouth, loss of taste, loss of gag
reflex
Describe the hypoglossal nerve? Correct Answer -cranial nerve
12
-movement of tongue for speech and swallowing
-motor
-test: stick out tongue, press tongue against cheek while
palpating tho test muscle strength, articulation of hard
consonants "L", "T", "D", and "N"
-dysfunction: atrophy and weakness, deviation, and dysarthria
Describe the oculomotor nerve? Correct Answer -cranial nerve
3
-eyeball movement, eyelid, pupil constriction, and
proprioception
-motor
-tests: Six cardinal fields of gaze, pupillary light reflex,
accommodation
-dysfunction: eye turned down and out with ptosis, mydriasis,
loss of accommodation, diplopia
Describe the olfactory nerve? Correct Answer -cranial nerve 1
-sense of smell
-sensory
-test smell with familiar odors
-dysfunction: anosmia
Describe the optic nerve? Correct Answer -cranial nerve 2
-vision/sight
, -sensory
-tests: Snellen eye chart, Fundus exam, Visual fields via
confrontation, Pupillary light reflex
-dysfunction: blindness, loss of pupillary constriction
Describe the trigeminal nerve? Correct Answer -cranial nerve 5
-sensation and chewing
-both
-tests: sharp and light touch over the three divisions, corneal
blink reflex, clinch teeth and jaw jerk
-dysfunction: weakness, hemianesthesia, absent corneal blink
reflex
Describe the trochlear nerve? Correct Answer -cranial nerve 4
-eyeball movement
-motor
-test six cardinal fields of gaze
-dysfunction: vertical diplopia, deviation of the eye
Describe the vagus nerve? Correct Answer -cranial nerve 10
-swallowing, regulation of heart rate, respirations, digestion,
sensation of thoracic and abdominal organs, proprioception,
sense of taste
-both
-tests: swallowing, gag reflex, soft palate elevation with uvula
remaining while saying "Ah"
-dysfunction: dysphagia, hoarseness, uvula deviation
Determine age appropriate assessment findings for a sensory
assessment? Correct Answer Children: infants senses hard to
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