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Questions 158

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Question 1 of 5

A student nurse is observing a neurological nurse perform an assessment. When the nurse asks the client to "stick out his tongue," the nurse is assessing the function of which cranial nerve?

Correct Answer: D

Rationale: The hypoglossal nerve (XII) controls tongue movement. Sticking out the tongue assesses its function. Optic (II) affects vision, olfactory (I) affects smell, and vagus (X) affects visceral functions.

Question 2 of 5

The nurse is caring for a client with a history of glaucoma. The nurse should expect the client to have:

Correct Answer: A

Rationale: Glaucoma causes increased intraocular pressure, damaging the optic nerve and leading to peripheral vision loss, a hallmark symptom.

Question 3 of 5

The best diagnostic test for treponema pallidum is:

Correct Answer: C

Rationale: The fluorescent treponemal antibody (FT
A) test is the most specific and sensitive for detecting Treponema pallidum (syphilis). VDRL and RPR are non-treponemal tests used for screening and Thayer-Martin culture is for gonorrhea.

Question 4 of 5

The physician orders the removal of an in-dwelling catheter the second post-operative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:

Correct Answer: D

Rationale: Pain and dribbling post-catheter removal after prostatectomy are common due to bladder irritation and will improve with time. Compresses, exercises, or reinsertion are not typically needed.

Question 5 of 5

A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse's knowledge of the central nervous system, the nurse knows that benign tumors:

Correct Answer: A

Rationale: Both a benign and a malignant tumor can displace or destroy nearby structures or increase intracranial pressure.

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