Questions 46

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NCLEX Practice Questions Health Assessment Questions

Question 1 of 5

Which of the following cranial nerves (CNs) is responsible for conducting nerve impulses to the brain from the organ of Corti?

Correct Answer: C

Rationale: The correct answer is C: CN VIII. The vestibulocochlear nerve (CN VIII) is responsible for conducting nerve impulses from the organ of Corti in the inner ear to the brain. This nerve specifically carries auditory information to the brainstem and auditory cortex for processing.

Choice A (CN I) is incorrect as it is the olfactory nerve responsible for smell.

Choice B (CN III) is incorrect as it is the oculomotor nerve responsible for eye movement.

Choice D (CN XI) is incorrect as it is the accessory nerve responsible for neck and shoulder movements.

Question 2 of 5

During an otoscopic examination, the nurse notes an area of black and white dots on the tympanic membrane and ear canal wall. What does this finding suggest?

Correct Answer: D

Rationale: The presence of black and white dots on the tympanic membrane and ear canal wall during an otoscopic examination suggests a yeast or fungal infection. This is because yeast or fungal infections commonly present as white or black dots in the ear canal. Malignancy would typically manifest as abnormal growths or masses, not dots. Viral infections usually do not present as specific dots on the tympanic membrane. Blood in the middle ear would appear as red or pinkish fluid behind the eardrum, not as black and white dots.
Therefore, the correct answer is D: Yeast or fungal infection.

Question 3 of 5

A patient's vision is recorded as 20/30 when the Snellen eye chart is used. The nurse recognizes that these results indicate that:

Correct Answer: B

Rationale: The correct answer is B: the patient can read at 6.1 m (20 ft) what a person with normal vision can read at 9.1 m (30 ft). This is because the Snellen notation 20/30 means that the patient can read at 20 feet what a person with normal vision can read at 30 feet. This ratio signifies the patient's visual acuity compared to a person with normal vision. The other choices are incorrect as they do not accurately interpret the Snellen notation or misinterpret the distance at which the patient can read the eye chart.

Question 4 of 5

During the assessment of a 26-year-old, she states,"I have a spot on my lip I think is cancer." The nurse notes the following: a cluster of clear vesicles with an erythematous base around them located at the lip"“ skin border. The patient mentions that she just returned from Hawaii. What would be the most appropriate response by the nurse?

Correct Answer: C

Rationale: The correct answer is C because the presentation of clear vesicles with an erythematous base around them at the lip-skin border is characteristic of herpes simplex virus 1 infection, commonly known as cold sores. Given the patient's recent travel to Hawaii, exposure to the virus is likely. This infection is self-limiting and typically heals in 4 to 10 days without the need for specific treatment.


Choice A is incorrect because seeing a skin specialist may not be necessary for a self-limiting viral infection.
Choice B is incorrect as a biopsy is not typically indicated for a clear clinical diagnosis of herpes simplex virus infection.
Choice D is incorrect as riboflavin deficiency does not present with clear vesicles and erythema at the lip-skin border.

Question 5 of 5

A 72-year-old patient has a history of hypertension and chronic lung disease. An important question for the nurse to include in history-taking would be:

Correct Answer: D

Rationale: The correct answer is D: "Have you noticed any dryness in your mouth?" This question is important as dryness in the mouth can be a side effect of certain medications used to manage hypertension and chronic lung disease. Dry mouth can lead to oral health issues and impact the patient's overall well-being.

A: "Do you use a fluoride supplement?" is not directly relevant to the patient's medical history of hypertension and lung disease.
B: "Have you had tonsillitis in the last year?" is not as crucial as dry mouth in relation to managing hypertension and lung disease.
C: "At what age did you get your first tooth?" is not pertinent to the current medical conditions and management of hypertension and lung disease.

In summary, the question about dryness in the mouth is the most relevant as it pertains to potential medication side effects and oral health implications for the patient with hypertension and chronic lung disease.

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