ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
School-age child undergoing cranial nerve assessment
Question 1 of 5
A nurse is assessing a school-age child's cranial nerve function. Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?
Correct Answer: D
Rationale: The correct answer is D: Shrug their shoulders against mild pressure. The accessory nerve (cranial nerve XI) controls the movement of the trapezius and sternocleidomastoid muscles. By asking the child to shrug their shoulders against mild pressure, the nurse is assessing the strength and function of these muscles, which are innervated by the accessory nerve. This action helps determine if the nerve is functioning properly.
Choice A is incorrect because it pertains to testing the extraocular muscles controlled by cranial nerves III, IV, and VI.
Choice B is incorrect as it involves testing the hypoglossal nerve for tongue movement.
Choice C is incorrect as it relates to testing facial nerve function by smiling.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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