ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is getting ready to conduct a cranial nerve examination on a patient. What steps should the nurse take to examine cranial nerve XI (Spinal Accessory)?
Correct Answer: C
Rationale: The correct answer is C: Observe the patient's ability to turn their head from side to side. Cranial nerve XI, the Spinal Accessory nerve, innervates the sternocleidomastoid and trapezius muscles, which are responsible for head rotation and shoulder shrugging. By observing the patient's ability to turn their head from side to side, the nurse can assess the function of cranial nerve XI.
Choices A, B, and D are incorrect:
A: Checking visual acuity using a Snellen chart assesses cranial nerve II (Optic nerve).
B: Whispering in the patient's ears while blocking one ear assesses cranial nerve VIII (Vestibulocochlear nerve).
D: Asking the patient to identify specific smells assesses cranial nerve I (Olfactory nerve).
Therefore, the correct answer is C as it directly assesses the function of cranial nerve XI.
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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