ATI RN
ATI RN Comprehensive Predictor 2023 Retake 1 Questions
Extract:
Question 1 of 5
A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?
Correct Answer: D
Rationale: The correct answer is D: Shrugs his shoulders. Cranial nerve XI, also known as the spinal accessory nerve, innervates the trapezius and sternocleidomastoid muscles, which are responsible for shoulder shrugging and head rotation, respectively. By asking the client to shrug his shoulders, the nurse can assess the integrity of cranial nerve XI.
A: Sticking the tongue out assesses cranial nerve XII (hypoglossal nerve) for tongue movement.
B: Frowning symmetrically assesses cranial nerve VII (facial nerve) for facial muscle movement.
C: Identifying a sour taste assesses cranial nerve IX (glossopharyngeal nerve) and cranial nerve VII (facial nerve) for taste sensation and salivary gland function.
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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