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Health Assessment
HESI
Question | Answer |
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The nurse is testing the extraocular eye movemtn in a client with complaints of eye fatigue. The nurse would implement which assessment techniques to assess for visual abnormalities and eye muscle weakness | Visual acuity using the snellen chart & cranial nerves 2, 3, 4, 6 |
During a hearing assessment, the nurse notes that the sound lateralizes to the clients left ear with the Weber test. The nurse analyzes this result as | A sensorineural or conductive loss |
The clinic nurse is preparing to test the visual acuity of a client using a Snellen chart. Which of the following identifies the accurate procedure for this visual acuity test? | The right eye is tested followed by the left eye, and then both eyes are tested. |
The nurse is preparing to perform a Romberg test on a client being seen in the clinic. The nurse would perform this test for the purpose of determining which status? | The functional status of the vestibular apparatus in the inner ear. |
The nurse in the health care clinic is performing a neurological assessment and is testing the motor function of cranial nerve V (trigeminal nerve) which technique would the nruse implement to test the motor function of this nerve | separate the clients jaw by pushing down on the chin |
The nurse is planning to test the sensory function of the olfactory nerve cranial nerve 1, the nurse would gather which items to perform this test | cloves, peppermint and soap |
The nurse is testing the coordinated functioning of cranial nerves 3,4, 6. To do this correctly, what would the nurse test | The six cardinal fields of gaze |
The nurse would ask a client to take which actions when testing the function of the spinal accessory nerve CN 6. Select all that apply | Elevate the shoulders, turning the head from one side to the other, resisting attempts to pull the chin toward the midline |