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HESI

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Question
Answer
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  
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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  
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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.  
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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.  
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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  
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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  
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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  
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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  
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Created by: ktorres0506