- Used To Assess 1 The Nurse Stands Behind The Client And Whispers 5 B 6 This Technique Which Of The Following Cranial 1 (83.5 KiB) Viewed 121 times
used to assess 1. The nurse stands behind the client and whispers "5-B-6." This technique which of the following cranial nerves? A. CN IV (Trochlear) B. ON VI (Abducens) C. CN VII (Vestibulocochlear) D. CN X (Vagus) A.Assess each muscle group for strength and range of motion 2. While assessing the muscle strength of a client a nurse should (should be a select all) b.Assess each muscle group for strength only c.Document findings using a 1-4 grading scale d. Document normal findings as grade 4 A. B. C. D 3. When testing visual fields where should the examiner be positioned? Sitting on the side of the patient, facing the same direct as the patient. sitting on the side of the patient, facing the patient. sitting directly in front of the patient, facing the patient sitting directly in front of the patient, facing the same direction as the patient. 4. During the neurologic assessment of an adult wellvisit, the nurse asks the patient to relax his muscles completely. The nurse then moves each extremity through full range of motion. Which of these results would the nurse expect to find? a)Firm, rigid, resistance to movement b)Mild, even resistance to movement c)Hypotonic muscles as a result of total relaxation d)Slight pain with some directions of movemen 5. during an assessment the nurse knows the expected assessment findings in the normal adult lung include the presense of? a. Adventitious sounds and limited chest expansion b. Increased tactile fremitus and dull percussion tones C. Muffled voice sounds and symmetrical tactile fremitus d. Absent voice sounds and hyperresonant percussion tones 6.when performing a physical assessment of the clients maxillary sinus the nurse should? e. Apply pressure anteriorly to the tragus f. Ask if the client has a history of sinus infections