ATI Fundamentals Chapter 28
1. A nurse in a provider's office is preparing to test a "client's cranial nerve
function. Which of the following directions should she include when testing cranial
nerve V. (Select all that apply.)
A. "Close your eyes"
B. "Tell me what you can taste."
C. "Clench your teeth."
D. "Raise your eyebrows."
E. "Tell me when you feel a touch Ans: A,C,E
A. Correct: The first step of testing cranial nerve V, trigeminal nerve, is to have the client
close his eyes.
B. Incorrect: Testing cranial nerve VII, the facial nerve, involves testing the mouth for taste
sensations.
C. Correct: Testing cranial nerve V, the trigeminal nerve, involve testing the strength of
muscle contraction by asking the client to clench his teeth while the nurse palpates the
masseter and temporal muscles, and then the temporomandibular joint.
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, D. Incorrect: Testing cranial nerve VII, the facial nerve, involves testing for a range of facial
expressions by having the client smile, raise his eyebrows, puff out his cheeks, and perform
other facial movements.
E. Correct: Testing cranial nerve V, the trigeminal nerve, involves testing light touch by
having the client tell the nurse when he feels a gentle touch on his face from a wisp of
cotton.
2. A client asks the nurse what her Snellen eye test results mean. Her visual acuity is
20/30. Which of the following responses is appropriate?
A. "Your eyes see at 20 feet what visually unimpaired eyes see at 30 feet."
B. "Your right eye can see the chart clearly at 20 feet, and your left eye can see the
chart clearly at 30 feet."
C. "Your eyes see at 30 ft what visually unimpaired eyes see at 20 ft. "
D. "Your left eye can see the chart clearly at 20 feet, and your right eye can see the
chart clearly at 30 feet Ans: A
A. Correct: The first number is the distance (in feet) the client stands from the chart. The
second number is the distance in which a visually unimpaired eye can see the
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1. A nurse in a provider's office is preparing to test a "client's cranial nerve
function. Which of the following directions should she include when testing cranial
nerve V. (Select all that apply.)
A. "Close your eyes"
B. "Tell me what you can taste."
C. "Clench your teeth."
D. "Raise your eyebrows."
E. "Tell me when you feel a touch Ans: A,C,E
A. Correct: The first step of testing cranial nerve V, trigeminal nerve, is to have the client
close his eyes.
B. Incorrect: Testing cranial nerve VII, the facial nerve, involves testing the mouth for taste
sensations.
C. Correct: Testing cranial nerve V, the trigeminal nerve, involve testing the strength of
muscle contraction by asking the client to clench his teeth while the nurse palpates the
masseter and temporal muscles, and then the temporomandibular joint.
1/6
, D. Incorrect: Testing cranial nerve VII, the facial nerve, involves testing for a range of facial
expressions by having the client smile, raise his eyebrows, puff out his cheeks, and perform
other facial movements.
E. Correct: Testing cranial nerve V, the trigeminal nerve, involves testing light touch by
having the client tell the nurse when he feels a gentle touch on his face from a wisp of
cotton.
2. A client asks the nurse what her Snellen eye test results mean. Her visual acuity is
20/30. Which of the following responses is appropriate?
A. "Your eyes see at 20 feet what visually unimpaired eyes see at 30 feet."
B. "Your right eye can see the chart clearly at 20 feet, and your left eye can see the
chart clearly at 30 feet."
C. "Your eyes see at 30 ft what visually unimpaired eyes see at 20 ft. "
D. "Your left eye can see the chart clearly at 20 feet, and your right eye can see the
chart clearly at 30 feet Ans: A
A. Correct: The first number is the distance (in feet) the client stands from the chart. The
second number is the distance in which a visually unimpaired eye can see the
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