Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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The nurse reads in an admission note that the physical examination of a client revealed an impairment of cranial nerve II. The nurse instructs ancillary caregivers to do which of the following when caring for this client?
  1. Whisper to the client
  2. Serve food at room temperature
  3. Clear the client’s path of obstacles
  4. Test the temperature of any running water
Explanation
Answer - C - The optic nerve, which governs vision, is cranial nerve II. For this client it would be most helpful to clear the area of objects that may not be perceived by the client, but that could lead to falls. The actions described in the options are unnecessary.
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