The nurse is preparing to assess a patient's cranial nerve XI (spinal accessory). What should the nurse ask the patient to complete this assessment?
1. Shrug the shoulders and turn the head against resistance.
2. Stick out the tongue and move it from side to side.
3. Taste foods and distinguish sweet from sour.
4. Smell items with one nostril blocked and identify them correctly.
Correct Answer: 1
Cranial nerve XI, the spinal accessory nerve, is tested by asking the patient to shrug the shoulders and turn the head against resistance. Cranial nerve XII, the hypoglossal nerve, is tested by asking the patient to stick out the tongue and move it from side to side. Cranial nerve VII, the facial nerve, is tested by asking the patient to distinguish among different tastes. Cranial nerve I, the olfactory nerve, is tested by having the patient identify smells correctly with each nostril.
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