When testing cranial nerve XI (spinal accessory), the nurse should ask the patient to perform which activity?
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. Identify smells correctly with one side of the nares blocked.
1
Rationale 1: Cranial nerve XI, the spinal accessory nerve, is tested by asking the patient to shrug the shoulders and turn the head against resistance.
Rationale 2: Cranial nerve XII, the hypoglossal nerve, is tested by asking the patient to stick out the tongue and move it from side to side.
Rationale 3: Cranial nerve VII, the facial nerve, is tested by asking the patient to distinguish between different tastes.
Rationale 4: Cranial nerve I, the olfactory nerve, is tested by having the patient identify smells correctly with one side of the nose blocked.
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