The nurse asks the patient to clench the jaw. Which cranial nerve (CN) is being assessed?
1) CN I
2) CN V
3) CN VII
4) CN VIII
ANS: 2
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Which should be included in the home care of a high-risk infant?
a. Feeding the infant on a strict schedule b. Keeping the infant in the supine or prone position c. Providing continued respiratory support and oxygen d. Cleaning the umbilical cord several times daily with alcohol
A patient is administered amiodarone (Cordarone) intravenously. Which of the following assessments is most important with this medication?
A) Assess urine output every 5 minutes B) Assess blood pressure every 5 minutes C) Assess for increased lung sounds D) Assess for muscle rigidity
A client has been diagnosed with anorexia nervosa. She will be treated as an outpatient. A desired
outcome related to the nursing diagnosis of "imbalanced nutrition: less than body requirements" would be that within 1 week, the client will a. gain 1 pound. b. gain 3 pounds. c. exercise 1 hour daily. d. take a laxative every 3 days.
During a health supervision visit, the nurse is attempting to develop a partnering relationship with the child and family. Initially, the nurse should:
1. Discuss with the family a plan to address the child's health needs. 2. Tell the family what the child should be doing physically for the age level. 3. Tell the family that the physician will answer any questions they might have related to their child's growth and development. 4. Set goals for the family related to the child's health.