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Practice Question

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II?

Answer Choices:

Correct Answer:

Ask the client to read a Snellen chart.

Rationale:

📌Cranial nerve II (optic nerve) mediates visual acuity and visual fields.

📌Using a Snellen chart allows the nurse to objectively measure distance vision, which is the primary function of this nerve.

📌Other methods, like assessing speech or scent detection, evaluate different cranial nerves (VII, VIII, I), not CN II.

📌Testing visual acuity provides baseline information for neurologic assessment, helps detect optic nerve damage, and identifies early signs of visual impairment.

📌Regular CN II assessment is particularly important in clients with conditions that can compromise vision, such as hypertension, diabetes, or neurologic disorders.

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This question is from Custom NAS 2700 Week 7 which contains 20 questions.

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Custom NAS 2700 Week 7

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Custom Exam(s)
  • Answer Choices: 4
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