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HESI Health Assessment Exam 2023 Test Bank |Guarantee A+ score Guide NB: please note after this sign (----->) that is the correct Answer A nurse conducting a physical assessment is observing the client's balance and performing tests to determine the client's sense of equilibrium. Which cranial nerve is the nurse assessing? 1. Cranial nerve II 2. Cranial nerve IX 3. Cranial nerve VII 4. Cranial nerve VIII -----> 4. Cranial nerve VIII Cranial nerve VIII is the acoustic nerve. Hearing tests are performed to assess the cochlear portion of this nerve. Tests to assess equilibrium, such as observation of the client's balance when the client is walking or standing, involve the vestibular portion. A nurse performing a neurological assessment of a client who has sustained a stroke (brain attack) is preparing to check for stereo gnosis. Which action should the nurse take to perform this assessment? 1. Placing an object in the client's hand and asking the client to identify it 2. Tracing a number on the client's hand and asking the client to identify it 3. Moving the client's finger up and down and asking the client which way it is being moved 4. Making two simultaneous pinpricks on the skin and asking the client to distinguish them -----> 1. Placing an object in the client's hand and asking the client to identify it Stereo gnosis is the client's ability to recognize objects placed in his or her hand. A nurse performing an abdominal assessment of a client is preparing to auscultate for bowel sounds. In which part of the abdomen should the nurse place the stethoscope first? 1. Left upper quadrant 2. Left lower quadrant 3. Right upper quadrant 4. Right lower quadrant -----> 4. Right lower quadrant To auscultate for bowel sounds, the nurse places the diaphragm endpiece of the stethoscope lightly against the skin, then begins to auscultate in the right lower abdominal quadrant, in the area of the ileocecal valve, because bowel sounds are always present there normally. A nurse performing a physical assessment of a client is checking the client's mouth and throat. As part of the assessment, the nurse plans to assess the function of cranial nerve XII. What should the nurse ask the client to do as a means of assessing this nerve? 1. Frown 2. Show the teeth 3. Stick out the tongue 4. Say