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When completing a neurological assessment, which cranial nerves are tested within the mouth?

A.

III, IV, VIII

B.

III, II, VI

C.

IX, X, XII

D.

I, I, III

Answer and Explanation

The Correct Answer is C

A. Cranial nerves III, IV, and VIII are not involved in mouth functions; they primarily deal with eye movements and hearing.


B. Cranial nerves III, II, and VI are involved in vision and eye movement but not in mouth functions.


C. Cranial nerves IX (glossopharyngeal), X (vagus), and XII (hypoglossal) are all tested through functions such as swallowing, speech, and movement of the tongue, which occur in the mouth.


D. Option D incorrectly lists cranial nerve I twice; cranial nerve I (olfactory) is related to the sense of smell, not the mouth.


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Correct Answer is A

Explanation

A. Having the child bend at the waist allows the nurse to observe the spine for any abnormal curvature indicative of scoliosis, such as uneven shoulders or a rib hump.

B. Measuring the distance between the knees and the ankles is not a technique used to screen for scoliosis; it is more related to assessing leg length discrepancies.

C. Measuring the length of each leg does not assess for scoliosis but is more relevant for evaluating leg length inequalities.

D. Asking the child to walk across the room is useful for assessing gait and balance but does not directly assess for scoliosis.

Correct Answer is A

Explanation

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B. A small-boned, thin frame is considered a nonmodifiable risk factor as it is a genetic characteristic that cannot be changed.

C. A personal history of fractures is also a nonmodifiable risk factor, as past fractures indicate an increased risk for future fractures and cannot be altered.

D. Age is a nonmodifiable risk factor, as it is an intrinsic characteristic that cannot be changed.

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