ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) Practice Tests & Test Prep by Exam Edge

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ANCC Adult-Gerontology Acute Care Nurse Practitioner Sample Test

1 of 5

A middle-aged male patient in the clinic needs a physical examination for pre-employment requirements. You are performing an extraocular movement test and notice that he is unable to move his eyes upward and inward. The Adult Nurse Practitioner knows that this indicates the possibility of paralysis of which cranial nerve (CN)?

Correct Answer:

iii

the correct answer to the question regarding which cranial nerve is responsible for the observed paralysis (inability to move the eyes upward and inward) is cranial nerve iii, also known as the oculomotor nerve. this diagnosis is inferred based on the specific movements that the patient is unable to perform during the extraocular movement test.

cranial nerve iii, or the oculomotor nerve, is vital for controlling most of the eye's movements, including constriction of the pupil and maintaining an open eyelid. a dysfunction in this nerve can lead to a condition known as oculomotor nerve palsy, which manifests as double vision and strabismus (misalignment of the eyes), because the affected eye cannot move in certain directions. the specific symptoms of inability to move the eyes upward and inward are indicative of impairment in the functions that cn iii controls, particularly involving the superior rectus and medial rectus muscles, respectively.

to differentiate from other cranial nerves: - cn ii, or the optic nerve, is primarily responsible for transmitting visual information from the retina to the brain and does not involve control of eye movements. - cn i, the olfactory nerve, is related to the sense of smell and has no role in eye movement. - cn iv, or the trochlear nerve, controls the superior oblique muscle, which primarily facilitates the downward and outward movements of the eye.

understanding these distinctions is crucial in clinical settings for accurate diagnosis and management of cranial nerve impairments. in this case, the symptoms reported and observed during the physical examination point to a possible impairment of the oculomotor nerve, warranting further neurological evaluation and appropriate management strategies to address the underlying cause of the nerve dysfunction.

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ANCC Adult-Gerontology Acute Care Nurse Practitioner Aliases Test Name

Here is a list of alternative names used for this exam.

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ANCC Adult-Gerontology Acute Care Nurse Practitioner Certification Test
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