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    Health Assessment And Promotion Proctored Exam 3 2026

    Which cranial nerve will be damaged in a patient diagnosed with a hearing impairment?

    Explanation & Rationale

    The vestibulocochlear nerve (CN VIII) is a purely sensory nerve responsible for transmitting auditory and equilibrium data from the inner ear. It consists of the cochlear nerve for hearing and the vestibular nerve for balance. Damage to this pathway can result in sensorineural hearing loss or symptoms of vertigo. A. II: The optic nerve is responsible for transmitting visual information from the retina to the brain. Assessment involves visual acuity testing and funduscopic examination. Damage to CN II results in blindness or visual field defects, having no impact on auditory function. B. X: The vagus nerve provides parasympathetic control over heart rate and gastrointestinal motility, as well as motor control for speech and swallowing. It is assessed via the gag reflex and palate elevation. It is not involved in the transmission of sound. C. VII: The facial nerve primarily controls the muscles of facial expression and provides taste to the anterior two-thirds of the tongue. While it has a branch to the stapedius muscle in the ear, the primary nerve for hearing is CN VIII. Damage to CN VII causes facial paralysis. D. VIII: Cranial nerve VIII is the specific conduit for electrical impulses generated by the organ of Corti in response to sound waves. Clinical testing includes the Whisper test, Weber, and Rinne tests. Damage to this nerve is the definitive cause of neurosensory hearing impairment.

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