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NCLEX Question: Bell's Palsy S&S

2,852 views · Published 11 June 2015 · 1:35 · Indexed 5 October 2026

Channel: EmpoweRN · 2015 · Education

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Question Number 3:

A client admitted is suspected having Bell’s palsy. Which of the following signs and symptoms would the nurse expect to note in the client?

Tingling sensations of the eyelid
Burning pain in the nose with intermittent facial paralysis
Speech or chewing difficulties accompanied by facial drop
Stabbing facial pain with intermittent tingling sensations in the eyes.
Looking at these answer options:
Option A. Tingling sensations of the eyelid. A tingling  sensation is not a characteristic sign and symptom in patients with bells palsy.
In option B. Burning pain in the nose with intermittent facial paralysis - This is also not a sign of bells palsy.
In option C. Speech or chewing difficulties accompanied by facial drop - Bell’s palsy is  one-sided facial paralysis from compression of the facial nerve CN VII. There is a facial droop from paralysis of the facial muscles, increased lacrimation, speech and chewing difficulties, and painful sensations of the eyes, in the face, or behind the ear.  Making this answer option correct.
In option D. Stabbing facial pain with intermittent tingling sensations in the eyes. Bells Palsy is usually not associate with pain.
So again, the correct and final answer option would be C.

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