NUR 225 Exam 4 – Questions With Accurrate
Solutions
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Terms in this set (93)
Screening vs Complete neuro exam Screening Neuro Exam: well people w/ no neuro
complaints
Complete Neuro Exam: those w/ neurologic concerns
Cognitive exam: Appearance, behavior, Appearance, behavior (consistent & appropriate),
cognition, thought processes cognition, thought processes
Is patient alert? Lethargic? Comatose?
Oriented x 4 (person, place, time, situation/purpose)
Cognitive abnormalities: Dementia Loss of intellectual abilities (planning, judgement),
reasoning, math
Memory: LTM (birthday) & STM (breakfast)
,Cognitive abnormalities: Confusion vs Aphasia (expressive- cannot get the words out to
aphasia (how to differentiate) communicate, receptive- can hear you but cannot make
sense of it)
Difficult to differentiate
If speaks in 1 word sentences or repeats same sentence
over & over...consider aphasia (stroke, tumor in Broca's
area)
Test by having them read or repeat a sentence
Cranial nerve exam: Know the order for CN 2, 3, 4, 6, 5, 7, 8, 9, 10, 12, 11
testing
CN I: what is it and how is it tested? *olfactory nerve
-not routinely tested
CN II: what is it and how do we test it? *optic nerve
-Snellen, confrontation, opthalmoscopic exam for
papilledema
Bulging/swelling optic disc -papilledema
-brain is pushing down into brainstem/herniated- get
this patient into surgery
CN III, IV, VI: what are they and how do *oculomotor, trochlear, abducens
we test them?
-Palpebral folds (eyelids, any ptosis?- stroke/ Bell's
palsy)
-PERRLA
-EOM 6 cardinal fields of gaze
, Nystagmus and roving eye movements: -abnormal movement of eye when having them
what do they mean? following pen light/finger
-Horizontal: cerebellar, drugs, ETOH
-Vertical: drugs, Wernicke's, brain stem
-Ocular Bobbing: brain stem
-Roving Eye Movements
(eyes just kind of looking all over when you lift
eyelid)
--coma, sluggish brainstem
CN V, VII, VIII: what are they and how do Trigeminal nerve (feel 5)
we test for them? -Motor: palpate temporal, TMJ, masseter
-Sensory
--Light sensation: forehead, cheeks, chin (do in random
order w/ eyes closed)
Facial nerve (see 7)
-Nasolabial folds: asymmetry = stroke, Bell's Palsey
-Shut eyes & open against resistance
-Raise brows, smile, frown, puff out cheeks (should all
be symmetric)
Vestibulocochlear (whisper 8)
-Whisper test (whisper something behind the and have
them cover their opposite ear)
CN IX and X: what are they and how to Glossopharyngeal
conduct basic (IX, X) and advanced Basic Exam:
exam (X) -Speech ...hoarseness
-Say "ah" ...uvula should rise midline
Vagus nerve
Advanced Exam:
-Gag test: only on unconscious pt. (make sure to turn
them on side in case they throw up)
Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (93)
Screening vs Complete neuro exam Screening Neuro Exam: well people w/ no neuro
complaints
Complete Neuro Exam: those w/ neurologic concerns
Cognitive exam: Appearance, behavior, Appearance, behavior (consistent & appropriate),
cognition, thought processes cognition, thought processes
Is patient alert? Lethargic? Comatose?
Oriented x 4 (person, place, time, situation/purpose)
Cognitive abnormalities: Dementia Loss of intellectual abilities (planning, judgement),
reasoning, math
Memory: LTM (birthday) & STM (breakfast)
,Cognitive abnormalities: Confusion vs Aphasia (expressive- cannot get the words out to
aphasia (how to differentiate) communicate, receptive- can hear you but cannot make
sense of it)
Difficult to differentiate
If speaks in 1 word sentences or repeats same sentence
over & over...consider aphasia (stroke, tumor in Broca's
area)
Test by having them read or repeat a sentence
Cranial nerve exam: Know the order for CN 2, 3, 4, 6, 5, 7, 8, 9, 10, 12, 11
testing
CN I: what is it and how is it tested? *olfactory nerve
-not routinely tested
CN II: what is it and how do we test it? *optic nerve
-Snellen, confrontation, opthalmoscopic exam for
papilledema
Bulging/swelling optic disc -papilledema
-brain is pushing down into brainstem/herniated- get
this patient into surgery
CN III, IV, VI: what are they and how do *oculomotor, trochlear, abducens
we test them?
-Palpebral folds (eyelids, any ptosis?- stroke/ Bell's
palsy)
-PERRLA
-EOM 6 cardinal fields of gaze
, Nystagmus and roving eye movements: -abnormal movement of eye when having them
what do they mean? following pen light/finger
-Horizontal: cerebellar, drugs, ETOH
-Vertical: drugs, Wernicke's, brain stem
-Ocular Bobbing: brain stem
-Roving Eye Movements
(eyes just kind of looking all over when you lift
eyelid)
--coma, sluggish brainstem
CN V, VII, VIII: what are they and how do Trigeminal nerve (feel 5)
we test for them? -Motor: palpate temporal, TMJ, masseter
-Sensory
--Light sensation: forehead, cheeks, chin (do in random
order w/ eyes closed)
Facial nerve (see 7)
-Nasolabial folds: asymmetry = stroke, Bell's Palsey
-Shut eyes & open against resistance
-Raise brows, smile, frown, puff out cheeks (should all
be symmetric)
Vestibulocochlear (whisper 8)
-Whisper test (whisper something behind the and have
them cover their opposite ear)
CN IX and X: what are they and how to Glossopharyngeal
conduct basic (IX, X) and advanced Basic Exam:
exam (X) -Speech ...hoarseness
-Say "ah" ...uvula should rise midline
Vagus nerve
Advanced Exam:
-Gag test: only on unconscious pt. (make sure to turn
them on side in case they throw up)
