NURSE PRACTITIONERS IN PRIMARY CARE I
SECOND TEST 2026 SUCCESS BLUEPRINT
GUIDE
◉ Cranial Nerve II: Optic Test. Answer: test visual acuity and visual
field with confrontation
◉ Confrontation Test. Answer: gross measure of peripheral vision
-stand 2 fett from person
-have patient cover one eye, then cover your own eye opposite to the
persons covered one
-hold finger as target midline between you and patient, slowly
advance to periphery
-as person to say "now" as target is first seen
◉ Confrontation Test: normal. Answer: 50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
◉ Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test.
Answer: PERRLA
,6 cardinal positions of gaze
◉ PERRLA. Answer: pupils equal, round, reactive to light (direct and
consensual) and accommodation
◉ 6 cardinal positions of gaze. Answer: right & up
right
right & down
left & up
left
left & down
◉ nystagmus. Answer: back-and-forth oscillation of the eyes
◉ nystagmus: amplitude. Answer: fine, medium or coarse movement
◉ nystagmus: frequency. Answer: constant or fades after few beats
◉ nystagmus: plane of movement. Answer: horizontal, vertical,
rotary or combo
, ◉ Cranial Nerve V: Trigeminal Test. Answer: Motor: asking the client
to clench her teeth while you palpate the masseter (muscle of
mastication)
Sensory- test light touch by having a client closer their eyes while
you toucher her face gently with a wisp of cotton, patient identifies
location
◉ What does the corneal reflex test?. Answer: CN V sensory, CN VII
motor
◉ Corneal reflex test. Answer: -remove contacts, bring cotton wisp
from side, lightly touch cornea
NORMALLY: patient blinks bilaterally
◉ Cranial Nerve VII: Facial Test. Answer: Motor: have client smile,
frown, puff out her cheeks, raise her eyebrows, close her eyes tightly
Sensory: anterior 2/3 taste (sugar, salt, lemon juice)
◉ Cranial Nerve VIII: Vestibulocochlear Test. Answer: Whispered
voice test
◉ Cranial Nerve IX & X: Glossopharyngeal and Vagus Test. Answer:
Motor: open mouth say "ahh" & gag reflex
NORMALLY: uvula and soft palate rise in midline
SECOND TEST 2026 SUCCESS BLUEPRINT
GUIDE
◉ Cranial Nerve II: Optic Test. Answer: test visual acuity and visual
field with confrontation
◉ Confrontation Test. Answer: gross measure of peripheral vision
-stand 2 fett from person
-have patient cover one eye, then cover your own eye opposite to the
persons covered one
-hold finger as target midline between you and patient, slowly
advance to periphery
-as person to say "now" as target is first seen
◉ Confrontation Test: normal. Answer: 50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
◉ Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test.
Answer: PERRLA
,6 cardinal positions of gaze
◉ PERRLA. Answer: pupils equal, round, reactive to light (direct and
consensual) and accommodation
◉ 6 cardinal positions of gaze. Answer: right & up
right
right & down
left & up
left
left & down
◉ nystagmus. Answer: back-and-forth oscillation of the eyes
◉ nystagmus: amplitude. Answer: fine, medium or coarse movement
◉ nystagmus: frequency. Answer: constant or fades after few beats
◉ nystagmus: plane of movement. Answer: horizontal, vertical,
rotary or combo
, ◉ Cranial Nerve V: Trigeminal Test. Answer: Motor: asking the client
to clench her teeth while you palpate the masseter (muscle of
mastication)
Sensory- test light touch by having a client closer their eyes while
you toucher her face gently with a wisp of cotton, patient identifies
location
◉ What does the corneal reflex test?. Answer: CN V sensory, CN VII
motor
◉ Corneal reflex test. Answer: -remove contacts, bring cotton wisp
from side, lightly touch cornea
NORMALLY: patient blinks bilaterally
◉ Cranial Nerve VII: Facial Test. Answer: Motor: have client smile,
frown, puff out her cheeks, raise her eyebrows, close her eyes tightly
Sensory: anterior 2/3 taste (sugar, salt, lemon juice)
◉ Cranial Nerve VIII: Vestibulocochlear Test. Answer: Whispered
voice test
◉ Cranial Nerve IX & X: Glossopharyngeal and Vagus Test. Answer:
Motor: open mouth say "ahh" & gag reflex
NORMALLY: uvula and soft palate rise in midline
