NUR 1060 EXAM 3 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GRADED A++
How to assess the Olfactory nerve (CNI)
open an alcohol pad, wave it in front of patients face and ask if they can smell it
What is a Romberg test
a physical test to see if the patient has balance problems
Abnormal finding for the Romberg test
positive for Proprioception (problems sensing movement and position)
Four ways to test for fine motor function
Rapid and alternate supination and pronation, finger and nose, finger apposition, and
heel to shin test
What does rapid alternating of supination and pronation test for
motor control and coordination
What does finger to nose test for
smooth and coordinated upper extremity movement
What does finger apposition test for
tests the small hand for coordination and range of movement of the fingers and thumb
What does the heel to shin test for
a neurological exam that tests for co-ordination
Abnormal finding for heel to shin test
cerebellar problems
How to test patients Sensory function
, examine patients awareness of light touch, pain/sharp, vibration and tactile
discrimination
Importance of sensory function
helps recognize any neurological issues, spinal cord problems, and somatosensory
abnormalities
What does the somatosensory system interpret
touch, temperature, pain and body position
How to test for awareness of light touch and pain/sharp sensation
touch the patient with both ends of the QTIP on upper arm, forearm, hand, thigh and
lower leg indicating which side is dull or sharp
How to test for sensation of vibration
activate tuning fork and touch the patients thumbs and big toe bilaterally. Ask patient
when/if they feel vibration
How to test for tactile discrimination
use two pointed instrument like tuning fork. Demonstrate one point and two point touch
and ask patient to state which they felt
Why test the patients tendon and superficial reflexes
evaluates the integrity of the neurological system and the function of the motor and
sensory pathways
Motor pathways
voluntary movements that control posture and muscles
Sensory pathways
neuronal chains that interpret sensation
COMPLETE SOLUTIONS GRADED A++
How to assess the Olfactory nerve (CNI)
open an alcohol pad, wave it in front of patients face and ask if they can smell it
What is a Romberg test
a physical test to see if the patient has balance problems
Abnormal finding for the Romberg test
positive for Proprioception (problems sensing movement and position)
Four ways to test for fine motor function
Rapid and alternate supination and pronation, finger and nose, finger apposition, and
heel to shin test
What does rapid alternating of supination and pronation test for
motor control and coordination
What does finger to nose test for
smooth and coordinated upper extremity movement
What does finger apposition test for
tests the small hand for coordination and range of movement of the fingers and thumb
What does the heel to shin test for
a neurological exam that tests for co-ordination
Abnormal finding for heel to shin test
cerebellar problems
How to test patients Sensory function
, examine patients awareness of light touch, pain/sharp, vibration and tactile
discrimination
Importance of sensory function
helps recognize any neurological issues, spinal cord problems, and somatosensory
abnormalities
What does the somatosensory system interpret
touch, temperature, pain and body position
How to test for awareness of light touch and pain/sharp sensation
touch the patient with both ends of the QTIP on upper arm, forearm, hand, thigh and
lower leg indicating which side is dull or sharp
How to test for sensation of vibration
activate tuning fork and touch the patients thumbs and big toe bilaterally. Ask patient
when/if they feel vibration
How to test for tactile discrimination
use two pointed instrument like tuning fork. Demonstrate one point and two point touch
and ask patient to state which they felt
Why test the patients tendon and superficial reflexes
evaluates the integrity of the neurological system and the function of the motor and
sensory pathways
Motor pathways
voluntary movements that control posture and muscles
Sensory pathways
neuronal chains that interpret sensation
