NSG 316 EXAM 2 Questions With All Correct
Answers
Cranial Nerve I: Olfactory Test Correct answer-test sense of smell with familiar odor
Cranial Nerve II: Optic Test Correct answer-test visual acuity and visual field with confrontation
Confrontation Test Correct 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 Correct answer-50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test Correct answer-PERRLA
6 cardinal positions of gaze
PERRLA Correct answer-pupils equal, round, reactive to light (direct and consensual) and
accommodation
6 cardinal positions of gaze Correct answer-right & up
right
right & down
left & up
left
left & down
nystagmus Correct answer-back-and-forth oscillation of the eyes
nystagmus: amplitude Correct answer-fine, medium or coarse movement
nystagmus: frequency Correct answer-constant or fades after few beats
nystagmus: plane of movement Correct answer-horizontal, vertical, rotary or combo
Cranial Nerve V: Trigeminal Test Correct 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? Correct answer-CN V sensory, CN VII motor
Corneal reflex test Correct answer--remove contacts, bring cotton wisp from side, lightly touch
cornea
NORMALLY: patient blinks bilaterally
, Cranial Nerve VII: Facial Test Correct 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 Correct answer-Whispered voice test
Cranial Nerve IX & X: Glossopharyngeal and Vagus Test Correct answer-Motor: open mouth say
"ahh" & gag reflex
NORMALLY: uvula and soft palate rise in midline
Sensory: CN IX does posterior 1/3 taste
Cranial Nerve XI: Accessory Test Correct answer-shrug shoulders
Cranial Nerve XII: Hypoglossal Test Correct answer-say "light, tight, dynamite"
screening neuro exam Correct answer-perform on well persons who have no significant subjective
findings
complete neuro exam Correct answer-perform on person with neuro concerns
neuro recheck exam Correct answer-perform on person with demonstrated neuro defect, who
requires period ic assessment
ansomia Correct answer-Decrease or loss of smell occurs bilaterally
hemianopsia; hemianopia Correct answer-Defective vision or blindness in one half of the visual
field
ptosis Correct answer-drooping eyelid
paresthesias Correct answer-tingling, prickling, "pins & needles" (sensory loss)
diplopia Correct answer-double vision
dysphagia Correct answer-difficulty swallowing
What are the test to evaluate cerebellar function? Correct answer-Balance Test (Gait)
Romberg Test
Rapid Alternating Movements (RAM)
Balance Test (Gait) Correct answer--observe as the person walks 10 to 20 feet, turns and returns to
the starting point
NORMALLY: gait is smooth, rhythmic and effortless opposing arm swing is coordinating
Romberg test Correct answer--ask client to stand with feet at comfortable distance apart, arms at
sides, and eyes closed for ~20 seconds
NORMALLY: patient can maintain posture and balance
Rapid Alternating Movements (RAM) Correct answer-pat the knees with both hands, turn hands
over, then faster
NORMALLY: done with equal turning and quick rhythmic pace
Answers
Cranial Nerve I: Olfactory Test Correct answer-test sense of smell with familiar odor
Cranial Nerve II: Optic Test Correct answer-test visual acuity and visual field with confrontation
Confrontation Test Correct 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 Correct answer-50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test Correct answer-PERRLA
6 cardinal positions of gaze
PERRLA Correct answer-pupils equal, round, reactive to light (direct and consensual) and
accommodation
6 cardinal positions of gaze Correct answer-right & up
right
right & down
left & up
left
left & down
nystagmus Correct answer-back-and-forth oscillation of the eyes
nystagmus: amplitude Correct answer-fine, medium or coarse movement
nystagmus: frequency Correct answer-constant or fades after few beats
nystagmus: plane of movement Correct answer-horizontal, vertical, rotary or combo
Cranial Nerve V: Trigeminal Test Correct 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? Correct answer-CN V sensory, CN VII motor
Corneal reflex test Correct answer--remove contacts, bring cotton wisp from side, lightly touch
cornea
NORMALLY: patient blinks bilaterally
, Cranial Nerve VII: Facial Test Correct 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 Correct answer-Whispered voice test
Cranial Nerve IX & X: Glossopharyngeal and Vagus Test Correct answer-Motor: open mouth say
"ahh" & gag reflex
NORMALLY: uvula and soft palate rise in midline
Sensory: CN IX does posterior 1/3 taste
Cranial Nerve XI: Accessory Test Correct answer-shrug shoulders
Cranial Nerve XII: Hypoglossal Test Correct answer-say "light, tight, dynamite"
screening neuro exam Correct answer-perform on well persons who have no significant subjective
findings
complete neuro exam Correct answer-perform on person with neuro concerns
neuro recheck exam Correct answer-perform on person with demonstrated neuro defect, who
requires period ic assessment
ansomia Correct answer-Decrease or loss of smell occurs bilaterally
hemianopsia; hemianopia Correct answer-Defective vision or blindness in one half of the visual
field
ptosis Correct answer-drooping eyelid
paresthesias Correct answer-tingling, prickling, "pins & needles" (sensory loss)
diplopia Correct answer-double vision
dysphagia Correct answer-difficulty swallowing
What are the test to evaluate cerebellar function? Correct answer-Balance Test (Gait)
Romberg Test
Rapid Alternating Movements (RAM)
Balance Test (Gait) Correct answer--observe as the person walks 10 to 20 feet, turns and returns to
the starting point
NORMALLY: gait is smooth, rhythmic and effortless opposing arm swing is coordinating
Romberg test Correct answer--ask client to stand with feet at comfortable distance apart, arms at
sides, and eyes closed for ~20 seconds
NORMALLY: patient can maintain posture and balance
Rapid Alternating Movements (RAM) Correct answer-pat the knees with both hands, turn hands
over, then faster
NORMALLY: done with equal turning and quick rhythmic pace
