Nurs 5220-Advanced Health
Assessment-Test 2 With Complete
Solutions
1. cranial nerve I:ANS Olfactory (smell)
2. cranial nerve II: ANS Optic - vision
3. cranial nerve III: ANS Oculomotor
4. cranial nerve IV: ANS Trochlear
5. how do you test cranial nerve IV?: ANS cardinal field test
6. cranial nerve V: ANS Trigeminal
7. how do you test trigeminal nerve?: ANS Assess facial sensation
(hot/cold, dull/sharp), clench teeth, corneal reflex
8. cranial nerve VI: ANS Abducens
9. how do you test abducens nerve?: ANS 6 fields of gaze for lateral movement
10. what 3 cranial nerves are tested together?: ANS III, IV, VI
otton wisp
11. corneal reflex: ANS blinking in response to corneal stimulation by a c
https://www.stuvia.com/user/HIGRADES
, 12. Cranial Nerve VII: ANS Facial - controls most facial expressions & secretion of
tears & saliva & taste
13. cranial nerve VIII: ANS Vestibulocochlear (hearing and balance)
14. cranial nerve IX: ANS Glossopharyngeal
15. cranial nerve IX and X: ANS ability to identify sour and bitter tastes on each
side of the tongue. Test gag reflex and ability to swallow.
Inspect palate and uvula for symmetry with speech sounds and gag reflex. Observe
for swallowing difficulty. Evaluate quality of guttural speech sounds (presence of
nasal or hoarse quality to voice).
16. cranial nerve XI: ANS spinal accessory
17. how to test cranial nerve XI?: ANS shrug shoulders and rotate head against
resis- tance
18. cranial nerve XII: ANS Hypoglossal
19. how to test cranial nerve XII?: ANS inspect tongue in mouth and while
protruded for symmetry, tremors, atrophy. Inspect tongue movement toward nose
and chin. Test tongue strength with index finger when tongue is pressed against
cheek. Evaluate quality of lingual speech sounds (l, t, d, n).
20. achilles reflex tests....: ANS plantar flexion of foot
21. DTR 0: ANS no response
https://www.stuvia.com/user/HIGRADES
, 22. DTR 1+: ANS sluggish or diminished
23. DTR 2+: ANS active or expected response
24. DTR 3+: ANS more brisk than expected, slightly hyperactive
25. DTR 4+: ANS brisk, hyperactive with intermittent or transient clonus
26. clonus: ANS rapidly alternating involuntary contraction and relaxation of a
muscle in response to sudden stretch
27. extension of the elbow tests for.... ANS: triceps reflex
28. triceps reflex: ANS C7-C8
rson's inability
29. Kernig's sign: ANS a diagnostic sign for meningitis marked by men and the
the pe to extend the leg completely when the thigh is flexed upon
the abdo person is sitting or lying down
gs lift involun-
30. Brudzinski's sign: ANS Sign of meningitis; positive when a
patient's le tarily when lifting a patient's head
aced in the
31. palmar grasp: ANS An infant reflex that occurs when
something is pl infant's palm; the infant grasps the object.
32. Plantar grasp: ANS Touch sole of foot, toes curl downwards
a loud sound
33. Moro reflex: ANS Infant reflex where a baby will startle in
response to or sudden movement.
https://www.stuvia.com/user/HIGRADES
Assessment-Test 2 With Complete
Solutions
1. cranial nerve I:ANS Olfactory (smell)
2. cranial nerve II: ANS Optic - vision
3. cranial nerve III: ANS Oculomotor
4. cranial nerve IV: ANS Trochlear
5. how do you test cranial nerve IV?: ANS cardinal field test
6. cranial nerve V: ANS Trigeminal
7. how do you test trigeminal nerve?: ANS Assess facial sensation
(hot/cold, dull/sharp), clench teeth, corneal reflex
8. cranial nerve VI: ANS Abducens
9. how do you test abducens nerve?: ANS 6 fields of gaze for lateral movement
10. what 3 cranial nerves are tested together?: ANS III, IV, VI
otton wisp
11. corneal reflex: ANS blinking in response to corneal stimulation by a c
https://www.stuvia.com/user/HIGRADES
, 12. Cranial Nerve VII: ANS Facial - controls most facial expressions & secretion of
tears & saliva & taste
13. cranial nerve VIII: ANS Vestibulocochlear (hearing and balance)
14. cranial nerve IX: ANS Glossopharyngeal
15. cranial nerve IX and X: ANS ability to identify sour and bitter tastes on each
side of the tongue. Test gag reflex and ability to swallow.
Inspect palate and uvula for symmetry with speech sounds and gag reflex. Observe
for swallowing difficulty. Evaluate quality of guttural speech sounds (presence of
nasal or hoarse quality to voice).
16. cranial nerve XI: ANS spinal accessory
17. how to test cranial nerve XI?: ANS shrug shoulders and rotate head against
resis- tance
18. cranial nerve XII: ANS Hypoglossal
19. how to test cranial nerve XII?: ANS inspect tongue in mouth and while
protruded for symmetry, tremors, atrophy. Inspect tongue movement toward nose
and chin. Test tongue strength with index finger when tongue is pressed against
cheek. Evaluate quality of lingual speech sounds (l, t, d, n).
20. achilles reflex tests....: ANS plantar flexion of foot
21. DTR 0: ANS no response
https://www.stuvia.com/user/HIGRADES
, 22. DTR 1+: ANS sluggish or diminished
23. DTR 2+: ANS active or expected response
24. DTR 3+: ANS more brisk than expected, slightly hyperactive
25. DTR 4+: ANS brisk, hyperactive with intermittent or transient clonus
26. clonus: ANS rapidly alternating involuntary contraction and relaxation of a
muscle in response to sudden stretch
27. extension of the elbow tests for.... ANS: triceps reflex
28. triceps reflex: ANS C7-C8
rson's inability
29. Kernig's sign: ANS a diagnostic sign for meningitis marked by men and the
the pe to extend the leg completely when the thigh is flexed upon
the abdo person is sitting or lying down
gs lift involun-
30. Brudzinski's sign: ANS Sign of meningitis; positive when a
patient's le tarily when lifting a patient's head
aced in the
31. palmar grasp: ANS An infant reflex that occurs when
something is pl infant's palm; the infant grasps the object.
32. Plantar grasp: ANS Touch sole of foot, toes curl downwards
a loud sound
33. Moro reflex: ANS Infant reflex where a baby will startle in
response to or sudden movement.
https://www.stuvia.com/user/HIGRADES
