NUR254
NUR 254 Exams 1| Galen College | 2025
Complete Maternal & Pediatric Nursing Bundle
1. What is Cranial nerve I?: olfactory
can pt identify common odors?
2. What is Cranial nerve II?: Optic
assessing visual acuity
3. What is cranial nerve III?: oculomotor
eye movement
involve "rolling the eyes
4. What is cranial nerve IV?: trochlear involve "rolling the eyes
5. What is cranial nerve VI?: Abducens
eye movement
involve "rolling the eyes
, 6. What is cranial nerve V?: Trigeminal
assessing for jaw muscles, ability to clench the jaw
7. What is cranial nerve VII?: Facial
is facial movement symmetrical? assess smile, puff cheeks, raise eyebrows
8. What is cranial nerve VIII?: acoustic
assess hearing
9. What is cranial nerve IX?: Glossopharyngeal
assess for swallow, is there dysphagia, can pt cough, gaf
10. What is cranial nerve X?: Vagus
assess for swallow, is there dysphagia, can pt cough, gaf
11. What is cranial nerve XI?: accessory
assess spinal neck strength, turn head against resistance, shrug shoulders
against resistance
12. What is cranial nerve XII?: Hypoglossal
,assess tongue deviation, (pt sticks tongue out and goes from side to
side) if there is weakness, tongue will move towards the stronger side
13. What is a cold caloric test?: tests VIII assesses for brainstem death
insert ice cold water into pt ear, their eyes should wander towards the ear
you injected into and then have a sharp return to midline
14. What is Doll's eye test?: assess for brain death
move pt head from side to side, eyes SHOULD go to the opposite side they're
being turned to if eyes move with the movement of their head, they are brain
dead.
15. What is dysarhthria?: slurred speech
16.What is expressive aphasia?: inability to produce language
17.What is receptive aphasia?: inability to understand written or spoken
language
18.What is global aphasia?: Both receptive and expressive
19.What is a lumbar puncture?: colorless, odorless, no blood or bac in
normal CSF, we are looking for outliers
, 3rd and 4th space have pt
side lying, knees bent up
watch for CSF leakage
postop keep pt flat after
procedure 4-8 hrs
force fluids
20.depressed skull fracture: surgery is required break in crnial bone with
depression towards the brain
watch for CSF leakage out of the nose or ears
21.Linear or hairline fracture: watch for swelling, change in LOC
doesn't require surgery
22.basilar skull fracture: Raccoon eyes (periorbital ecchymosis) and
Battle's sign (around the ear ecchymosis)
watch for CSF leakage
23.What is a cerebral contusion?: brain bruise s/s: change in LOC
a: worsening s/s