NSG 316 NEWEST QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
Babinski reflex - ANSWER-Reflex in which a newborn fans out the toes when the
sole of the foot is touched
-for those 1 year old or younger otherwise its abnormal
Normal response: abdominal reflexes - ANSWER-ipsilateral contraction of
abdominal muscle with observed deviation of umbilicus toward stroke
Normal response: planter reflex - ANSWER-plantar flexion of toes and inversion
and flexion of forefoot
Dyskinesia - ANSWER-difficult movement
Older adults: repetitive stereotyped movements in jaw, lips, or
Tongue may accompany senile tremors; no associated rigidity
Present
lymph node palpation technique order - ANSWER--Preauricular: in front of ear
-Posterior auricular (mastoid): superficial to mastoid
process
-Occipital: at base of skull
-Submental: midline, behind tip of mandible
-Submandibular: halfway between angle and tip of
mandible
-Jugulodigastric (tonsillar): under angle of mandible
-Superficial cervical: overlying sternomastoid
muscle
-Deep cervical: deep under sternomastoid muscle
-Posterior cervical: in posterior triangle along edge
of trapezius muscle
-Supraclavicular: just above and behind clavicle, at
sternomastoid muscle
,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
Sensory: CN IX does posterior 1/3 taste
Cranial Nerve XI: Accessory Test - ANSWER-shrug shoulders
Cranial Nerve XII: Hypoglossal Test - ANSWER-say "light, tight, dynamite"
screening neuro exam - ANSWER-perform on well persons who have no
significant subjective findings
, Complete neuro exam - ANSWER-perform on person with neuro concerns
Neuro recheck exam - ANSWER-perform on person with demonstrated neuro
defect, who requires period ic assessment
Anosmia - ANSWER-Decrease or loss of smell occurs bilaterally
Hemianopsia; hemianopia - ANSWER-Defective vision or blindness in one half of
the visual field
Ptosis - ANSWER-drooping eyelid
Paresthesias - ANSWER-tingling, prickling, "pins & needles" (sensory loss)
Diplopia - ANSWER-double vision
Dysphagia - ANSWER-difficulty swallowing
What are the test to evaluate cerebellar function? - ANSWER-Balance Test (Gait)
Romberg Test
Rapid Alternating Movements (RAM)
Balance Test (Gait) - 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 - 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) - ANSWER-pat the knees with both hands,
turn hands over, then faster
NORMALLY: done with equal turning and quick rhythmic pace
Flaccidity - ANSWER-decreased muscle tone (hypotonia), muscle feels limp, soft,
flabby
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
Babinski reflex - ANSWER-Reflex in which a newborn fans out the toes when the
sole of the foot is touched
-for those 1 year old or younger otherwise its abnormal
Normal response: abdominal reflexes - ANSWER-ipsilateral contraction of
abdominal muscle with observed deviation of umbilicus toward stroke
Normal response: planter reflex - ANSWER-plantar flexion of toes and inversion
and flexion of forefoot
Dyskinesia - ANSWER-difficult movement
Older adults: repetitive stereotyped movements in jaw, lips, or
Tongue may accompany senile tremors; no associated rigidity
Present
lymph node palpation technique order - ANSWER--Preauricular: in front of ear
-Posterior auricular (mastoid): superficial to mastoid
process
-Occipital: at base of skull
-Submental: midline, behind tip of mandible
-Submandibular: halfway between angle and tip of
mandible
-Jugulodigastric (tonsillar): under angle of mandible
-Superficial cervical: overlying sternomastoid
muscle
-Deep cervical: deep under sternomastoid muscle
-Posterior cervical: in posterior triangle along edge
of trapezius muscle
-Supraclavicular: just above and behind clavicle, at
sternomastoid muscle
,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
Sensory: CN IX does posterior 1/3 taste
Cranial Nerve XI: Accessory Test - ANSWER-shrug shoulders
Cranial Nerve XII: Hypoglossal Test - ANSWER-say "light, tight, dynamite"
screening neuro exam - ANSWER-perform on well persons who have no
significant subjective findings
, Complete neuro exam - ANSWER-perform on person with neuro concerns
Neuro recheck exam - ANSWER-perform on person with demonstrated neuro
defect, who requires period ic assessment
Anosmia - ANSWER-Decrease or loss of smell occurs bilaterally
Hemianopsia; hemianopia - ANSWER-Defective vision or blindness in one half of
the visual field
Ptosis - ANSWER-drooping eyelid
Paresthesias - ANSWER-tingling, prickling, "pins & needles" (sensory loss)
Diplopia - ANSWER-double vision
Dysphagia - ANSWER-difficulty swallowing
What are the test to evaluate cerebellar function? - ANSWER-Balance Test (Gait)
Romberg Test
Rapid Alternating Movements (RAM)
Balance Test (Gait) - 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 - 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) - ANSWER-pat the knees with both hands,
turn hands over, then faster
NORMALLY: done with equal turning and quick rhythmic pace
Flaccidity - ANSWER-decreased muscle tone (hypotonia), muscle feels limp, soft,
flabby
