NRSG 3323 Exam 1 Test Questions
and Correct Answers.
Goals of obtaining a health history - Answer gather information, identify actual and potential
health problems, identify teaching and referral needs, negotiate management (plan to stop
smoking), contract for positive behavioral change and disease prevention
Categories of a traditional health history - Answer CC - chief complaint
HPC/HPI - history of present concern/illness
PMH - past medical history
FH - family history
SH - social/lifestyle history
Genogram - Answer A family diagram that depicts each member of the family and shows
connections between the generations - allows you to see how conditions are transferred
genetically
Cranial Nerve I - Answer OLFACTORY
- Smell reception & interpretation
- Assess by having patient close their eyes, close one nostril, and identify a smell such as coffee
or alcohol
Cranial Nerve II - Answer Optic - vision
- Assess by testing visual acuity and pupillary constriction
Cranial Nerve III - Answer Oculomotor nerve
1) Allows EOMs to move eye inward, lateral, and upward
2) Responsible for upper eyelid symmetry (ptosis)
- Assess by testing visual acuity, pupillary constriction, and six cardinal points of gaze
Cranial Nerve IV - Answer Trochlear - allows EOMs to move eye inward and downward
toward nose
- assess by testing six cardinal fields of gaze
Cranial Nerve V - Answer Trigeminal - sensation of the face and biting/chewing
- assess by palpating jaw muscle while having patient clench their teeth; assess sensation by
stroking face with cotton ball
, Cranial Nerve VI - Answer Abducens - allows eye movement laterally towards the ear
- assess by testing six cardinal fields of gaze
Cranial Nerve VII - Answer Facial
1) facial expressions
2) taste sensation on the front 2/3 of the tongue
- assess by having the patient smile, frown, wrinkle the forehead, and puff out cheeks
Cranial Nerve VIII - Answer Vestibulocochlear - hearing and equilibrium (balance)
- assess by whispering in patient's ear and have them repeat what you said
Cranial Nerve IX - Answer Glossopharyngeal - taste on the last 1/3 of tongue
- assess by palpating soft palate for symmetry, say "ah", test gag reflex, and have the patient
swallow
Cranial Nerve X - Answer Vagus- gag reflex, parasympathetic innervation, digestion, heart
rate, coughing. sneezing, swallowing, vomiting
- assess by palpating soft palate for symmetry, say "ah", test gag reflex, and have the patient
swallow
Cranial Nerve XI - Answer Spinal Accessory - controls trapezius & sternocleidomastoid &
controls swallowing movements
- assess by placing your hands on patient's shoulders and have them shrug against resistance,
place hand on patient's cheek and have them turn their head against resistance
Cranial Nerve XII - Answer Hypoglossal: Movement of the tongue; strength of the tongue
- assess by asking the patient to protrude tongue; ask patient to push tongue against cheek
External ear exam - Answer - Note level of the ear
- Inspect the auricles
- Move auricles to assess tenderness
- Palpate the mastoid process and tragus
- Inspect the auditory canal (cerumen, discharge, redness, tenderness)
and Correct Answers.
Goals of obtaining a health history - Answer gather information, identify actual and potential
health problems, identify teaching and referral needs, negotiate management (plan to stop
smoking), contract for positive behavioral change and disease prevention
Categories of a traditional health history - Answer CC - chief complaint
HPC/HPI - history of present concern/illness
PMH - past medical history
FH - family history
SH - social/lifestyle history
Genogram - Answer A family diagram that depicts each member of the family and shows
connections between the generations - allows you to see how conditions are transferred
genetically
Cranial Nerve I - Answer OLFACTORY
- Smell reception & interpretation
- Assess by having patient close their eyes, close one nostril, and identify a smell such as coffee
or alcohol
Cranial Nerve II - Answer Optic - vision
- Assess by testing visual acuity and pupillary constriction
Cranial Nerve III - Answer Oculomotor nerve
1) Allows EOMs to move eye inward, lateral, and upward
2) Responsible for upper eyelid symmetry (ptosis)
- Assess by testing visual acuity, pupillary constriction, and six cardinal points of gaze
Cranial Nerve IV - Answer Trochlear - allows EOMs to move eye inward and downward
toward nose
- assess by testing six cardinal fields of gaze
Cranial Nerve V - Answer Trigeminal - sensation of the face and biting/chewing
- assess by palpating jaw muscle while having patient clench their teeth; assess sensation by
stroking face with cotton ball
, Cranial Nerve VI - Answer Abducens - allows eye movement laterally towards the ear
- assess by testing six cardinal fields of gaze
Cranial Nerve VII - Answer Facial
1) facial expressions
2) taste sensation on the front 2/3 of the tongue
- assess by having the patient smile, frown, wrinkle the forehead, and puff out cheeks
Cranial Nerve VIII - Answer Vestibulocochlear - hearing and equilibrium (balance)
- assess by whispering in patient's ear and have them repeat what you said
Cranial Nerve IX - Answer Glossopharyngeal - taste on the last 1/3 of tongue
- assess by palpating soft palate for symmetry, say "ah", test gag reflex, and have the patient
swallow
Cranial Nerve X - Answer Vagus- gag reflex, parasympathetic innervation, digestion, heart
rate, coughing. sneezing, swallowing, vomiting
- assess by palpating soft palate for symmetry, say "ah", test gag reflex, and have the patient
swallow
Cranial Nerve XI - Answer Spinal Accessory - controls trapezius & sternocleidomastoid &
controls swallowing movements
- assess by placing your hands on patient's shoulders and have them shrug against resistance,
place hand on patient's cheek and have them turn their head against resistance
Cranial Nerve XII - Answer Hypoglossal: Movement of the tongue; strength of the tongue
- assess by asking the patient to protrude tongue; ask patient to push tongue against cheek
External ear exam - Answer - Note level of the ear
- Inspect the auricles
- Move auricles to assess tenderness
- Palpate the mastoid process and tragus
- Inspect the auditory canal (cerumen, discharge, redness, tenderness)
