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NURS 5220-Advanced Health Assessment-Test 2 Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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NURS 5220-Advanced Health Assessment-Test 2 Comprehensive Questions (Frequently Tested) and Complete Solutions Graded A+

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NURS 5220-Advanced Health
Assessment-Test 2 Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
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cranial nerve I - Answer: Olfactory (smell)



cranial nerve II - Answer: Optic - vision



cranial nerve III - Answer: Oculomotor

,cranial nerve IV - Answer: Trochlear



how do you test cranial nerve IV? - Answer: cardinal field test



cranial nerve V - Answer: Trigeminal



how do you test trigeminal nerve? - Answer: Assess facial sensation (hot/cold, dull/sharp), clench teeth,
corneal reflex



cranial nerve VI - Answer: Abducens



how do you test abducens nerve? - Answer: 6 fields of gaze for lateral movement



what 3 cranial nerves are tested together? - Answer: III, IV, VI



corneal reflex - Answer: blinking in response to corneal stimulation by a cotton wisp



Cranial Nerve VII - Answer: Facial - controls most facial expressions & secretion of tears & saliva & taste



cranial nerve VIII - Answer: Vestibulocochlear (hearing and balance)



cranial nerve IX - Answer: Glossopharyngeal



cranial nerve IX and X - Answer: 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).



cranial nerve XI - Answer: spinal accessory



how to test cranial nerve XI? - Answer: shrug shoulders and rotate head against resistance



cranial nerve XII - Answer: Hypoglossal



how to test cranial nerve XII? - Answer: 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).



achilles reflex tests.... - Answer: plantar flexion of foot



DTR 0 - Answer: no response



DTR 1+ - Answer: sluggish or diminished



DTR 2+ - Answer: active or expected response



DTR 3+ - Answer: more brisk than expected, slightly hyperactive



DTR 4+ - Answer: brisk, hyperactive with intermittent or transient clonus



clonus - Answer: rapidly alternating involuntary contraction and relaxation of a muscle in response to
sudden stretch

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