NSG 625 Advanced Health Assessment
Quiz 2 With Complete Solutions
List the components of a neurologic exam - CORRECT ANSWER✔✔-
| | | | | | | | |
Mental status, CN I-XII, motor function, sensory function, DTRs, and
| | | | | | | | | |
cerebellar function |
Mental status - CORRECT ANSWER✔✔-Level of consciousness, speech,
| | | | | | | |
orientation, knowledge of current events, judgement, abstraction,
| | | | | | |
vocabulary, emotional responses, memory, calculation ability, object
| | | | | | |
recognition, praxis |
CN I - CORRECT ANSWER✔✔-Olfactory nerve; supplies nerve endings to
| | | | | | | | | |
the superior nasal concha and upper one third of the nasal septum. To
| | | | | | | | | | | | |
test, patient closes eyes and occludes one nostril as the examiner brings
| | | | | | | | | | |
a test substance close to the other nostril. Patient is asked to identify
| | | | | | | | | | | | | |
the substance.
|
CN II - CORRECT ANSWER✔✔-Optic nerve; ends in the retina. To test,
| | | | | | | | | | | |
assess visual acuity (Snellen chart), visual field testing, and PERRLA
| | | | | | | | | |
(pupils equal, round, reactive to light, accomodation)
| | | | | |
, How to use the Snellen Chart - CORRECT ANSWER✔✔-If using the
| | | | | | | | | | |
standard chart, the patient is positioned 20 feet away and asked to read
| | | | | | | | | | | | |
the smallest line possible. If the pocket chart is used, the card is held 14
| | | | | | | | | | | | | | |
inches away from face. Test both eyes separately. Ex: the patient who
| | | | | | | | | | | |
can read up to the 20/50 line can see at 20 feet what a normal person
| | | | | | | | | | | | | | | |
could read at 50 feet.
| | | |
Visual field testing - CORRECT ANSWER✔✔-Useful for determining
| | | | | | | |
lesions of the visual pathway. There are many techniques, but most
| | | | | | | | | | |
commonly used is confrontation visual field testing, where the examiner
| | | | | | | | |
|compares their peripheral vision to the patient's. Examiner and patient
| | | | | | | | | |
each close one eye and focuses on the other's nose. The examiner holds
| | | | | | | | | | | |
|up 1-2 fingers on each hand in all four quadrants, upper to lower. One
| | | | | | | | | | | | | |
hand is in the nasal half of the patient's vision, the other hand is in the
| | | | | | | | | | | | | | | |
temporal half. |
An area of depressed vision noted with visual field testing is called a
| | | | | | | | | | | | |
________ . - CORRECT ANSWER✔✔-scotoma | | | |
Nystagmus - CORRECT ANSWER✔✔-A condition where the eyes make| | | | | | | | |
rapid, repetitive, uncontrolled movements. Can cause problems with
| | | | | | | |
vision, depth perception, balance, and coordination. May be related to:
| | | | | | | | | |
family hx, albinism, inner ear problems like Meniere's disease, multiple
| | | | | | | | | |
sclerosis, stroke, head injury, medications like lithium or anti-seizure
| | | | | | | | |
agents, and alcohol/drug use. | | |
Quiz 2 With Complete Solutions
List the components of a neurologic exam - CORRECT ANSWER✔✔-
| | | | | | | | |
Mental status, CN I-XII, motor function, sensory function, DTRs, and
| | | | | | | | | |
cerebellar function |
Mental status - CORRECT ANSWER✔✔-Level of consciousness, speech,
| | | | | | | |
orientation, knowledge of current events, judgement, abstraction,
| | | | | | |
vocabulary, emotional responses, memory, calculation ability, object
| | | | | | |
recognition, praxis |
CN I - CORRECT ANSWER✔✔-Olfactory nerve; supplies nerve endings to
| | | | | | | | | |
the superior nasal concha and upper one third of the nasal septum. To
| | | | | | | | | | | | |
test, patient closes eyes and occludes one nostril as the examiner brings
| | | | | | | | | | |
a test substance close to the other nostril. Patient is asked to identify
| | | | | | | | | | | | | |
the substance.
|
CN II - CORRECT ANSWER✔✔-Optic nerve; ends in the retina. To test,
| | | | | | | | | | | |
assess visual acuity (Snellen chart), visual field testing, and PERRLA
| | | | | | | | | |
(pupils equal, round, reactive to light, accomodation)
| | | | | |
, How to use the Snellen Chart - CORRECT ANSWER✔✔-If using the
| | | | | | | | | | |
standard chart, the patient is positioned 20 feet away and asked to read
| | | | | | | | | | | | |
the smallest line possible. If the pocket chart is used, the card is held 14
| | | | | | | | | | | | | | |
inches away from face. Test both eyes separately. Ex: the patient who
| | | | | | | | | | | |
can read up to the 20/50 line can see at 20 feet what a normal person
| | | | | | | | | | | | | | | |
could read at 50 feet.
| | | |
Visual field testing - CORRECT ANSWER✔✔-Useful for determining
| | | | | | | |
lesions of the visual pathway. There are many techniques, but most
| | | | | | | | | | |
commonly used is confrontation visual field testing, where the examiner
| | | | | | | | |
|compares their peripheral vision to the patient's. Examiner and patient
| | | | | | | | | |
each close one eye and focuses on the other's nose. The examiner holds
| | | | | | | | | | | |
|up 1-2 fingers on each hand in all four quadrants, upper to lower. One
| | | | | | | | | | | | | |
hand is in the nasal half of the patient's vision, the other hand is in the
| | | | | | | | | | | | | | | |
temporal half. |
An area of depressed vision noted with visual field testing is called a
| | | | | | | | | | | | |
________ . - CORRECT ANSWER✔✔-scotoma | | | |
Nystagmus - CORRECT ANSWER✔✔-A condition where the eyes make| | | | | | | | |
rapid, repetitive, uncontrolled movements. Can cause problems with
| | | | | | | |
vision, depth perception, balance, and coordination. May be related to:
| | | | | | | | | |
family hx, albinism, inner ear problems like Meniere's disease, multiple
| | | | | | | | | |
sclerosis, stroke, head injury, medications like lithium or anti-seizure
| | | | | | | | |
agents, and alcohol/drug use. | | |
