NSG 6430 COMPREHENSIVE CLINICAL
PRACTICE REVIEW SHEET FULL
SOLUTIONS
●● Cranial Nerve II: Optic Test
Answer: test visual acuity and visual field with confrontation
●● Confrontation Test
Answer: gross measure of peripheral vision
-stand 2 fett from person
-have patient cover one eye, then cover your own eye opposite to the
persons covered one
-hold finger as target midline between you and patient, slowly advance
to periphery
-as person to say "now" as target is first seen
●● Confrontation Test: normal
Answer: 50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
,●● Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test
Answer: PERRLA
6 cardinal positions of gaze
●● PERRLA
Answer: pupils equal, round, reactive to light (direct and consensual)
and accommodation
●● 6 cardinal positions of gaze
Answer: right & up
right
right & down
left & up
left
left & down
●● 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
PRACTICE REVIEW SHEET FULL
SOLUTIONS
●● Cranial Nerve II: Optic Test
Answer: test visual acuity and visual field with confrontation
●● Confrontation Test
Answer: gross measure of peripheral vision
-stand 2 fett from person
-have patient cover one eye, then cover your own eye opposite to the
persons covered one
-hold finger as target midline between you and patient, slowly advance
to periphery
-as person to say "now" as target is first seen
●● Confrontation Test: normal
Answer: 50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
,●● Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test
Answer: PERRLA
6 cardinal positions of gaze
●● PERRLA
Answer: pupils equal, round, reactive to light (direct and consensual)
and accommodation
●● 6 cardinal positions of gaze
Answer: right & up
right
right & down
left & up
left
left & down
●● 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
