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Rapid nursing assessment Exam Questions and Correct Answers 100% Verified Graded A+

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Rapid nursing assessment Exam Questions and Correct Answers 100% Verified Graded A+

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Rapid nursing assessment Exam Questions and Correct Answers 100% Verified Graded A+

LOC - Awake and alert




Orientation - Alert and oriented x4

Person, place, time and event



Nerve 1 - Olfactory

Smell



Nerve 2 - Optic




Nerve 3 - Oculomotor

Bring light from the side, hand in center to observe response

Bring pen towards nose

PERRLA- pupils equally read and and reactive to light and accommodation



Nerve 4 - Trochlear

Follow pen in 6 cardinal positions of gaze



Nerve 5 - Trigeminal

Test sharp and dull with eyes closed on various body parts

Touch finger to face with eyes closed "wisp"

, Clench jaw- against hands



Nerve 6 - Abducens

6 cardinal fields of gaze- follow with eyes only



Nerve 7 - Facial

Smile and frown

Puff cheeks

Scrunch face

Raise eyebrows



Nerve 8 - Vestibulocochlear

Balance



Nerve 9 - Glossopharyngeal

"Ahhh" uvula should be midline



Nerve 10 - Vagus

Swallow and speak



Nerve 11 - Accessory

Shrug shoulders against resistance

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