NR 304 / NR304 Chamberlain College Of Nursing -NR-304 Final review lecture Questions With
Complete Solutions
Romberg test is used to assess? - (ANSWER)Balance and coordination
What do you expect to see in a patient with a positive Romberg? - (ANSWER)swaying when feet are
together and arms are at sides with their eyes closed
What is nystagmus? - (ANSWER)Involuntary movement of the eyeballs in an up/down, back/forth
motion. Interferes with head control.
How do you test the Babinski reflex? - (ANSWER)stroke lateral aspect of foot, heel to the ball of the foot,
then across ball of foot.
What is a positive Babinski reflex in infant? - (ANSWER)Curling of toes
What is a positive Babinski reflex in adults? - (ANSWER)Dorsiflexion and fanning of toes
Diabetic peripheral neuropathy is associated with what symptoms? - (ANSWER)Numbness and
desensitization of feet, ankles, and legs.
How do you assess Cranial Nerve VII (Facial)? - (ANSWER)Asking patient to make faces and seeing if they
are symmetrical.
How do you assess Cranial Nerve X (Vagus)? - (ANSWER)Ask the patient if they can swallow, assess gag
reflex
How do you assess Cranial Nerve V (Trigeminal)? - (ANSWER)Test facial sensation using a pinprick and
brushing wisp of cotton against cornea to test corneal reflex, palpating the temporal and masseter
muscles by having patient clench teeth
How do you test Cranial Nerves III, IV, and V? - (ANSWER)6 cardinal fields of gaze
How do you test for Cranial Nerve XII (hypoglossal)? - (ANSWER)Move tongue in different directions
, NR 304 / NR304 Chamberlain College Of Nursing -NR-304 Final review lecture Questions With
Complete Solutions
How do you assess Cranial Nerve VIII (Vestibulocochlear)? - (ANSWER)Whisper Test and assessing
patient's gait for balance
How do you assess Cranial Nerve III? - (ANSWER)By performing the cardinal fields of gaze, eyelid
inspection, PERRLA. Assess pupils for size, shape, and equality. Assess the six cardinal positions of gaze.
Observe for nystagmus in one or both eyes. Test for accommodation.
How do you test a patient's mental status? - (ANSWER)Test for orientation, short term memory recall
(listing 3 words and having patient recall them, Level of consciousness
How do you assess a patient's sensory function? - (ANSWER)Assessing stereognosis- a patient's ability to
name an object in their hand with their eyes closed.
How do you assess a patient's motor function? - (ANSWER)Assessing muscle strength
How do you assess a patient's orientation? - (ANSWER)Ask about person, DOB, time/date, place (where
are they?)
What does Glascow Coma Scale test? - (ANSWER)(GCS)
Measures level of consciousness
eye opening, best motor response, verbal response
15 items are scored
At what score do we worry about the patient's GCS? - (ANSWER)Less than 8- patient cannot protect
airway and may need intubation
How do you assess Cranial Nerves IX and X? - (ANSWER)Assess pharyngeal movement by asking patient
to open their mouth and say "ahhh"- uvula and soft palate should rise, tonsillar pillars should move
medially
Complete Solutions
Romberg test is used to assess? - (ANSWER)Balance and coordination
What do you expect to see in a patient with a positive Romberg? - (ANSWER)swaying when feet are
together and arms are at sides with their eyes closed
What is nystagmus? - (ANSWER)Involuntary movement of the eyeballs in an up/down, back/forth
motion. Interferes with head control.
How do you test the Babinski reflex? - (ANSWER)stroke lateral aspect of foot, heel to the ball of the foot,
then across ball of foot.
What is a positive Babinski reflex in infant? - (ANSWER)Curling of toes
What is a positive Babinski reflex in adults? - (ANSWER)Dorsiflexion and fanning of toes
Diabetic peripheral neuropathy is associated with what symptoms? - (ANSWER)Numbness and
desensitization of feet, ankles, and legs.
How do you assess Cranial Nerve VII (Facial)? - (ANSWER)Asking patient to make faces and seeing if they
are symmetrical.
How do you assess Cranial Nerve X (Vagus)? - (ANSWER)Ask the patient if they can swallow, assess gag
reflex
How do you assess Cranial Nerve V (Trigeminal)? - (ANSWER)Test facial sensation using a pinprick and
brushing wisp of cotton against cornea to test corneal reflex, palpating the temporal and masseter
muscles by having patient clench teeth
How do you test Cranial Nerves III, IV, and V? - (ANSWER)6 cardinal fields of gaze
How do you test for Cranial Nerve XII (hypoglossal)? - (ANSWER)Move tongue in different directions
, NR 304 / NR304 Chamberlain College Of Nursing -NR-304 Final review lecture Questions With
Complete Solutions
How do you assess Cranial Nerve VIII (Vestibulocochlear)? - (ANSWER)Whisper Test and assessing
patient's gait for balance
How do you assess Cranial Nerve III? - (ANSWER)By performing the cardinal fields of gaze, eyelid
inspection, PERRLA. Assess pupils for size, shape, and equality. Assess the six cardinal positions of gaze.
Observe for nystagmus in one or both eyes. Test for accommodation.
How do you test a patient's mental status? - (ANSWER)Test for orientation, short term memory recall
(listing 3 words and having patient recall them, Level of consciousness
How do you assess a patient's sensory function? - (ANSWER)Assessing stereognosis- a patient's ability to
name an object in their hand with their eyes closed.
How do you assess a patient's motor function? - (ANSWER)Assessing muscle strength
How do you assess a patient's orientation? - (ANSWER)Ask about person, DOB, time/date, place (where
are they?)
What does Glascow Coma Scale test? - (ANSWER)(GCS)
Measures level of consciousness
eye opening, best motor response, verbal response
15 items are scored
At what score do we worry about the patient's GCS? - (ANSWER)Less than 8- patient cannot protect
airway and may need intubation
How do you assess Cranial Nerves IX and X? - (ANSWER)Assess pharyngeal movement by asking patient
to open their mouth and say "ahhh"- uvula and soft palate should rise, tonsillar pillars should move
medially
