NURS 5220-ADVANCED HEALTH
ASSESSMENT-TEST 2 STUDY
QUESTIONS AND ANSWERS
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
extension of the elbow tests for.... - ANSWER-triceps reflex
triceps reflex - ANSWER-C7-C8
Kernig's sign - ANSWER-a diagnostic sign for meningitis marked by the
person's inability to extend the leg completely when the thigh is flexed upon
the abdomen and the person is sitting or lying down
Brudzinski's sign - ANSWER-Sign of meningitis; positive when a patient's legs
lift involuntarily when lifting a patient's head
palmar grasp - ANSWER-An infant reflex that occurs when something is
placed in the infant's palm; the infant grasps the object.
Plantar grasp - ANSWER-Touch sole of foot, toes curl downwards
Moro reflex - ANSWER-Infant reflex where a baby will startle in response to a
loud sound or sudden movement.
placing reflex - ANSWER-Hold the infant upright under the arms, close to a
table.
ASSESSMENT-TEST 2 STUDY
QUESTIONS AND ANSWERS
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
extension of the elbow tests for.... - ANSWER-triceps reflex
triceps reflex - ANSWER-C7-C8
Kernig's sign - ANSWER-a diagnostic sign for meningitis marked by the
person's inability to extend the leg completely when the thigh is flexed upon
the abdomen and the person is sitting or lying down
Brudzinski's sign - ANSWER-Sign of meningitis; positive when a patient's legs
lift involuntarily when lifting a patient's head
palmar grasp - ANSWER-An infant reflex that occurs when something is
placed in the infant's palm; the infant grasps the object.
Plantar grasp - ANSWER-Touch sole of foot, toes curl downwards
Moro reflex - ANSWER-Infant reflex where a baby will startle in response to a
loud sound or sudden movement.
placing reflex - ANSWER-Hold the infant upright under the arms, close to a
table.
