NR 509 Advanced Health Assessment – Midterm Exam Overview
Very first step - (ANSWER)Introduce yourself!
First Exam - (ANSWER)Head and face
Head and Face Step #1 - (ANSWER)Inspect facial skin (note abnormal lesions)
Head and Face Step #2 - (ANSWER)Inspect head for size, symmetry, midline position
Head and Face Step #3 - (ANSWER)Palpate lymph nodes of head and neck
Lymph nodes of head and neck - (ANSWER)Preauricular, postauricular, occipital, tonsillar,
submandibular, submental, anterior cervical, posterior cervical, supraclavicular
Head and Face Step #4 - (ANSWER)CN 5
CN 5 Name - (ANSWER)Trigeminal
CN 5 Assessment - (ANSWER)Motor: Palpate over masseter muscle as pt clenches jaw
Sensory: light touch sensation to forehead, cheeks, chin, nose (pt closes eyes, identifies where they are
touched)
Head and Face Step #5 - (ANSWER)CN 7
CN 7 Name - (ANSWER)Facial
CN 7 Assessment - (ANSWER)Inspect face for symmetry (smile, frown, raise eyebrows, puff cheeks,
pucker lips)
Second Exam - (ANSWER)Ear
, NR 509 Advanced Health Assessment – Midterm Exam Overview
Ear Step #1 - (ANSWER)Inspect outer ear for skin lesions and symmetry
Ear Step #2 - (ANSWER)Inspect auditory canal and TM (otoscope)
Ear Step #3 - (ANSWER)Palpate pinnae and tragus for nodules and tenderness
Ear Step #4 - (ANSWER)CN 8
CN 8 Name - (ANSWER)Acoustic
CN 8 Assessment - (ANSWER)Whisper test (pt covers opposite ear, I cover my mouth and whisper 3
words out of pt's sight, pt repeats words back; one ear at a time)
Third Exam - (ANSWER)Eye
Eye Step #1 - (ANSWER)Inspects sclera and conjunctiva
Eye Step #2 - (ANSWER)CN 2
CN 2 Name - (ANSWER)Optic
CN 2 Assessment - (ANSWER)Assess gross visual acuity and peripheral/central vision (cover 1 eye at a
time, then open both; wiggle fingers in periphery: "Tell me when you can see my fingers.")
Check pupillary response to light (PERRL)
Eye Step #3 - (ANSWER)CN 3, 4, 6
CN 3 Name - (ANSWER)Oculomotor
Very first step - (ANSWER)Introduce yourself!
First Exam - (ANSWER)Head and face
Head and Face Step #1 - (ANSWER)Inspect facial skin (note abnormal lesions)
Head and Face Step #2 - (ANSWER)Inspect head for size, symmetry, midline position
Head and Face Step #3 - (ANSWER)Palpate lymph nodes of head and neck
Lymph nodes of head and neck - (ANSWER)Preauricular, postauricular, occipital, tonsillar,
submandibular, submental, anterior cervical, posterior cervical, supraclavicular
Head and Face Step #4 - (ANSWER)CN 5
CN 5 Name - (ANSWER)Trigeminal
CN 5 Assessment - (ANSWER)Motor: Palpate over masseter muscle as pt clenches jaw
Sensory: light touch sensation to forehead, cheeks, chin, nose (pt closes eyes, identifies where they are
touched)
Head and Face Step #5 - (ANSWER)CN 7
CN 7 Name - (ANSWER)Facial
CN 7 Assessment - (ANSWER)Inspect face for symmetry (smile, frown, raise eyebrows, puff cheeks,
pucker lips)
Second Exam - (ANSWER)Ear
, NR 509 Advanced Health Assessment – Midterm Exam Overview
Ear Step #1 - (ANSWER)Inspect outer ear for skin lesions and symmetry
Ear Step #2 - (ANSWER)Inspect auditory canal and TM (otoscope)
Ear Step #3 - (ANSWER)Palpate pinnae and tragus for nodules and tenderness
Ear Step #4 - (ANSWER)CN 8
CN 8 Name - (ANSWER)Acoustic
CN 8 Assessment - (ANSWER)Whisper test (pt covers opposite ear, I cover my mouth and whisper 3
words out of pt's sight, pt repeats words back; one ear at a time)
Third Exam - (ANSWER)Eye
Eye Step #1 - (ANSWER)Inspects sclera and conjunctiva
Eye Step #2 - (ANSWER)CN 2
CN 2 Name - (ANSWER)Optic
CN 2 Assessment - (ANSWER)Assess gross visual acuity and peripheral/central vision (cover 1 eye at a
time, then open both; wiggle fingers in periphery: "Tell me when you can see my fingers.")
Check pupillary response to light (PERRL)
Eye Step #3 - (ANSWER)CN 3, 4, 6
CN 3 Name - (ANSWER)Oculomotor
