NSG 316 EXAM 2 QUESTIONS WITH 100% CORRECT ANSWERS 2024/2025

NSG 316 EXAM 2 QUESTIONS WITH 100% CORRECT ANSWERS 2024/2025 Cranial Nerve I: Olfactory Test - ANSWERS test sense of smell with familiar odor Cranial Nerve II: Optic Test - ANSWERS test visual acuity and visual field with confrontation Confrontation Test - ANSWERS 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 - ANSWERS 50 degrees upward 90 degrees temporal 70 degrees down 60 degrees nasal Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test - ANSWERS PERRLA 6 cardinal positions of gaze PERRLA - ANSWERS pupils equal, round, reactive to light (direct and consensual) and accommodation 6 cardinal positions of gaze - ANSWERS right & up right right & down left & up left left & down nystagmus - ANSWERS back-and-forth oscillation of the eyes nystagmus: amplitude - ANSWERS fine, medium or coarse movement nystagmus: frequency - ANSWERS constant or fades after few beats nystagmus: plane of movement - ANSWERS horizontal, vertical, rotary or combo Cranial Nerve V: Trigeminal Test - ANSWERS 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? - ANSWERS CN V sensory, CN VII motor Corneal reflex test - ANSWERS -remove contacts, bring cotton wisp from side, lightly touch cornea NORMALLY: patient blinks bilaterally Cranial Nerve VII: Facial Test - ANSWERS 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 - ANSWERS Whispered voice test Cranial Nerve IX & X: Glossopharyngeal and Vagus Test - ANSWERS 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 - ANSWERS shrug shoulders Cranial Nerve XII: Hypoglossal Test - ANSWERS say "light, tight, dynamite" screening neuro exam - ANSWERS perform on well persons who have no significant subjective findings complete neuro exam - ANSWERS perform on person with neuro concerns neuro recheck exam - ANSWERS perform on person with demonstrated neuro defect, who requires period ic assessment ansomia - ANSWERS Decrease or loss of smell occurs bilaterally hemianopsia; hemianopia - ANSWERS Defective vision or blindness in one half of the visual field ptosis - ANSWERS drooping eyelid paresthesias - ANSWERS tingling, prickling, "pins & needles" (sensory loss) diplopia - ANSWERS double vision dysphagia - ANSWERS difficulty swallowing What are the test to evaluate cerebellar function? - ANSWERS Balance Test (Gait) Romberg Test Rapid Alternating Movements (RAM) Balance Test (Gait) - ANSWERS -observe as the person walks 10 to 20 feet, turns and returns to the starting point NORMALLY: gait is smooth, rhythmic and effortless opposing arm swing is coordinating Romberg test - ANSWERS -ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed for ~20 seconds NORMALLY: patient can maintain posture and balance Rapid Alternating Movements (RAM) - ANSWERS pat the knees with both hands, turn hands over, then fast