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NSG 316 EXAM 2/201 QUESTIONS AND ANSWERS100% SCORES
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NSG 316 EXAM 2/201 QUESTIONS AND ANSWERS100% SCORES
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NSG 316 EXAM 2/201 QUESTIONSAND ANSWERS100% SCORES
Cranial Nerve I: Olfactory Test - -test sense of smell with familiar odor
-Cranial Nerve II: Optic Test - -test visual acuity and visual field with
confrontation
-Confrontation Test - -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 - -50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
-Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test - -PERRLA
6 cardinal positions of gaze
-PERRLA - -pupils equal, round, reactive to light (direct and consensual) and
accommodation
-6 cardinal positions of gaze - -right & up
right
right & down
left & up
left
left & down
-nystagmus - -back-and-forth oscillation of the eyes
-nystagmus: amplitude - -fine, medium or coarse movement
-nystagmus: frequency - -constant or fades after few beats
-nystagmus: plane of movement - -horizontal, vertical, rotary or combo
-Cranial Nerve V: Trigeminal Test - -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? - -CN V sensory, CN VII motor
-Corneal reflex test - --remove contacts, bring cotton wisp from side, lightly
touch cornea
NORMALLY: patient blinks bilaterally
-Cranial Nerve VII: Facial Test - -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 - -Whispered voice test
-Cranial Nerve IX & X: Glossopharyngeal and Vagus Test - -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 - -shrug shoulders
-Cranial Nerve XII: Hypoglossal Test - -say "light, tight, dynamite"
-screening neuro exam - -perform on well persons who have no significant
subjective findings
-complete neuro exam - -perform on person with neuro concerns
-neuro recheck exam - -perform on person with demonstrated neuro defect,
who requires period ic assessment
-ansomia - -Decrease or loss of smell occurs bilaterally
-hemianopsia; hemianopia - -Defective vision or blindness in one half of the
visual field
-ptosis - -drooping eyelid
-paresthesias - -tingling, prickling, "pins & needles" (sensory loss)
-diplopia - -double vision
-dysphagia - -difficulty swallowing
-What are the test to evaluate cerebellar function? - -Balance Test (Gait)
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