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NU550 Advanced Diagnostic Assessment Final Review Exam And Actual Verified Answers.
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Cranial Nerve I - Olfactory - Answer Class-Sensory Major Function- Smell Assessment- Have patient identify a familiar scent with eyes closed Cranial Nerve II- Optic - Answer Class-Sensory Major Function- Vision (acuity and field of vision); pupil reactivity to light and accomodation (af...

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  • October 22, 2024
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  • 2024/2025
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  • NSG550/ NSG 550

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NU550 Advanced Diagnostic
Assessment Final Review Exam And
Actual Verified Answers.
Cranial Nerve I - Olfactory - Answer Class-Sensory

Major Function- Smell

Assessment- Have patient identify a familiar scent with eyes closed



Cranial Nerve II- Optic - Answer Class-Sensory

Major Function- Vision (acuity and field of vision); pupil reactivity to light and accomodation (afferent
impulse)

Assessment- Have patient read from a card or newspaper, 1 eye at a time. Test visual fields by having
patient cover one eye, focus on your nose, and identify the number of fingers you're holding up in each
of 4 visual quadrants.



Cranial Nerve III-

Oculomotor - Answer Class-Motor

Major Function-eyelid elevation; most EOMs; pupil size and reactivity (efferent impulse)

Assessment- Check pupillary responses by shining a bright light on one pupil; both pupils should
constrict. Repeat with the other eye. To check accommodation, move your finger toward the patient's
nose; the pupils should constrict and converge. Check EOMs by having pt. look up, down, laterally, and
diagonally



Cranial Nerve IV- Trochlear - Answer Class- Motor

Major Function- EOM (turns eye downward and laterally)

Assessment- Have patient look down and in



Cranial Nerve V- Trigeminal - Answer Class- Both

Major Function- Chewing; facial and mouth sensation; corneal reflex (sensory)

, Assessment- Ask pt to hold the mouth open while you try to close it and move the jaw laterally against
your hand. With pt's eyes closed, touch his/her face with cotton and have them identify the area
touched. In comatose patients, brush the cornea with a wisp of cotton; the patient should blink



Cranial Nerve VI- Abducens - Answer Class- Motor

Major Function- EOM (turns eye laterally)

Assessment- Have patient move the eyes from side to side



Cranial Nerve VII- Facial - Answer Class- Both

Major Function-Facial Expression; taste; corneal reflex (motor); eyelid and lip closure

Assessment- Ask patient to smile, raise eyebrows, and keep eyes and lips closed while you try to open
them. Have patients identify salt or sugar placed on the tongue (usually deferred)



Cranial Nerve VIII- Acoustic/Vestibulocochlear - Answer Class- Sensory

Major Function- Hearing; equilibrium

Assessment- to test hearing, use tuning fork or rub your fingers, place a ticking watch, or whisper near
each ear. Equilibrium testing is usually deferred



Cranial Nerve IX- Glossopharyngeal - Answer Class- Both

Major Function- Gagging and swallowing(sensory); taste

Assessment- Touch back of throat with sterile tongue depressor or cotton-tipped applicator. Have patient
swallow



Cranial Nerve X- Vagus - Answer Class- Both

Major Function- Gagging and swallowing (motor); speech (phonation)

Assessment- Assess gag and swallowing with CN IX. Assess vocal quality.



Cranial Nerve XI- Spinal Accessory - Answer Class- Motor

Major Function- Shoulder movement; head rotation

Assessment- Have pt shrug shoulders and turn head from side to side (not routinely tested)

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