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NSG 316 Exam 2 Review (2026) – 220 Questions on Neurological Assessment, Cranial Nerves & Reflex Testing

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This NSG 316 Exam 2 Review (2026) contains approximately 220 structured exam questions with 100% correct answers covering comprehensive neurological assessment, cranial nerve testing, reflex grading, sensory discrimination, cerebellar function, and head, eye, ear, nose, and throat examination techniques. The material thoroughly reviews mental status assessment, Glasgow Coma Scale (GCS scoring and interpretation), Romberg testing, PERRLA, pupillary light reflex (direct and consensual), accommodation, cranial nerve I–XII functions (sensory, motor, both), dermatomes, deep tendon reflexes (biceps C5–C6, triceps C7–C8, patellar L2–L4, Achilles L5–S2), plantar reflex, Babinski response, clonus, and hyperreflexia in upper motor neuron lesions, as detailed throughout pages 1–16. The guide also provides in-depth coverage of cerebellar coordination tests (RAM, heel-to-shin, finger-to-nose), tactile discrimination (stereognosis, graphesthesia, two-point discrimination, extinction, point location), sensory and motor components of CN V and CN VII, corneal reflex, nystagmus (CN III, IV, VI involvement), thyroid and lymph node assessment techniques, nasal cavity inspection findings, abnormal drainage interpretation, hearing assessment (whisper test, presbycusis high-frequency loss), vertigo vs dizziness differentiation, seizure assessment questions (aura), headache classifications (tension, migraine, cluster), and facial symmetry findings related to cranial nerve VII damage such as Bell’s palsy. The structured Q&A format reinforces exam-level application, prioritization, and systematic neurological examination sequencing required in adult health and medical-surgical nursing courses. This document may concern: – Students enrolled in NSG 316 Adult Health Nursing – BSN students preparing for Exam 2 – ADN and RN students reviewing neurological assessment – Nursing students studying cranial nerve and reflex testing – NCLEX-style preparation students focusing on neuro assessment Keywords: NSG 316 exam 2 review 2026 neurological assessment sequence Glasgow Coma Scale GCS 15 PERRLA meaning Romberg test positive vs negative cranial nerves I through XII CN V motor and sensory CN VII facial symmetry deep tendon reflex grading 0 to 4 plus biceps reflex C5 C6 triceps reflex C7 C8 patellar reflex L2 L4 Achilles reflex L5 S2 Babinski plantar response clonus upper motor neuron lesion stereognosis graphesthesia two point discrimination heel to shin test rapid alternating movements RAM nystagmus CN III IV VI whisper voice hearing test tension vs migraine vs cluster headache thyroid gland palpation technique

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NSG 316
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NSG 316 Exam 2 Review 2026
Exam Questions with 100%
Correct Answers | Latest Update


If a patient answers yes to any screening question you need to do what

assessment? - 🧠 ANSWER ✔✔Complete neurological assessment


What is the sequence of a complete neuro assessment? - 🧠 ANSWER ✔✔-

start with mental status

- cranial nerves

- motor and sensory, then reflexes

,If you have a patient that is unconscious, and he wakes up 3-4 days after

and you try to assess mental status. The patient states he is at the beach.

His level of consciousness is? - 🧠 ANSWER ✔✔decreased


What is the test used to assess level of consciousness? - 🧠 ANSWER

✔✔GCS - Glasgow Coma Scale


What score on the GCS is normal? - 🧠 ANSWER ✔✔Score of 15 is normal

and means that patient is alert and oriented times 4

What does a positive romberg test mean? what does a negative romberg

test mean? - 🧠 ANSWER ✔✔positive: swaying signals cerebellar ataxia

(MS), lowered proprioception and lowered vestibular function (cerebellum

and proprioception not intact, ability of vestibular apparatus in inner ear not

able to maintain standing balance)

negative: normal (ability of the vestibular apparatus in the inner ear to

maintain standing balance, cerebellum and proprioception intact)

If there is damage to trigeminal nerve, what affect will it cause to the face? -

🧠 ANSWER ✔✔decreases sensation to the face


Which cranial nerve stimulates the eyes? - 🧠 ANSWER ✔✔CN 3, 4, 6

, How are you going to do visual accommodation? - 🧠 ANSWER ✔✔by

asking the patient to focus on a distant object (this process dilates the

pupils) then have the person shift the gaze to a near object such as your

finger held about 7 to 8 cm (3 inches) from the persons nose

- a normal response includes (1) pupillary constriction (2) convergence of

the axes of the eyes


What does PERRLA stand for? - 🧠 ANSWER ✔✔Pupils Equal,


Round,

Reactive to Light,

and Accommodation


How are you going to test cranial nerve number 12? - 🧠 ANSWER ✔✔-

stick the tongue out

- no tremors or deviation if intact


What does the term Presbyopia mean? - 🧠 ANSWER ✔✔- difficulty seeing

with old age

- they lose their lens elasticity as they age


What does anisocoria mean? - 🧠 ANSWER ✔✔unequal pupils

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