NSG 316 Exam 2 – Health Assessment
(Latest ) – Actual Questions
& Rationalized Answers – GCU
Cranial Nerve I: Olfactory Test - Answer-test sense of smell with familiar odor
Cranial Nerve II: Optic Test - Answer-test visual acuity and visual field with
confrontation
Confrontation Test - Answer-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 - Answer-50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test - Answer-PERRLA
6 cardinal positions of gaze
,PERRLA - Answer-pupils equal, round, reactive to light (direct and consensual) and
accommodation
6 cardinal positions of gaze - Answer-right & up
right
right & down
left & up
left
left & down
nystagmus - Answer-back-and-forth oscillation of the eyes
nystagmus: amplitude - Answer-fine, medium or coarse movement
nystagmus: frequency - Answer-constant or fades after few beats
nystagmus: plane of movement - Answer-horizontal, vertical, rotary or combo
Cranial Nerve V: Trigeminal Test - Answer-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? - Answer-CN V sensory, CN VII motor
, Corneal reflex test - Answer--remove contacts, bring cotton wisp from side, lightly
touch cornea
NORMALLY: patient blinks bilaterally
Cranial Nerve VII: Facial Test - Answer-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 - Answer-Whispered voice test
Cranial Nerve IX & X: Glossopharyngeal and Vagus Test - Answer-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 - Answer-shrug shoulders
Cranial Nerve XII: Hypoglossal Test - Answer-say "light, tight, dynamite"
screening neuro exam - Answer-perform on well persons who have no significant
subjective findings
complete neuro exam - Answer-perform on person with neuro concerns
neuro recheck exam - Answer-perform on person with demonstrated neuro
defect, who requires period ic assessment
(Latest ) – Actual Questions
& Rationalized Answers – GCU
Cranial Nerve I: Olfactory Test - Answer-test sense of smell with familiar odor
Cranial Nerve II: Optic Test - Answer-test visual acuity and visual field with
confrontation
Confrontation Test - Answer-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 - Answer-50 degrees upward
90 degrees temporal
70 degrees down
60 degrees nasal
Cranial Nerve III, IV, VI: Oculomotor, Trochlear, Abducens Test - Answer-PERRLA
6 cardinal positions of gaze
,PERRLA - Answer-pupils equal, round, reactive to light (direct and consensual) and
accommodation
6 cardinal positions of gaze - Answer-right & up
right
right & down
left & up
left
left & down
nystagmus - Answer-back-and-forth oscillation of the eyes
nystagmus: amplitude - Answer-fine, medium or coarse movement
nystagmus: frequency - Answer-constant or fades after few beats
nystagmus: plane of movement - Answer-horizontal, vertical, rotary or combo
Cranial Nerve V: Trigeminal Test - Answer-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? - Answer-CN V sensory, CN VII motor
, Corneal reflex test - Answer--remove contacts, bring cotton wisp from side, lightly
touch cornea
NORMALLY: patient blinks bilaterally
Cranial Nerve VII: Facial Test - Answer-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 - Answer-Whispered voice test
Cranial Nerve IX & X: Glossopharyngeal and Vagus Test - Answer-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 - Answer-shrug shoulders
Cranial Nerve XII: Hypoglossal Test - Answer-say "light, tight, dynamite"
screening neuro exam - Answer-perform on well persons who have no significant
subjective findings
complete neuro exam - Answer-perform on person with neuro concerns
neuro recheck exam - Answer-perform on person with demonstrated neuro
defect, who requires period ic assessment
