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What are the two major parts of the nervous system?
- Answer- Central Nervous System
Peripheral Nervous System
What are the parts of the central nervous system?
- Answer- Brain and spinal cord
What are the parts of the peripheral nervous system?
- Answer- Cranial nerves, spinal nerves, and autonomic nervous system
What should be included in the health history when assessing neurologic
function?
- Answer- Details about the onset, character, severity, location, duration, and
frequency of signs and symptoms. Also associated complaints, aggravating and
relieving factors, progression, remission, exacerbation and presence or absence of
similar symptoms in family members.
What are the most common symptoms of a neurologic disorder? - Answer-
Pain
Seizures
Dizziness and Vertigo
Visual Disturbances
Muscle Weakness
Abnormal Sensation (places patient at an increased risk for falls)
What types of assessment are used when assessing for a potential neurologic
disorder? - Answer-
Interview
Observation
Physical Examination
,Medsurg Neurological Function Exam Containing 225
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What are the five components of a neurologic physical exam? - Answer-
Consciousness and Cognition
Cranial Nerves
Motor System
Sensory System
Reflexes
What are the priority assessments in patients with spinal injury?
- Answer- Motor, sensory, and reflex assessments
What are the priority assessments in a comatose patient?
- Answer- Cranial nerves and LOC
How do you assess a patient’s mental status?
- Answer- Observe the patient’s appearance and behavior, noting dress,
grooming, and personal hygiene. Also observe the patients posture, gestures,
movements, and facial expressions. Assess patients orientation to time, place,
and person. Also assess the patient for immediate and remote memory.
What is aphasia?
- Answer- a deficiency in language function
What is the most sensitive indicator of neurologic function?
- Answer- Level of consciousness
How do you assess level of consciousness?
- Answer- Observe patient for alertness, and ability to follow commands. If the
patient is not alter the nurse should observe for eye opening, verbal and motor
response to stimuli and the type of stimuli needed to elicit a response.
,Medsurg Neurological Function Exam Containing 225
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What are the 12 cranial nerves? - Answer-
I - Olfactory
II - Optic
III - Oculomotor
IV - Trochlear
V - Trigeminal
VI - Abducens
VII - Facial
VIII - Acoustic
IX - Glossopharyngeal
X - Vagus
XI - Spinal Accessory
XII - Hypoglossal
What is the neumonic for cranial nerves?
- Answer- On Old Optimus Tower Terry And Finn assessed Gross Visual
Symptomatic Herpes
How do you assess for cranial nerve I?
- Answer- Olfactory, with eyes closed ask the patient to identify familiar smells
(coffee, tobacco)
How do you assess for cranial never II?
- Answer- Optic, Assess vision using the Snellen Eye Chart, assess visual fields.
How do you assess for cranial nerve III?
- Answer- Oculomotor, test for eye movement towards the nose; inspect for
conjugate movements and nystagmus. Evaluate pupillary size, and test for
pupillary reactivity to light. Inspect ability to open eyelids.
, Medsurg Neurological Function Exam Containing 225
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How do you assess for cranial nerve IV?
- Answer- Trochlear, Test for upward eye movement, inspect for conjugate
movements and Nystagmus.
How do you assess for cranial nerve V?
- Answer- Trigeminal, Have patient close eyes, touch cotton to the forehead,
cheek, and jaw. Sensitivity to superficial pain is tested in these same three areas
using the sharp or dull ends of a broken tongue blade. If responses are incorrect,
test for temperature sensation.
How do you assess for cranial nerve VI?
- Answer- Abducens, test for lateral eye movement, inspect for conjugate
movement.
How do you assess for cranial nerve VII?
- Answer- Facial, Observe for symmetry while patient performs facial movements
(smile, frown, elevate eyebrows, tightly closes eyelids, whistles). Observe face for
flaccid paralysis. Have patient extend tongue, test ability to discriminate between
sugar and salt.
How do you assess for cranial nerve VIII?
- Answer- Acoustic, Perform whisper or watch-tick test. Test for lateralization
(Weber test), Test for air and bone conduction (Rinne test). Assess balance with
eyes open and then closed for 20 seconds (Romberg test)
How do you assess for cranial nerve IX?
- Answer- Glossopharyngeal, assess patients ability to swallow and discriminate
between sugar and salt on posterior third of the tongue.