Review - Neurological System
1. What is the acronym used to assess pupils?
P-Pupils
E-Equal
R-Round
R-Reactive
L- to Light
A-Accommodate
2. What is the normal range for pupil diameter?
Normal range of pupils are 2-6mm in size and same size bilaterally
3. What is are normal pupillary responses when you assess a patient’s pupillary reflexes
(responses)?
Normal response is pupils are equal round reactive to light and accommodated.
4. What actions would you take if you assessed a patient that had an abnormal pupillary
response such as dilated, fixed, unequal or unresponsive?
Assess patients level of consciousness, use Glasgow coma scale, do neurological
assessments
5. When the pupils constrict from looking at an object far away, then close, what is this
called?
Accommodate and converge
6. Pupils (dilate or constrict)when you look at an object far away.
Dilate.
7. What is the name of the chart used to assess distance vision?
Snellen Chart
8. What cranial nerve innervates the gag reflex?
, Vagus Nerve X
9. What cranial nerve is being tested when a patient is being asked to shrug their shoulders
against resistance?
Spinal Accessory Nerve XI
10. Cranial nerve III mediates which function?
Cranial nerve III mediates eye movements. (Oculomotor nerve III)
11. What cranial nerve is being tested when a patient is being asked to move their tongue side-
to-side and up and down?
Cranial nerve XII, hypoglossal, motor, function is position of tongue.
12. When a patient is asked to puff out their cheeks or smile, what cranial nerve is being
tested?
Cranial nerve VII, Facial, sensory & motor, function is facial expression
13. What are you testing with a Romberg test? What is a normal finding (negative)? What is a
positive finding?
A Romberg test assesses gross motor and balance, by patient standing with feet together
arms at sides, both with eyes open and eyes closed. A normal finding would be slight sway
but can maintain upright posture and foot stance. A positive finding would be a loss of
balance, causes a patient to fall to the side.
14. Review table 31-38. How do you test a patient’s pain sensation?
You assess a patients pain sensation by using a broken tongue blade or wooden end of
cotton applicator. You ask patient to voice when they feel dull or sharp sensation.
1. What is the acronym used to assess pupils?
P-Pupils
E-Equal
R-Round
R-Reactive
L- to Light
A-Accommodate
2. What is the normal range for pupil diameter?
Normal range of pupils are 2-6mm in size and same size bilaterally
3. What is are normal pupillary responses when you assess a patient’s pupillary reflexes
(responses)?
Normal response is pupils are equal round reactive to light and accommodated.
4. What actions would you take if you assessed a patient that had an abnormal pupillary
response such as dilated, fixed, unequal or unresponsive?
Assess patients level of consciousness, use Glasgow coma scale, do neurological
assessments
5. When the pupils constrict from looking at an object far away, then close, what is this
called?
Accommodate and converge
6. Pupils (dilate or constrict)when you look at an object far away.
Dilate.
7. What is the name of the chart used to assess distance vision?
Snellen Chart
8. What cranial nerve innervates the gag reflex?
, Vagus Nerve X
9. What cranial nerve is being tested when a patient is being asked to shrug their shoulders
against resistance?
Spinal Accessory Nerve XI
10. Cranial nerve III mediates which function?
Cranial nerve III mediates eye movements. (Oculomotor nerve III)
11. What cranial nerve is being tested when a patient is being asked to move their tongue side-
to-side and up and down?
Cranial nerve XII, hypoglossal, motor, function is position of tongue.
12. When a patient is asked to puff out their cheeks or smile, what cranial nerve is being
tested?
Cranial nerve VII, Facial, sensory & motor, function is facial expression
13. What are you testing with a Romberg test? What is a normal finding (negative)? What is a
positive finding?
A Romberg test assesses gross motor and balance, by patient standing with feet together
arms at sides, both with eyes open and eyes closed. A normal finding would be slight sway
but can maintain upright posture and foot stance. A positive finding would be a loss of
balance, causes a patient to fall to the side.
14. Review table 31-38. How do you test a patient’s pain sensation?
You assess a patients pain sensation by using a broken tongue blade or wooden end of
cotton applicator. You ask patient to voice when they feel dull or sharp sensation.
