Exam (elaborations)
NR-304: | NR 304 HEALTH ASSESSMENT II EXAM 34 – (Neuro Assessment) GRADED A+
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- Chamberlain College Of Nursing
NR-304: | NR 304 HEALTH ASSESSMENT II EXAM 34 – (Neuro Assessment) GRADED A+
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Name: Score:80 Multiple choice questions
Term
Which Cranial Nerve? moves tongues
Cn V (trigeminal)
CN XII (hypoglossal)
Cn X (vagus)
Cn Vii (facial)1 of 80
Term
How do you assess the sensory function of this nerve?: median nerve
touch or stroke the tip of the second finger
abduction of fingers (spread fingers apart)
stroke the anterior thigh
have client move wrist back and forth2 of 80
Term
What are localizing movements?
penlight is moved from the side to in front of the client's eye, pupil should constrict
moving toward or removing a painful stimulus/moving away from a stimulus
1.Voice 2. Touch 3. Shaking 4. voice and shaking 5. noxious/painful stimuli
double vision- cover one eye, should correct if positive. Offer a patch over the "good" eye3 of 80 Term
How do we assess the pupil 's reaction to light?
touch or stroke tip of the 5th finger
abduction of finger s (spr ead finger s apart)
penl ight is moved from the side to in front of the client's eye, pupil shoul d constrict
stroke the web space bet ween the 1st and 2nd toe4 of 80
Term
(def) a lack of coor dination of movement , typified by the under shoot or overshoot of intended
position with the hand, arm, leg, or eye
ataxia
dysmetria
dysarthria
nystagmus5 of 80
Term
What level of consciousness? sleep-l ike state with e yes closed/ does not respond appr opria tely
to bodily or environment al stimul i/ no verbal sounds
lethar gic
comatose
stupor ous
obtunde d6 of 80 Term
Carp al tunnel syndrome is linked to what nerve?
peroneal nerve
median ner ve
sciatic ner ve
ulnar nerve7 of 80
Term
How do we assess convergence of the e yes?
The normal pupil constricts when focused on a near object and dilates when focused on a
far object
touch or stroke the tip of the sec ond finger
have client perf orm thumb oppo sition with r emaining 4 finger s
Move your finger towards the client's nose/eyes shoul d converge (cross-eyed
appe arance)8 of 80
Term
Which Cranial Nerve?Smel l
Cn Vii (facial)
Cn Ii ( optic )
CN I ( Olfactory)
Cn Iv (trochlear)9 of 80 Term
What level of consciousness? orient ed with sl ow, sluggish speech and ment al
processes/r esponds appr opria tely
lethar gic
stupor ous
comatose
obtunde d10 of 80
Term
Which Cranial Nerve? moves eyes outw ard
CN VI (abducens)
Cn Iii ( oculomot or)
Cn Iv (trochlear)
Cn Ii ( optic )11 of 80
Term
Describe ho w to do a sensor y assessment?
1. Trauma 2. entr apment (pressure her e the ner ve passe s through a narr ow structur e) 3.
Inflamma tion
doubl e vision- cover one e ye, shoul d correct if positive. Offer a patch over the " good" eye
1. direct trauma (broken arm)2. prolonge d pressure on the ner ve (under arm pr essure such
as "crutch palsy")3. compr ession of the ner ve due to swelling or injur y to nearby structur es
use a wisp of cotton and l ightl y touch one
specific spot , and then the same spot on the other side of the bo dy. Patient says yes when
cotton if felt.12 of 80
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