Neurological Assessment

Question 0

Cranial nerve IV

Answer 0

Trochlear nerve (motor)

Function: extraocular eye movement; specifically moves eyeball downward and laterally

Question 1

Cranial nerve I

Answer 1

Olfactory (sensory)

Function: smell

Question 2

Cranial nerve V

Answer 2

Trigeminal (sensory)

Function: feel sensations on the face, corneal reflex

Question 3

Cranial nerve VIII

Answer 3

Acoustic (auditory)

Function: equilibrium, hearing

Question 4

Cranial nerve XII

Answer 4

Hypoglassal (motor)

Function: protrusion of tongue; moves tongue up and down and side to side

Question 5

Cranial nerve II

Answer 5

Optic nerve (sensory)

Function: vision and visual fields

Question 7

Cranial nerve IX

Answer 7

Glossopharyngeal (Motor and sensory)

Function: swallowing ability, tongue movement, taste (posterior tongue)

Question 8

When you ask client to close eyes and identify different mild aromas such as coffee, vanilla, peanut butter, orange/lemon, chocolate what cranial nerve are you assessing? (Name and number)

Answer 8

Cranial nerve I
Olfactory

Testing smell

Question 9

When you assess six ocular movements and pupil reaction which cranial nerve are you assessing?

Answer 9

Cranial nerve III
Oculomotor

Testing extraocular eye movement; movement of sphincter of pupil; movement of ciliary muscles of lens

Question 10

When you assess six ocular movements which cranial nerve are you assessing?

Answer 10

Cranial nerve IV
Trochlear nerve

Testing extraocular eye movement; specifically, moves eyeball downward and laterally

Question 11

Cranial nerve XI

Answer 11

Accessory (motor)

Function: head movement; shrugging of shoulders

Question 13

When you have the client look upward, lightly touch the lateral scalera of the eye with sterile gauze to elect blink reflex then to test light sensation, you have client close eyes, wipe a wisp of cotton over clients forehead and paranasal sinuses… What cranial nerve are you assessing?

Answer 13

Cranial nerve V
Trigeminal
Ophthalmic branch

Testing the sensation of cornea, skin of face, and nasal mucosa

Question 14

Cranial nerve VI

Answer 14

Abducens (motor)

Function: extraocular eye movement; moves eyeball laterally

Question 14

Cranial nerve VII

Answer 14

Facial (Motor and sensory)

Function: facial expression; taste (anterior two thirds of tongue)

Question 15

When you ask the client to shrug shoulders against resistance from your hands and turn head to side against resistance from your hands and repeat for the other side which cranial nerve are you assessing?

Answer 15

Cranial nerve XI
Accessory

Testing head movements; shrugging of shoulders

Question 16

Cranial nerve III

Answer 16

Oculomotor (motor)

Function: extraocular eye movement; movement of sphincter of pupil; movement of ciliary muscles of lens

Question 17

When you ask client to clench teeth which cranial nerve are you assessing?

Answer 17

Cranial nerve V
Trigeminal
Mandibular branch

Testing muscles of mastication; sensation of skin of face

Question 18

When you ask the client to read Snellen-type chart; check visual fields by confrontation; and conduct an ophthalmoscopic examination which cranial nerve are you assessing?

Answer 18

Cranial nerve II
Optic nerve

Testing vision and visual fields

Question 19

Cranial nerve X

Answer 19

Vagus (Motor and sensory)

Function: sensation of pharynx and larynx; swallowing; vocal cord movement

Question 20

When you give the client the Romberg test; and assess clients ability to hear spoken word and vibrations of tuning fork which cranial nerve are you assessing?

Answer 20

Cranial nerve VIII
Acoustic

Testing hearing and equilibrium

Question 21

When you apply taste on posterior tongue for identification and ask the client to move tongue from side to side and up-and-down which cranial nerve are you assessing?

Answer 21

Cranial nerve IX
Glossopharyngeal

Testing swallowing ability, tongue movement, taste on posterior tongue

Question 22

When you assess direction of gaze which cranial nerve are you assessing?

Answer 22

Cranial nerve VI
Abducens

Testing extraocular eye movement; moves eyeball laterally

Question 23

If you are testing facial symmetry by asking patient to grin, raise eyebrows, and sniff, which cranial nerve are you testing?

Answer 23

Facial (CN VII)

Question 24

When you asked the client to smile, raise their eyebrows, frown, puff out cheeks, close eyes tightly and ask the client to identify various tastes placed on tips and sides of tongue and identify areas of taste your assessing what nerve?

Answer 24

Cranial nerve VII
Facial

Testing facial expression; taste (anterior two thirds of tongue)

Question 24

When you asked client to protrude tongue at midline, then move it side to side which cranial nerve are you assessing?

Answer 24

Cranial nerve XII
Hypoglossal

Testing protrusion of tongue; moves tongue up and down and side to side

Question 25

During neurological assessment when assessing mental status you should assess ___________, ___________, and ___________ function.

Answer 25

Appearance, behavior, and cognitive

Question 26

Which cranial nerve would you test if you wanted to test the their ability to smell?

Answer 26

Olfactory, CN I

Question 28

If you wanted to test a patient’s extraocular movements (EOM) which nerves would you test?

Answer 28

Oculomotor (CN III), Trochlear (CN IV), and Abducens (CN VI)

Question 29

If you wanted to test a patient’s visual fields, visual acuity which cranial nerve would you test?

Answer 29

Optic, CN II

Question 29

If you are testing a patients eyelid movement, which cranial nerves are you testing?

Answer 29

Trigeminal (CN V), Facial (CN VII)

Question 30

If you are testing a patients ability to clench their jaw which nerve are you testing?

Answer 30

Trigeminal (CN V)

Question 31

When testing a patients swallow, gag, and cough reflex, as well as voice quality you’re testing which cranial nerves?

Answer 31

Glossopharyngeal (CN IX) and Vagus (CN X)

Question 32

Assessed with cranial nerve IX, when you assess clients speech for hoarseness which cranial nerve are you assessing?

Answer 32

Cranial X
Vagus

Testing sensation of pharynx and larynx; swallowing; vocal cord movement

Question 33

When testing a patients neck strength and asking them to shrug their shoulders against resistance, which cranial nerve are you testing?

Answer 33

Accessory (CN XI)

Question 34

When testing a patient’s tongue movement by having the patient stick out their tongue and move it side to side, which cranial nerve are you testing?

Answer 34

Hypoglossal (CN XII)

Question 35

When testing a patients hearing ability by using a ticking watch or the whisper test which cranial nerve are you testing?

Answer 35

Acoustic (CN VIII)

Question 36

When you asked the client to stand with feet together and arms resting at the sides, first with eyes open, then closed.

Answer 36

Romberg Test

Negative Romberg - may sway slightly but is able to maintain upright posture and foot stance

Question 37

What would be considered a positive Romberg? And what could it mean?

Answer 37

If the patient cannot maintain foot stance; moves the feet apart to maintain stance this would be positive. If they cannot maintain balance with eyes shut, client may have sensory ataxia. If balance cannot be maintained whether the eyes are open or shut client may have cerebellar ataxia.

Question 38

When assessing cognitive function, defective or absent language function would indicate what?

Answer 38

Aphasia

Question 39

When assessing cognitive function, changes in the tone of their voice indicates ____________.

Answer 39

Dysphonia

Question 40

When assessing cognitive function, if a patient has difficulty speaking it indicates _____________.

Answer 40

Dysarthya