Nursing Assessment Exam 2

Question 1

CNI

Answer 1

Olfactory; Sensory

Question 2

CNII

Answer 2

Optic; Sensory

Question 3

CNIII

Answer 3

Oculomotor; Motor

Question 4

CNIV

Answer 4

Trochlear; Motor

Question 5

CNV

Answer 5

Trigeminal; Both

Question 6

CNVI

Answer 6

Abducens; Motor

Question 7

CNVII

Answer 7

Facial; Both

Question 8

CNVIII

Answer 8

Acoustic; Sensory

Question 9

CNIX

Answer 9

Gloosopharyngeal; Both

Question 10

CNX

Answer 10

Vagus; Both

Question 11

CNXI

Answer 11

Spinal Accessory; Motor

Question 12

CNXII

Answer 12

Hypoglossal; Motor

Question 13

Olfactory

Answer 13

CNI; Smell; Dysfunction: Unilateral or bilateral anosmia (Loss of smell)

Question 14

Optic

Answer 14

CNII; Visual Acuity: Snellen Chart

Dysfunction: Optic atrophy, amblyopia (reduction in vision)

Question 15

Oculomotor

Answer 15

CNIII; Extraocular eye movement, raise eyelids, pupil constriction PERRLA, and 6 fields of gaze.
Dysfunction: Diplopia, Ptosis of the eye lid

Question 16

Trochlear

Answer 16

CNIV; Donward/Inward Eye movement- PERRLA and 6 Fields of Gaze
Dysfunction; Convergent Strabismus and Diplopia

Question 17

Trigeminal

Answer 17

CNV; Motor: Chewin- clench jaw. Sensory: Taste- Anterior 2/3rds of tongue- identify sweet/salty taste
Dysfunction: Decreased ability to chew; loss of facial sensation

Question 18

Abducens

Answer 18

CNVI; Lateral Eye Movement- 6 Fields of Gaze

Dysfunction: Diplopia, Strabismus

Question 19

Facial

Answer 19

CNVII; Motor: Facial Expressions- smile, puff out cheeks
Sensory: Taste- Anterior 2/3rds of tongue- identify sweet/salty taste
Dysfunction: Bell’s Palsy and Decreased ability to distinguish taste

Question 20

Acoustic

Answer 20

CVIII
Hearing- whisper test
Equilibrium- close eyes and check balance
Dysfunction: Tinnitus- ringing in ears and Vertigo

Question 21

Glossopharyngeal

Answer 21

CNIX
Motor: Swallowing-gag reflex with tongue depressor
Taste- Posterior 2/3rds of the tongue identify sweet/salty
Dysfunction: Loss of gag reflex and loss of taste

Question 22

Vagus

Answer 22

CNX
Motor: Swallowing- movement of the palate & uvula when saying ‘ah’
Sensory: Phonation- guttural speech saying
Dysfunction: Difficulty swallowing and loss of voice or impaired speaking

Question 23

Spinal Accessory

Answer 23

CNXI
Head movement- turn head left and right
Shoulder movement- shrug shoulders against resistance
Dysfunction: Inability to turn head left to right and difficulty shrugging shoulders

Question 24

Hypoglossal

Answer 24

CNXII
Tongue Movement- move tongue up and down, side to side
Dysfunction: Dysphasia, tongue deviates to side

Question 25

Mnemonic For Type of CN Nerve

Answer 25

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