Cranial Nerves
Assessment
ADPIE
SMART Goals
Normal Findings
100

Amount of cranial nerves

What is twelve

100

Used to gauge health literacy

What is REALM score

100

SAMPLE and BALD CHASM are used for this

What is collecting history

100

Acronym SMART meaning

What is specific, measurable, attainable, realistic, and time specific

100

Adult blood pressure reading

What is 120/80

200

Meaning of acronym PERRLA

What is pupils equally round and reactive to light and accommodation

200

Used to check level of depression

What is PHQ 9

200

4 questions to check awareness and alertness

What is who are you, where are you, what time/ day is it, why are you here

200

Point in which SMART goal is created in ADPIE

What is Plan

200

Finding between 12 and 20

What is respiration

300

Normal size of pupil

What is 3 mm

300

Used to check level of conciousness

What is AVPU

300

Meaning of SAMPLE

What is signs/ symptoms, allergies, medications, past pertinent history, last intake/ output and events leading up to the injury or illness

300

Diagnosis for which SMART goal is made

What is a nursing diagnosis

300

Locations to obtain temperature

What is oral, rectal, axillary, ear and core

400

Tested by having a patient identify a smell with eyes closed

What is cranial nerve 1- Olfactory

400

Scale where 3 is the lowest score

What is Glasgow Coma scale

400

6 vital signs

What are blood pressure, pulse, respiration, temperature, pulse oximetry, and pain

400

Meaning of PIE

What is plan, interventions, and evaluation

400

Finding between 19 and 24

What is BMI

500

Tested by assessing gait and ability to hear

What is cranial nerve 8- vestibulocochlear

500

703 multiplied by weight over height squared

What is BMI

500

OPQRSTU is used to inquire about this

What is pain

500

Format for which all SMART goals should be written

What is Patient will.... as evidenced by.... within....

500

Reading above 120/80

What is high blood pressure or hypertension

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