Cranial Nerves Part 1
Name CN I and demonstrate test.
Olfactory
Smell Test- Patient identifies smell with eyes closed
Name CN VIII and demonstrate test.
VIII- Vesticulocochlear
Whisper test from 1-2 ft behind and have patient repeat words.
Test their balance
True or false: You should thoroughly check strength by only doing one arm or leg at a time.
False!
Should do arms or legs at the same time for proper evaluation and comparison
Name one subjective question to assess the musculoskeletal system
Anything pertaining to the current symptoms, past history, family history, lifestyle and health practices
Hint: Before and after assessment
Perform hand hygiene
Name CN II and demonstrate test.
II- Optic Nerve
Snellen chart for visual acuity
Name CN IX and demonstrate test.
IX- Glossopharyngeal
Ask patient to say ahhh while assessing upward movement of soft palate.
Ask patient to swallow.
Gag Test.
5/5 strength bilaterally in upper and lower extremities
Name one subjective question to assess the neurological system
Anything pertaining to the current symptoms, past history, family history, lifestyle and health practices
Hint: Ask for 2
Identify patient using 2 unique identifiers
Ex: Name and DOB
Name CN VII and demonstrate test.
VII- Facial
Facial expressions- Ask patient to frown, smile, raise eyebrows, puff cheeks, and close eyes tightly
Name CN X and demonstrate test.
X- Vagus
Use tongue blade to touch posterior pharynx and observe for gag reflex and swallowing
Describe supination and pronation
Supination- Turning outward
Pronation- Turning inward
Please say the full sentence for PERRLA
[SIZE] pupils are equal, round, reactive to light and accommodation
Confirm with patient
Hint: Before medication administration
Ask about allergies
Name CN V and demonstrate test.
V- Trigeminal
Clench teeth (while palpating jaw muscles for contraction) and facial sensation (cotton ball with eyes closed)
Name CN XI and demonstrate test.
XI- Spinal accessory
Shoulder shrug
Head rotation
Name at least 3 deep tendon reflexes?
What do deep tendon reflexes tell us?
Patellar, biceps, and triceps
Lower motor neuron function
What's better: 20/20 or 20/40? Explain?
20/20
Hint: Supplies
Gather necessary equipment
Name CN III, IV, and VI and demonstrate test.
III- Oculomotor- eye/eyelid movement and penlight for PERRLA (MUST SAY 6 FIELDS OF GAZE!)
IV- Trochlear- Eye Movement down and laterally
VI- Abducens- Eye movement laterally
Name CN XII and demonstrate test.
XII- Hypoglossal
Tongue movement
Assess speech
Name and demonstrate how to assess patients gait and stability
Egress Test
Name the 4 areas of consciousness and the questions you would ask.
Person
Place
Time
Situation/ Event
Name the 4 safety measures while caring for a patient and before you leave the room
1) Call bell within reach
2) Bed in lowest position
3) Professional language used
4) Ensure patient privacy