Cranial Nerves
olfactory
An exaggerated reflex when the monosynaptic reflex arc is released
What is Hypperreflexia
What is bones, joints and muscles.
A nurse asked the pt what who they are, what is the purpose, what day it is and give three words to remember. What is the nuse assessing?
What is Mental Status/ LOC
What are the 6 things listed in the preparation phase of all your assessments. Missing any of these will result in a 0
Wash Hands, introduce self, Identify patient, provide privacy, explain procedure, don gloves
IX
What is Glossopharyngeal?
Let the lower legs dangle freely to flex the knee and and stretch the tendons. Strike under this bony prominence to elicit this reflex
Quadriceps reflex
Rapid alternating movements tests this part of the brain..
What is the Cerebellum
A nurse palpates an adolescents vertebrae and feels a misalignment. The nurse feels an S Curvature of the spine. The adolescent shows signs of this deformity.
What is Scoliosis?
A nurse ask the patient to say 99 when they move their hands. The nurse is assessing for this
What is Tactile Fremitus
Accessory
XI/11
A diminished, low normal, only occurs with reinforcement reflex should given this grade (0-4)
what is +1.
name 3 of cranial nerves responsible for motor activity.
BONUS NAME 3 of cranial Nerves for Sensory
Oculomotor, trochlear, abducens, hypoglossal, accessory, (facial, glossopharyngeal, vagus)
What is a Positive Romberg Sign.
The tin man doesn't have a heart. Name the listening points for a cardiac exam
III
Oculomotor
instruct the client to allow arm to "go dead" as you suspend it by holding the upper arm. You then strike the tendon just above the elbow. Which are you testing
Triceps Reflex
The 5 divisions of the spinal vertebrae are these..
What is Cervical, thoracic, lumbar, Sacral, Coccyxgeal.
The nurse is assessing for a trapped median nerve. The nurse instructs the patient to perform this maneuver.
BONUS: Name the disorder this is associated with
Phalen's maneuver.
Carpel Tunnel
Proper palpation technique for performing an abdominal assessment
Hypoglossal
XII/ 12
Hold the persons thumbs to suspend the forearms in relaxation. Strike the forearm directly above the radial styloid process. The normal response is flexion and supination of the forearm. Which reflex am I?
What is Brachioradialis Reflex?
Name 5 different degree of movements of joints.
What is....Flexion, extension, abduction, adduction, pronation, supination, circumduction, elevation, depression, eversion, inversion, protraction retraction.
A woman with pre-eclampsia is experiencing a set of rapid rhythmic contractions of the same muscle after a quick dorsiflex the foot. What is this called?
What is clonus?
Normal Ranges for the Vital signs. Include BP, HR, RR, Temp, SpO2
BP: 100-120 Systolic/ 60-90 Diastolic
HR: 60-100 BPM
RR: 12-20 RPM
Temp
SPo2: 95+