Cranial Nerve CN number and name

Type and Function Sensory or Motor

Assessment and Procedure Discuss how this CN is assessed

Expected Result State the normal result that is expected about the client

Actual Result State the actual findings based from your assessment.

CN I: Olfactory

Sensory

CN II: Optic

Sensory

CN III: Oculomotor

Motor

Ask the client to close eyes and identify different mild aromas such as coffee, peanut butter, orange, chocolate and cologne Ask the client to read newsprints at a distance of 12-14in. Allow light to pass through the eye and observe for pupil constriction.

The client was able to identify the different aromas

CN IV: Trochlear

Motor

Hold a penlight 1 ft. in front of the clients eyes. Ask the client to follow the movements of the penlight with the eyes only. Move the penlight upward, downward, sideward and diagonally.

Client was able to read with each eye and both eyes. Pupils constrict when client looked at a near object, dilated when looking at a distant object, converged when near object is moved towards the nose. PERRLA (pupils equally round and reactive to light and accommodation). Clients eyes has been able to follow the penlight as it moves. Both eyes are able to move as necessary. The client blinks

CN V: Trigeminal

Opthalmic branch Sensory Sensation cornea, of face

Using a cotton wisp, touch the clients cornea from his

when the cornea is touched indicating

approaching of back. skin and

that the trigeminal nerve is intact.

Client have a (+)

nasal mucosa Maxillary branch Sensory Sensation To test light sensation, have client close eyes, wipe a wisp of cotton over of clients forehead. To test sensation, blunt use and

corneal reflex

The client has been able to respond to light and deep

skin of face deep and

sensation and able to differentiate hot from cold. Client

anterior alternating

oral cavity ( sharp ends of an object. tongue teeth) and Determine sensation to warm and cold object by asking client to identify warmth and coldness Mandibular branch Motor sensory Muscles mastication Sensation of skin and face Motor Allow the client to chew, and open and clench his jaw while palpating the jaw of muscles.

was sensitive to pain stimuli and

distinguish hot from cold.

The client has been able to clench jaw

CN VI: Abducens

CN VII: Facial

Sensory motor

Hold a penlight 1 ft. in front of the clients eyes. Ask the client to follow the movements of the penlight with the eyes only. Move the penlight through the six cardinal fields of gaze. and Ask client to smile, raise the eyebrows, frown, and puff out cheeks, close eyes tightly.

Both eyes coordinated, move in unison with parallel alignment. Both client eyes move in coordination

The client has been able to smile, raise eyebrows, and puff out cheeks and

close eyes without Ask client to identify various tastes placed on top and sides of tongue. any difficulty. The

client has been able to different distinguish tastes.

Client various

performed facial

expressions without any difficulty and

able to distinguish varied tastes. CN VIII: Sensory Whisper few words at the clients back and allow His to repeat the words. The client was able to respond to the whisper test.

vestibulocochlear Auditory

Have the client occlude one ear. Out of the clients sight, place a tickling

Client has been able to hear the tickling of the watch in both ears.

watch 2 to 3 cm. ask what the client can hear and repeat with the otHis ear.

ask the client to walk across the room and back and assess the clients gait CN IX: Sensory and motor Glossopharyngeal Elicit gag response. Note ability to swallow. Ask the client to say ah and ask the client to move the tongue from side to side and up and down movement palate. Ask the client to identify the taste of the substance of the soft

The client has an upright posture and steady gait with opposing arm swing; walk unaided; maintains balance. Client has been able to elicit gag reflex and swallow without any difficulty. The client has been able to move the tongue from side to side and up and down The client has

identified the taste of

placed on the posterior part of the tongue.

the placed

substance on the

posterior part of the tongue CN X: Vagus Motor sensory and Ask the client to Swallow. Assess clients speech for hoarseness The client has been able to swallow

without difficulty and speak audibly. Client has been able to shrug shoulders and turn head from side to side.

CN XI: Accessory

Motor

Ask

client

to

shrug against

shoulders resistance from

your

hands and turn head to side against resistance

from your hand (repeat for others side). CN Hypoglossal XII: Motor Ask client to protrude The client has been able to move tongue without any difficulty. The client was able to move tongue in different directions.

tongue at midline and then move it side to side.