Definition:

Systematic evaluation of the cranial

nerves, motor and sensory
functioning and mental status to
defect neurologic abnormalities.
Nursing Care:
1. Perform assessment as dictated
by the clients needs


Olfactory Nerve (I)
Optic Nerve (II)
Occulomotor (III),Troclear (IV),
Abducens (VI) Nerve

Trigeminal Nerve (V)
Facial Nerve (VII)
Acoustic or Vestibulocochlear
Nerve (VIII)
Glossopharyngeal (IX) and Vagus
(X) Nerve
Spinal Accessory (XI)
Hypoglossal Nerve (XII)
2. Motor function
a) Walking Gait
b) Romberg Test

a) Standing on one foot with eyes closed
b) Heel-toe walking
c) Toe or heel walking

Finger-to-nose and the nurses
finger
Finger-to-nose test
Fingers to fingers
Alternating supination and pronation of hands on
knees
Fingers to thumb
Heel down opposite shin

Toe or ball of foot to the nurses finger
Light touch sensation
Pain sensation
Temperature sensation
Position or kinesthetic sensation
Tactile discrimination
Stereognosis
3. Document findings