Professional Documents
Culture Documents
Health Assessment
NUR 211
Family History
headaches, mental illness, depression
Continued:
Past Health History
seizures, headaches
head injury
surgeries
stroke
Equipment Needed:
CN I: Olfactory
Sensory: smell
Apply simple odors to
one nostril at a time
Do not test unless
history indicates
CN II: Optic
Sensory: vision
Snellen
Visual fields
(confrontation)
Ophthalmoscopic
examination
CN III: Oculomotor
Motor: upward,
downward, medial eye
movement
Corneal Light reflex
Cover test
EOM: 6 cardinal
positions
Observe lids
CN IV: Trochlear
Motor: downward,
medial eye movement
EOM
Same as CN III
Pupillary light reflex
Accommodation
CN V: Trigeminal
Sensory: face, scalp
Motor:
Tactile and pain
sensation on entire
face
CN VI: Abducens
Motor: lateral eye
movement
EOM
Same as CN III
CN VII: Facial
Sensory:
Taste to anterior 2/3 of
tongue
Motor:
Ability to frown
Smile, show teeth
Puff out checks
whistle, close eyes
CN VIII: Acoustic
Sensory:
Hearing acuity
Rinne test: on mastoid
process
Weber test: on center
of forehead
Otoscopic examination
Rhomberg test
CN IX: Glossopharyngeal
Sensory:
Taste
Motor:
Able to swallow
Gag reflex
CN X: Vagus
Sensory
listen to person talk (hoarseness)
Motor
ask person to say ah (soft palate contract and
uvula stays midline)
CN XII: Hypoglossal
Motor:
protrude tongue
move tongue from
side to side with
resistance