During a physical assessment which tests would the nurse perform to evaluate the sensory System

Which elements of the pupils should be evaluated as part of the assessment of the cranial nerves of the eyes?

Size
The nurse should evaluate the size of the pupils as part of the assessment of the cranial nerves of the eyes.
Incorrect

Equality
The nurse should evaluate the equality of the pupils as part of the assessment of the cranial nerves of the eyes.

Response to light
The nurse should evaluate the response of the pupils to light as part of the assessment of the cranial nerves of the eyes.

Which type of assessment of the cranial nerves of the eyes should the nurse perform in order to evaluate cranial nerve II?

Visual acuity test
The nurse should perform a visual acuity test to evaluate cranial nerve II, as it is a cranial nerve of the eyes that transmits information to the brain.
Correct

Visual fields test
The nurse should perform a visual fields test to evaluate cranial nerve II, as it is a cranial nerve of the eyes that transmits information to the brain.

Ophthalmologic examination
The nurse should perform an ophthalmologic examination to evaluate cranial nerve II, as it is a cranial nerve of the eyes that transmits information to the brain.

In which ways should the nurse test the pupils for response to light as part of the assessment of the cranial nerves of the eyes?

Swinging flashlight test
The swinging flashlight test is used to test the patient's response to light as part of the assessment of the cranial nerves of the eyes.
Correct

Direct response to light
The nurse should test the pupils for response to direct light by shining a penlight into one pupil and evaluating for constriction.

Consensual response to light
The nurse should test the pupils for consensual response to light by shining a penlight into one eye and evaluating the opposite eye for consensual constriction.

Which elements should be assessed to evaluate the vagus nerve (CN X)?

Taste
The nurse should test the patient's ability to identify sour and bitter tastes on either side of the tongue to evaluate the vagus nerve (CN X).

Gag reflex
The nurse should assess the patient's gag reflex to evaluate the vagus nerve (CN X).
Correct

Swallowing
The nurse should assess the patient's ability to swallow to evaluate the vagus nerve (CN X).

When evaluating the vagus nerve (CN X), the nurse should inspect which aspect of the palate and uvula?

Symmetry
When evaluating the vagus nerve (CN X), the nurse should inspect the symmetry of the palate and uvula because the vagus nerve provides motor supply to the pharynx.

Which aspect of the tongue should the nurse evaluate as part of the hypoglossal (CN XII) nerve assessment?

Strength
The nurse would assess the strength of the tongue as part of the evaluation of the hypoglossal nerve (CN XII) because the hypoglossal nerve innervates the tongue.

When assessing the trigeminal nerve (CN V), which aspects should the nurse evaluate?

Corneal reflex
The nurse should evaluate the corneal reflex when assessing the trigeminal nerve (CN V) because the trigeminal nerve innervates the muscles of the face.
Correct

Facial atrophy
The nurse should evaluate the presence of facial atrophy to assess the trigeminal nerve (CN V) because the trigeminal nerve innervates the muscles of the face.
Correct

Facial sensation
The nurse should evaluate facial sensation to assess the trigeminal nerve (CN V) because the trigeminal nerve innervates the muscles of the face.
Correct

Strength of the jaw
The nurse should evaluate the strength of the jaw to assess the trigeminal nerve (CN V) because the trigeminal nerve innervates the muscles of the face.

Which elements of the face should the nurse assess when evaluating the facial cranial nerve (CN VII) for motor function?

Lips
The nurse would assess the lips by asking the patient to purse the lips and blow when evaluating the facial cranial nerve (CN VII) for motor function.
Correct

Eyes
The nurse would assess the ability of the patient to squeeze the eyes shut when evaluating the facial cranial nerve (CN VII) for motor function.

Cheeks
The nurse would assess the ability of the patient to puff out the cheeks when evaluating the facial cranial nerve (CN VII) for motor function.
Correct

Forehead
The nurse would assess the forehead by asking the patient to raise the eyebrows when evaluating the facial cranial nerve (CN VII) for motor function.

Which sensory elements should the nurse assess when evaluating the acoustic nerve (CN VIII)?

Hearing
The nurse would assess the patient's hearing when evaluating the acoustic nerve (CN VIII).
Correct

Balance
The nurse would assess the patient's balance when evaluating the acoustic nerve (CN VIII).

Which superficial reflexes should the nurse evaluate?

plantar

adbominal

cremasteric

The nurse should assess rapid rhythmic alternating movements by asking the patient to make which movements?

Touch a thumb to a finger

Alternately turn the palms of the hands up and down

When assessing the cremasteric reflex, which area of the patient's body would the nurse assess?

Thigh
The nurse should assess the inner portion of a male patient's thigh to evaluate the cremasteric reflex.

The nurse would evaluate primary and cortical sensory functions by having the patient identify sensory stimuli in which parts of the body?

Feet
The nurse would ask the patient to identify sensory stimuli in the feet to evaluate primary and cortical sensory functions.
Correct

Hands
The nurse would ask the patient to identify sensory stimuli in the hands to evaluate primary and cortical sensory functions.
Correct

Lower legs
The nurse would ask the patient to identify sensory stimuli in the lower legs to evaluate primary and cortical sensory functions.
Correct

Lower arms
The nurse would ask the patient to identify sensory stimuli in the lower arms to evaluate primary and cortical sensory functions.

Which aspects of involuntary movements should the nurse assess as part of a coordination and fine motor skills evaluation?

Correct

Rate
The nurse should assess the rate of the patient's involuntary movements as part of the evaluation of coordination and fine motor skills.
Correct

Quality
The nurse should assess the quality of the patient's involuntary movements as part of the evaluation of coordination and fine motor skills.
Correct

Rhythm
The nurse should assess the rhythm of the patient's involuntary movements as part of the evaluation of coordination and fine motor skills.

Affected body parts
The nurse should assess the body parts affected by the patient's involuntary movements as part of the evaluation of coordination and fine motor skills.

The nurse should use which tests to assess the accuracy of the patient's movements?

Finger-to-nose test
The nurse should evaluate the ability of the patient to touch a finger to the nose to assess the accuracy of the patient's movements.
Correct

Finger-to-finger test
The nurse should evaluate the ability of the patient to touch a finger to another finger to assess the accuracy of the patient's movements.
'
Heel-to-shin test
The nurse should evaluate the ability of the patient to touch the heel to the shin to assess the accuracy of the patient's movements.

Which elements of the patient's primary sensory function would the nurse assess?

Temperature
The nurse would assess the ability to sense temperature changes when evaluating the patient's primary sensory function.
Correct

Joint position
The nurse would assess the ability to sense changes in the position of joints when evaluating the patient's primary sensory function.

Superficial pain
The nurse would assess the ability to sense superficial pain when evaluating the patient's primary sensory function.
Correct

Superficial touch
The nurse would assess the ability to sense superficial touch when evaluating the patient's primary sensory function.

Which cortical sensory function would the nurse assess by drawing a number 8 on the patient's hand?

Incorrect

Graphesthesia
Graphesthesia, or the ability to identify writing on the skin, is the cortical sensory function assessed by drawing a number 8 on the patient's hand.

What test would be performed when assessing sensory function?

How do nurses assess sensory function?

Which tests would the nurse use to assess a client's cortical sensory function?

Which elements of the patient's primary sensory function would the nurse assess?