Introduction to Critical Care Nursing: Nursing Assessment of Cranial Nerves Flashcards


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1

what cranial nerve do we not assess?

olfactory I, we don't care about the smell

2

The nurse is assessing tongue movement, what cranial nerve does that associate with?

hypoglossal XII

3

The nurse is assessing voluntary eye movement and/ or Doll's eye, (oculocephalic reflex) what cranial nerve does that associate with?

trochlear and abducens, IV & VI

4

The nurse is assessing swallow, gag reflex and cough what cranial nerve does that associate with?

glossopharyngeal and vagal, IX & X

5

The nurse is assessing ability to blink, what cranial nerve does that associate with?

trigeminal V

6

The nurse is assessing PERRLA, what cranial nerve does that associate with?

oculomotor III

7

The nurse is assessing vision, what cranial nerve does that associate with?

optic II

8

The nurse is assessing someone's smile, what cranial nerve does that associate with?

Facial VII

9

The nurse is assessing hearing, what cranial nerve does that associate with?

auditory/vestibular VIII

10

The nurse put's the pt's HOB to 30 degrees and irrigates the ear canal with cold water, what cranial nerve does that associate with?

auditory/vestibular VIII

11

The nurse is assessing the ability to shrug shoulders and move head, what cranial nerve does that associate with?

Spinal Accessory XI