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  • Cranial Nerve Assessment Sheet

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    irmakrsek
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    The document provides information on assessing the 12 cranial nerves, including their function and examples of abnormalities. It lists the following for each nerve: I) Olfactory - smell identification test. II) Optic - central vision test with reading, peripheral vision test by finger movement. III) Oculomotor - assess pupil size and eyelid position. IV) Trochlear - eye movement down and toward the nose. V) Trigeminal - sensation test of face using blunt and sharp objects. VI) Abducens - eye movement to sides and each ear. VII) Facial - tests facial muscle movement with expressions. VIII) Acoustic - rub fingers by ears to

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    The document provides information on assessing the 12 cranial nerves, including their function and examples of abnormalities. It lists the following for each nerve: I) Olfactory - smell identification test. II) Optic - central vision test with reading, peripheral vision test by finger movement. III) Oculomotor - assess pupil size and eyelid position. IV) Trochlear - eye movement down and toward the nose. V) Trigeminal - sensation test of face using blunt and sharp objects. VI) Abducens - eye movement to sides and each ear. VII) Facial - tests facial muscle movement with expressions. VIII) Acoustic - rub fingers by ears to

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    256 views1 page

    Cranial Nerve Assessment Sheet

    Uploaded by

    irmakrsek
    The document provides information on assessing the 12 cranial nerves, including their function and examples of abnormalities. It lists the following for each nerve: I) Olfactory - smell identification test. II) Optic - central vision test with reading, peripheral vision test by finger movement. III) Oculomotor - assess pupil size and eyelid position. IV) Trochlear - eye movement down and toward the nose. V) Trigeminal - sensation test of face using blunt and sharp objects. VI) Abducens - eye movement to sides and each ear. VII) Facial - tests facial muscle movement with expressions. VIII) Acoustic - rub fingers by ears to

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    of 1

    Nerve Function Assessment Ex.

    of Abnormals
    soap and coffee
    I Olfactory Smell Have the patient close both eyes, & one nostril, then smell and identify the scent
    Remember to do both nostrils.
    Test one eye at a time.
    Central Vision
    • Ask the patient to read his I.V. bag.
    • have him count how many fingers you are holding up 6 inches in front of him.
    II Optic Central & Peripheral Vision
    Peripheral vision
    • Cover one eye and instruct the patient to look at your nose. Move your index
    fingers to check the superior and inferior fields one at a time. Ask the patient to
    note any movement in the peripheral visual fields.
    dim the lights
    bring the light of the penlight from the outside periphery to the center of each eye,
    and note the response.
    III Oculomotor Pupillary constriction
    Use mm to describe pupil sz
    check where the eyelid falls on the pupil.
    If it droops, note that the patient has ptosis.
    acts as a pulley to move the
    IV Trochlear eyes down, toward the tip of instruct the patient to follow your finger while you move it down to- ward his nose.
    the nose.
    controls eye movement to have him follow your fingers through the six cardinal fields of gaze.
    VI Abducens the sides.
    have patient look toward each ear
    Check sensation in all
    covers most of the face three areas, using a soft and a dull object (both ends of a cotton tipped swab)
    problems are usually seen Check sensation of the scalp, too.
    V Trigeminal
    in the forehead, cheek, or assess jaw opening strength
    jaw If you suspect a problem with cranial nerves VI and VII, check the corneal
    reflex with a cotton wisp at this time
    Have the patient
    - wrinkle his forehead
    - close his eyes
    facial movements &
    VII Facial - smile (observe the nasolabial folds for weakness or flattening)
    symmetry
    - pucker his lips
    - show his teeth
    - puff out his cheeks
    VIII Acoustic hearing rub your fingers by each of the pt’s ears
    IX Glossopharyngeal • Assess the sense of taste on
    innervate the tongue and
    • the back of the tongue
    throat (pharynx and
    • Observe the patient’s ability to swallow, noting how he handles secretions
    X Vagus larynx) & are checked
    • Ask the patient to open his mouth and say AHHHHHH
    together
    The uvula should be in the midline, and the palate should rise.
    XII Hypoglossal tongue have pt stick out his tongue
    XI Spinal Accessory neck & shoulder movements ‣ have pt shrug his shoulders against your hands
    ‣ then turn his head from side to side against your hand

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