Cranial Nerves Assessment Form
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1
2
3C anial Ne ves Assessment Fo m
C anial Ne ve
Function
Method
No mal Findings
Client s Responses
I
Olfactory
Smell reception
Ask client to close
Client s ould be
and
eyes and identify
able to distinguis
interpretation
different mild
different smells
aromas suc
alco ol, powder
and vinegar.
II
Optic
Visual acuity
Ask client to read
Client s ould be
and fields
newsprint and
able to read
determine objects
newsprint and
about 20 ft. away
determine far
objects
III
Oculomo
Extraocular eye
Assess ocular
Client s ould be
tor
movements, lid
movements and
able to ex ibit
elevation,
pupil reaction
normal EOM and
papillary
normal reaction of
constrictions
pupils to lig t and
lens s ape
accommodation
IV
Troc lear Downward and
Ask client to move
Client s ould be
inward eye
eyeballs obliquely
able to move
movement
eyeballs obliquely
V
Trigemin
Sensation of
Elicit blink reflex
Client blinks
al
face, scalp,
by lig tly touc ing
w enever sclera is
cornea, and
lateral sclera; to
lig tly touc ed; able
oral and nasal
test sensation,
to feel t e wisp of
mucous
wipe a wisp of
cotton over t e area
membranes.
cotton over
touc ed; able to
C ewing
client s fore ead
discriminate blunt
movements of
for lig t sensation
and s arp stimuli
t e jaw
and use
alternating blunt
and s arp ends of
safety pin to test
deep sensation
Assess skin
sensation as of
op t almic
branc above
Client is able to
sense and
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Parent category: Medical