NAME/NUMBER FUNCTION TEST ABNORMAL FINDINGS

I. OLFACTORY Sensory - Sense of smell Have client smell a nonirritating substance such as
coee or tobacco !ith e"es close#
Anosmia $absence of
smell%
II. O&TIC Sensory - Sense of vision Snellen e"e chart for far vision
Rea# ne!s'a'er for near vision
O'hthalmosco'ic e(am
&a'ille#ema) blurre#
vision) scotoma)
blin#ness
III. OC*LO+OTOR Motor - &u'il constriction,
raising of e"eli#s
Test for si( car#inal -el#s of ga.e
Observe for s"mmetr" an# e"e o'ening
Shine 'enlight into e"e as client stares straight ahea#
As/ client to !atch "our -nger as "ou move it to!ar#
his0her face
Anisocuria) 'in'oint
'u'ils) -(e#,#ilate#
'u'ils
I1. TROCHL2AR Motor - 3o!n!ar# an#
in!ar# movement of
e"es
Test for si( car#inal -el#s of ga.e 4"stagmus
1. TRI52+I4AL Motor 6 7a! movement
Sensory 6 sensation on the
face an# nec/
Test !ith 'in an# !is' of cotton over all three branches
$forehea#, chee/, 7a! on both si#es of face%
Trigeminal 4euralgia $Tic
#ouloureu(%
3OC8 Carbama.e'ine
$Tegretol%
1I. A93*C24S Motor - Lateral movement of
the e"es
Test for si( car#inal -el#s of ga.e 3i'lo'ia) 'tosis of the
e"eli#
1II. FACIAL Motor 6 facial muscle
movement
Sensory 6 taste on the
anterior t!o- thir#s of the
tongue $s!eet an# salt"%
Observe for facial s"mmetr" after as/ing client to
fro!n, smile, raise e"ebro!s, close e"eli#s against
resistance, !histle, blo!
&lace s!eet, sour, bitter , an# salt" substances on
tongue
9ell:s 'als") ageusia
$loss of sense of taste%
on the anterior ;0< of the
tongue
1III. 12STI9*LOCOCHL
2AR
Sensory - Sense of hearing
an# balance
Test !ith !atch tic/ing into ear, rubbing -ngers
together, Rinne Test, =eber Test) balance8 Romberg:s
Test
con#uctive >
sensorineural hearing
loss
tinnitus) vertigo
I?. 5LOSSO&HARY452AL Motor 6 'har"ngeal
movement an#
s!allo!ing
Sensory 6 taste on 'osterior
one-thir# of tongue $sour
an# bitter%
&lace s!eet, sour, bitter, an# salt" substances on
tongue
4ote abilit" to s!allo! an# manage secretions
Stimulate 'har"ngeal !all to elicit gag re@e(
Loss of gag re@e(,
#rooling of saliva,
#"s'hagia, #"s'honia,
'osterior thir# ageusia
?. 1A5*S Sensory and Motor -
S!allo!ing
Stimulate 'har"ngeal !all to elicit gag re@e(
Ins'ect soft 'alate 6 instruct to sa" AahB
Loss of gag re@e(,
#rooling of saliva,
an#
s'ea/ing
Observe uvula for mi#line
Rate Cualit" of voice
#"s'hagia, #"sarthria,
bra#"car#ia, increase#
HCl secretion
?I. S&I4AL ACC2SSORY Motor 6 @e(ion an# rotation
of hea#) shrugging of
shoul#ers
Ins'ect an# 'al'ate sternoclei#omastoi# an# tra'e.ius
muscles for si.e, contour, tone
As/ client to move hea# si#e to si#e against resistance
an# shrug shoul#ers against resistance
Inabilit" to rotate the
hea# an# move the
shoul#ers
?II. HY&O5LOSSAL Motor 6 tongue movements Ins'ect tongue in mouth
As/ client to stic/ out tongue an# move it Cuic/l" si#e
to si#e
Observe mi#line, s"mmetr", an# rh"thmic movement
of tongue
&rotrusion of the tongue,
#eviation of the tongue
to one si#e of the mouth
CRANIAL NERVE ASSESSMENT b" Dun#ell A. Castar#o, *SR4