internal rotation eye movement (CN IV) and all other eye movements, ability to raise eye
lids and mediate pupillary constriction (CN III).
(6)
_____
Cranial Nerve V (Trigeminal):
Test both Sensory
- Patient closes eyes when checking
light touch to face of the forehead, cheek and jaw bilaterally and Motor portions
– Ask
patient to clench teeth and move jaw side-to-side.
[Not testing Corneal Reflex which is
CN V (sensory) and CN VII (motor)].
(2)
_____
Cranial Nerve VII
(Facial):
Testing Motor only
– Ask patient to smile, frown, raise
eyebrows/wrinkle forehead, close and open eyes and puff out cheeks.
(2)
_____
Cranial Nerve VIII
(Acoustic):
Whisper Test (Whisper and patient repeats words back or
rub fingers together and ask patient if heard them).
Test one ear at a time.
(2)
_____
Cranial Nerve XII
(Hypoglossal), Cranial Nerve X
(Vagus) & Cranial Nerve IX
10/15

Chamberlain College of Nursing
NR509 Advanced Physical Assessment
(Glossopharyngeal):
Ask patient to stick out tongue and move it right and left (CN XII),
then to open mouth and say “Ahh,” (check if uvula is midline and palate rises
symmetrically) and also note patient’s ability to speak and swallow (CN X).
[Not testing
Gag Reflex (CN IX and X)].
(6)
_____
Cranial Nerve XI (Spinal Accessary):
Ask patient to turn head to the left into your right

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- Summer '14
- _____Cranial Nerve , Cranial Nerve Chart , Physical Assessment Nursing