Part of the neurological exam is evaluating the response of the crania

Part of the neurological exam is evaluating the response of the cranial nerves. To test cranial nerve VIII, the nurse should:

1. Ask the client to read printed material
2. Assess the directions of gaze
3. Assess the client’s ability to hear the spoken word
4. Ask the client to say “ah”

ANSWER

ANS: 3
To test cranial nerve VIII (auditory), the nurse should assess the client’s ability to hear the spo-ken word. To test cranial nerve II (optic), the nurse should assess the client’s ability to read printed material. To test cranial nerves III (oculomotor), IV (trochlear), and VI (abducens), the nurse should assess the client’s directions of gaze. To assess cranial nerve X (vagus), the nurse should ask the client to say “ah.”