Intensive Care Nursing/Neurological Assessment/Neurological Assessment Worksheet

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Neurological assessment worksheet

One should inquire about patient's history including: _________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________


One should inquire about patient's symptoms including: ______________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________


Signs of a neurological compromise can include: ___________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________


Cranial Nerve names and functions

CN I ________ CN VII _______
CN II ________ CN VIII _______
CN III ________ CN IX ________
CN IV ________ CN X _________
CN V ________ CN XI ________
CN VI ________ CN XII ________


Pain/Temperature are both part of ________ function of the neurologic system


Reflexes are checked with a _____________ _____________


Balance and gait are checked by _____________, _____________, and _____________