Intensive Care Nursing/Neurological Assessment/Neurological Assessment Worksheet

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 _____________