NRS 2014 HEALTH ASSESSMENT EXAM 3 LATEST
2026/2027 OAKLAND UNIVERSITY 100% ACCURATE
FALL-WINTER (SCORE A)
A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn to roll over.
What is the reason for this?
a. A demyelinating process must be occurring with her infant.
b. Myelin is needed to conduct the impulses, and the neurons of a newborn are not yet myelinated.
c. The cerebral cortex is not fully developed; therefore, control over motor function gradually occurs.d.
The spinal cord is controlling the movement because the cerebellum is not yet fully developed.
b
During an assessment of an 80-year-old patient, the nurse notices the following: an inability to
identify vibrations at her ankle and to identify the position of her big toe, a slower and more
deliberate gait, and a slightly impaired tactile sensation. All other neurologic findings are normal. How
should the nurse interpret these findings?
a. CNS dysfunction
b. Lesion in the cerebral cortex
c. Normal changes attributable to aging
d. Demyelination of nerves attributable to a lesion
c
A 70-year-old woman tells the nurse that every time she gets up in the morning or after she's been
sitting for a while, she gets "really dizzy" and feels like she is going to fall over. What is the best
response by the nurse?
a. "Have you been extremely tired lately?"
b. "You probably just need to drink more liquids."
c. "I'll refer you for a complete neurologic examination."
d. "You need to get up slowly when you've been lying down or sitting
d
During the taking of the health history, a patient tells the nurse that "it feels like the room is spinning
around me." How should the nurse document this finding?
a. Vertigo
b. Syncope
,c. Dizziness
d. Seizure activity
a
When taking the health history on a patient with a seizure disorder, the nurse assesses whether the
patient has an aura. Which of these would be the best question for obtaining this information?
a. "Does your muscle tone seem tense or limp?"
b. "After the seizure, do you spend a lot of time sleeping?"
c. "Do you have any warning sign before your seizure starts?"
d. "Do you experience any color change or incontinence during the seizure
c
While obtaining a health history a 3-month-old infant from the mother, the nurse asks about the
infant's ability to suck and grasp the mother's finger. What is the nurse assessing?
a. Reflexes
b. Intelligence
c. Cranial nerves
d. Cerebral cortex function
a
In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks alcohol daily and
that he has noticed a tremor in his hands that affects his ability to hold things. With this information,
what response should the nurse make?
a. "Does the tremor change when you drink alcohol?"
b. "Does your family know you are drinking every day?"
c. "We'll do some tests to see what is causing the tremor."
d. "You really shouldn't drink so much alcohol; it may be causing your tremor
a
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the
past week. The nurse should perform which type of neurologic examination?
a. Glasgow Coma Scale
b. Neurologic recheck examination
c. Complete neurologic examination
d. Screening neurologic examination
,c
During an assessment of the cranial nerves (CNS), the nurse finds the following: asymmetry when the
patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of
air when the nurse presses against the right puffed cheek. These findings indicate dysfunction of
which cranial nerve(s)?
a. Motor component of CN IV
b. Motor component of CN VII
c. Motor and sensory components of CN XI
d. Motor component of CN X and sensory component of CN VII
b
Methods to enhance abdominal wall relaxation during examination include
a. positioning the patient with the knees bent.
b. examining painful areas first.
c. having the patient place arms above the head.
d. a cool environment
a
The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver.
Which sound should the nurse expect to hear?
a. Dullness
b. Tympany
c. Resonance
d. Hyperresonance
a
A 25-year-old woman comes to the emergency department with a sudden fever of 38.3° C and
abdominal pain. Upon examination, the nurse notices that she has rigid, boardlike lower abdominal
musculature. When the nurse tries to perform a vaginal examination, the patient has severe pain
when the uterus and cervix are moved. What do these findings suggest?
a. Endometriosis
b. Uterine fibroids
c. Ectopic pregnancy
d. Pelvic inflammatory disease
, d
During an external genitalia examination of a woman, the nurse notices several lesions around the
vulva. The lesions are pink, moist, soft, and pointed papules. The patient states that she is not aware
of any problems in that area. What do these findings likely indicate?
a. Syphilitic chancre
b. HPV or genital warts
c. Pediculosis pubis (crab lice)
d. Herpes simplex virus type 2 (herpes genitalis)
b
During an examination, how would the nurse expect the cervical os of a woman who has never had
children to appear?
a. Everted
b. Stellate
c. Small and round
d. As a horizontal irregular slit
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive
regular examinations because this virus makes her at a higher risk for what type of cancer?
a. Uterine
b. Cervical
c. Ovarian
d. Endometrial
b
During an internal examination, the nurse notices that the cervix bulges outside the introitus when
the patient is asked to strain. How should the nurse document this finding?
a. A normal finding
b. Uterine prolapse, graded first degree
c. Uterine prolapse, graded third degree
d. Uterine prolapse, graded second degree
d
A 35-year-old woman is at the clinic for a gynecologic examination. During the examination, she asks
the nurse, "How often do I need to have this Pap test done?" Which reply by the nurse is correct?
2026/2027 OAKLAND UNIVERSITY 100% ACCURATE
FALL-WINTER (SCORE A)
A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn to roll over.
What is the reason for this?
a. A demyelinating process must be occurring with her infant.
b. Myelin is needed to conduct the impulses, and the neurons of a newborn are not yet myelinated.
c. The cerebral cortex is not fully developed; therefore, control over motor function gradually occurs.d.
The spinal cord is controlling the movement because the cerebellum is not yet fully developed.
b
During an assessment of an 80-year-old patient, the nurse notices the following: an inability to
identify vibrations at her ankle and to identify the position of her big toe, a slower and more
deliberate gait, and a slightly impaired tactile sensation. All other neurologic findings are normal. How
should the nurse interpret these findings?
a. CNS dysfunction
b. Lesion in the cerebral cortex
c. Normal changes attributable to aging
d. Demyelination of nerves attributable to a lesion
c
A 70-year-old woman tells the nurse that every time she gets up in the morning or after she's been
sitting for a while, she gets "really dizzy" and feels like she is going to fall over. What is the best
response by the nurse?
a. "Have you been extremely tired lately?"
b. "You probably just need to drink more liquids."
c. "I'll refer you for a complete neurologic examination."
d. "You need to get up slowly when you've been lying down or sitting
d
During the taking of the health history, a patient tells the nurse that "it feels like the room is spinning
around me." How should the nurse document this finding?
a. Vertigo
b. Syncope
,c. Dizziness
d. Seizure activity
a
When taking the health history on a patient with a seizure disorder, the nurse assesses whether the
patient has an aura. Which of these would be the best question for obtaining this information?
a. "Does your muscle tone seem tense or limp?"
b. "After the seizure, do you spend a lot of time sleeping?"
c. "Do you have any warning sign before your seizure starts?"
d. "Do you experience any color change or incontinence during the seizure
c
While obtaining a health history a 3-month-old infant from the mother, the nurse asks about the
infant's ability to suck and grasp the mother's finger. What is the nurse assessing?
a. Reflexes
b. Intelligence
c. Cranial nerves
d. Cerebral cortex function
a
In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks alcohol daily and
that he has noticed a tremor in his hands that affects his ability to hold things. With this information,
what response should the nurse make?
a. "Does the tremor change when you drink alcohol?"
b. "Does your family know you are drinking every day?"
c. "We'll do some tests to see what is causing the tremor."
d. "You really shouldn't drink so much alcohol; it may be causing your tremor
a
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the
past week. The nurse should perform which type of neurologic examination?
a. Glasgow Coma Scale
b. Neurologic recheck examination
c. Complete neurologic examination
d. Screening neurologic examination
,c
During an assessment of the cranial nerves (CNS), the nurse finds the following: asymmetry when the
patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of
air when the nurse presses against the right puffed cheek. These findings indicate dysfunction of
which cranial nerve(s)?
a. Motor component of CN IV
b. Motor component of CN VII
c. Motor and sensory components of CN XI
d. Motor component of CN X and sensory component of CN VII
b
Methods to enhance abdominal wall relaxation during examination include
a. positioning the patient with the knees bent.
b. examining painful areas first.
c. having the patient place arms above the head.
d. a cool environment
a
The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver.
Which sound should the nurse expect to hear?
a. Dullness
b. Tympany
c. Resonance
d. Hyperresonance
a
A 25-year-old woman comes to the emergency department with a sudden fever of 38.3° C and
abdominal pain. Upon examination, the nurse notices that she has rigid, boardlike lower abdominal
musculature. When the nurse tries to perform a vaginal examination, the patient has severe pain
when the uterus and cervix are moved. What do these findings suggest?
a. Endometriosis
b. Uterine fibroids
c. Ectopic pregnancy
d. Pelvic inflammatory disease
, d
During an external genitalia examination of a woman, the nurse notices several lesions around the
vulva. The lesions are pink, moist, soft, and pointed papules. The patient states that she is not aware
of any problems in that area. What do these findings likely indicate?
a. Syphilitic chancre
b. HPV or genital warts
c. Pediculosis pubis (crab lice)
d. Herpes simplex virus type 2 (herpes genitalis)
b
During an examination, how would the nurse expect the cervical os of a woman who has never had
children to appear?
a. Everted
b. Stellate
c. Small and round
d. As a horizontal irregular slit
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive
regular examinations because this virus makes her at a higher risk for what type of cancer?
a. Uterine
b. Cervical
c. Ovarian
d. Endometrial
b
During an internal examination, the nurse notices that the cervix bulges outside the introitus when
the patient is asked to strain. How should the nurse document this finding?
a. A normal finding
b. Uterine prolapse, graded first degree
c. Uterine prolapse, graded third degree
d. Uterine prolapse, graded second degree
d
A 35-year-old woman is at the clinic for a gynecologic examination. During the examination, she asks
the nurse, "How often do I need to have this Pap test done?" Which reply by the nurse is correct?
