NUR 2092/NUR2092 Exam 3 V1 | Health
Assessment Q&A with Rationale |
Rasmussen University
1. When assessing the musculoskeletal system, the nurse asks the patient to move their arm
away from the midline. What movement is being performed?
A. Adduction
B. Extension
C. Flexion
D. Abduction
Answer: D
Rationale: Abduction is defined as the movement of a limb or other part away from the
midline of the body. This is a primary range of motion assessment for joints like the
shoulder and hip. Adduction is the opposite movement which brings the limb toward the
midline.
2. A nurse is testing a patient’s visual acuity using a Snellen chart. Which cranial nerve is
being assessed?
A. Cranial Nerve I
B. Cranial Nerve III
C. Cranial Nerve II
,C. Cranial Nerve IV
Answer: C
Rationale: Cranial Nerve II is the optic nerve, which is responsible for transmitting visual
information from the retina to the brain. Assessment of this nerve typically involves testing
visual acuity and visual fields. Cranial nerves III, IV, and VI are instead involved in eye
movement.
3. During a breast examination, the nurse notes ‘peau d’orange’ appearance. This finding is
most likely associated with:
A. Normal aging process
B. Breast abscess
C. Fibroadenoma
D. Lymphatic obstruction and edema
Answer: D
Rationale: Peau d’orange is characterized by skin that appears thickened and pitted,
resembling an orange peel. It is caused by edema from lymphatic obstruction and is often a
sign of underlying malignancy. The nurse should document this finding and report it to the
provider immediately for further investigation.
4. The nurse is performing the Romberg test. What is the primary purpose of this neurological
assessment?
A. To evaluate deep tendon reflexes
, B. To measure muscle strength
C. To check for sensory loss in the lower extremities
D. To assess balance and equilibrium
Answer: D
Rationale: The Romberg test is a diagnostic tool used to assess neurological function for
balance and posture. It requires the patient to stand with eyes closed to see if they can
maintain their position without swaying. Significant swaying or loss of balance is
considered a positive Romberg result and indicates vestibular or cerebellar issues.
5. A patient complains of numbness and tingling in the thumb and first two fingers. Which
test should the nurse perform to screen for Carpal Tunnel Syndrome?
A. McMurray test
B. Bulge sign
C. Phalen’s test
D. Lachman test
Answer: C
Rationale: Phalen’s test is conducted by having the patient hold their wrists in acute
flexion for 60 seconds. If the patient experiences numbness or tingling, it suggests
compression of the median nerve. This assessment is a standard part of evaluating
potential Carpal Tunnel Syndrome.
Assessment Q&A with Rationale |
Rasmussen University
1. When assessing the musculoskeletal system, the nurse asks the patient to move their arm
away from the midline. What movement is being performed?
A. Adduction
B. Extension
C. Flexion
D. Abduction
Answer: D
Rationale: Abduction is defined as the movement of a limb or other part away from the
midline of the body. This is a primary range of motion assessment for joints like the
shoulder and hip. Adduction is the opposite movement which brings the limb toward the
midline.
2. A nurse is testing a patient’s visual acuity using a Snellen chart. Which cranial nerve is
being assessed?
A. Cranial Nerve I
B. Cranial Nerve III
C. Cranial Nerve II
,C. Cranial Nerve IV
Answer: C
Rationale: Cranial Nerve II is the optic nerve, which is responsible for transmitting visual
information from the retina to the brain. Assessment of this nerve typically involves testing
visual acuity and visual fields. Cranial nerves III, IV, and VI are instead involved in eye
movement.
3. During a breast examination, the nurse notes ‘peau d’orange’ appearance. This finding is
most likely associated with:
A. Normal aging process
B. Breast abscess
C. Fibroadenoma
D. Lymphatic obstruction and edema
Answer: D
Rationale: Peau d’orange is characterized by skin that appears thickened and pitted,
resembling an orange peel. It is caused by edema from lymphatic obstruction and is often a
sign of underlying malignancy. The nurse should document this finding and report it to the
provider immediately for further investigation.
4. The nurse is performing the Romberg test. What is the primary purpose of this neurological
assessment?
A. To evaluate deep tendon reflexes
, B. To measure muscle strength
C. To check for sensory loss in the lower extremities
D. To assess balance and equilibrium
Answer: D
Rationale: The Romberg test is a diagnostic tool used to assess neurological function for
balance and posture. It requires the patient to stand with eyes closed to see if they can
maintain their position without swaying. Significant swaying or loss of balance is
considered a positive Romberg result and indicates vestibular or cerebellar issues.
5. A patient complains of numbness and tingling in the thumb and first two fingers. Which
test should the nurse perform to screen for Carpal Tunnel Syndrome?
A. McMurray test
B. Bulge sign
C. Phalen’s test
D. Lachman test
Answer: C
Rationale: Phalen’s test is conducted by having the patient hold their wrists in acute
flexion for 60 seconds. If the patient experiences numbness or tingling, it suggests
compression of the median nerve. This assessment is a standard part of evaluating
potential Carpal Tunnel Syndrome.
