NUR1060C HEALTH ASSESSMENT EXAM 3 | COMPREHENSIVE STUDY GUIDE, PRACTICE
QUESTIONS AND ANSWERS 2026/2027
When inspecting the external ocular area, where do you begin? - ANS ✔✔Begin with the most
external features and your way inwards
What are the expected findings during inspection of the external ocular region? - ANS
✔✔Symmetrical(face, lids, eyebrows, and eyelashes) No profusion, and the sclera is white
Does dorsiflexion, or plantar flexion extend to a greater degree? - ANS ✔✔Plantar flexion (45
degrees)
Does inversion or eversion of the foot have a greater degree? - ANS ✔✔Inversion (30 degrees)
What does PERRLA stand for? - ANS ✔✔Pupils equal, round, reactive to light and
accommodation
What cranial nerve are you assessing while checking a patient's PERRLA status? - ANS
✔✔Cranial Nerve 3
What are the expected findings during a PERRLA assessment? - ANS ✔✔Pupils 3-5 mm, equal
constriction, brisk reaction
What are the 3 D's and 3 C's? - ANS ✔✔Distance= Dilate and Diverge
Close= Constrict and Converge
What is the only part of the assessment utilized for the eyes? - ANS ✔✔Inspection
,What 3 cranial nerves are tested during the Corneal Light Reflex test, also known as the
Hirschberg Test, as well as the Cardinal Fields of Gaze, also known as the Diagnostic Positions
Test? - ANS ✔✔Cranial Nerve 3 (oculomotor) Cranial Nerve 4 (Trochlear), and Cranial Nerve 6
(Abducens)
What is the term for difficulty focusing on near objects? - ANS ✔✔Presbyopia
What test is used to test a patient's near vision? What is the distance used for this test? - ANS
✔✔Rosenbaum/ 14 inches away
What test is used to test a patient's far vision? What is the distance used for this test? - ANS
✔✔Snellen/ 10 feet away
What is the typical vision score for a 3 year old? - ANS ✔✔20/50 or less
At what age is a childs vision typically 20/20? - ANS ✔✔7 years old and older
How do opioids affect the size of pupils? - ANS ✔✔Pupils will appear smaller and constricted
How do you test Cranial Nerve 1, also known as the olfactory nerve? - ANS ✔✔Have patient
close eyes, occulde one nostril, and present common smell. Repeat this with other nostril.
Patient should be able to identify the smell
What three facial regions are you testing while assessing Cranial Nerve 5, the trigeminal nerve?
- ANS ✔✔Ophthalmic (forehead), Maxillary (undereye area), and Mandibular (chin)
How do we test cranial nerve 7, the facial nerve? - ANS ✔✔Instruct patient ot smile, frown,
close eyes tightly, lift brows, show teeth, and puff cheeks
, What test do you use to assess Cranial Nerve 8, or the Acoustic cranial nerve? - ANS ✔✔Utilize
the whisper voice test/ 1 ear at a time
What two cranial nerves do you test at the same time? - ANS ✔✔Cranial Nerve 9 and 10
What are you assessing with Cranial Nerve 9 (Glossopharyngeal) and Cranial Nerve 10 (Vagus)? -
ANS ✔✔With cranial nerve 9, you are inspecting to see if when the patient says Ahh, that the
uvular rises midline. With cranial nerve 10, you are assessing the patients voice to ensure that
their voice is clear and strong.
When assessing Cranial Nerve 11 (Spinal Accessory), what actions are performed? - ANS ✔✔Ask
patient to rotate head against resistance, and shrug shoulders against resistance (Testing the
sternomastoid muscles and the trapezius muscle)
What cranial nerve are you assessing when you inspect the tongue, and ask the patient to say
light, tight, and dynamite? - ANS ✔✔Cranial Nerve 12, Hypoglossal
During assessment of Cranial nerve 12, which letter sounds are you paying extra attention to, to
ensure that they are clear and distinct? - ANS ✔✔L, T, D, and N
What is the medical term for earwax? - ANS ✔✔Cerumen
What is the distinct difference when inspecting the ears on children versus adults? - ANS
✔✔With adults, you pull the pinna up and back. With children, pull the pinna down and back.
Cerumen impaction, foreign objects, external ear infections, typanic membrane rupture,
otosclerosis (abnormal bone growth in the ossicles), and cholesteatoma (skin growth in the
middle ear), are all examples of what type of hearing loss? - ANS ✔✔Conductive
QUESTIONS AND ANSWERS 2026/2027
When inspecting the external ocular area, where do you begin? - ANS ✔✔Begin with the most
external features and your way inwards
What are the expected findings during inspection of the external ocular region? - ANS
✔✔Symmetrical(face, lids, eyebrows, and eyelashes) No profusion, and the sclera is white
Does dorsiflexion, or plantar flexion extend to a greater degree? - ANS ✔✔Plantar flexion (45
degrees)
Does inversion or eversion of the foot have a greater degree? - ANS ✔✔Inversion (30 degrees)
What does PERRLA stand for? - ANS ✔✔Pupils equal, round, reactive to light and
accommodation
What cranial nerve are you assessing while checking a patient's PERRLA status? - ANS
✔✔Cranial Nerve 3
What are the expected findings during a PERRLA assessment? - ANS ✔✔Pupils 3-5 mm, equal
constriction, brisk reaction
What are the 3 D's and 3 C's? - ANS ✔✔Distance= Dilate and Diverge
Close= Constrict and Converge
What is the only part of the assessment utilized for the eyes? - ANS ✔✔Inspection
,What 3 cranial nerves are tested during the Corneal Light Reflex test, also known as the
Hirschberg Test, as well as the Cardinal Fields of Gaze, also known as the Diagnostic Positions
Test? - ANS ✔✔Cranial Nerve 3 (oculomotor) Cranial Nerve 4 (Trochlear), and Cranial Nerve 6
(Abducens)
What is the term for difficulty focusing on near objects? - ANS ✔✔Presbyopia
What test is used to test a patient's near vision? What is the distance used for this test? - ANS
✔✔Rosenbaum/ 14 inches away
What test is used to test a patient's far vision? What is the distance used for this test? - ANS
✔✔Snellen/ 10 feet away
What is the typical vision score for a 3 year old? - ANS ✔✔20/50 or less
At what age is a childs vision typically 20/20? - ANS ✔✔7 years old and older
How do opioids affect the size of pupils? - ANS ✔✔Pupils will appear smaller and constricted
How do you test Cranial Nerve 1, also known as the olfactory nerve? - ANS ✔✔Have patient
close eyes, occulde one nostril, and present common smell. Repeat this with other nostril.
Patient should be able to identify the smell
What three facial regions are you testing while assessing Cranial Nerve 5, the trigeminal nerve?
- ANS ✔✔Ophthalmic (forehead), Maxillary (undereye area), and Mandibular (chin)
How do we test cranial nerve 7, the facial nerve? - ANS ✔✔Instruct patient ot smile, frown,
close eyes tightly, lift brows, show teeth, and puff cheeks
, What test do you use to assess Cranial Nerve 8, or the Acoustic cranial nerve? - ANS ✔✔Utilize
the whisper voice test/ 1 ear at a time
What two cranial nerves do you test at the same time? - ANS ✔✔Cranial Nerve 9 and 10
What are you assessing with Cranial Nerve 9 (Glossopharyngeal) and Cranial Nerve 10 (Vagus)? -
ANS ✔✔With cranial nerve 9, you are inspecting to see if when the patient says Ahh, that the
uvular rises midline. With cranial nerve 10, you are assessing the patients voice to ensure that
their voice is clear and strong.
When assessing Cranial Nerve 11 (Spinal Accessory), what actions are performed? - ANS ✔✔Ask
patient to rotate head against resistance, and shrug shoulders against resistance (Testing the
sternomastoid muscles and the trapezius muscle)
What cranial nerve are you assessing when you inspect the tongue, and ask the patient to say
light, tight, and dynamite? - ANS ✔✔Cranial Nerve 12, Hypoglossal
During assessment of Cranial nerve 12, which letter sounds are you paying extra attention to, to
ensure that they are clear and distinct? - ANS ✔✔L, T, D, and N
What is the medical term for earwax? - ANS ✔✔Cerumen
What is the distinct difference when inspecting the ears on children versus adults? - ANS
✔✔With adults, you pull the pinna up and back. With children, pull the pinna down and back.
Cerumen impaction, foreign objects, external ear infections, typanic membrane rupture,
otosclerosis (abnormal bone growth in the ossicles), and cholesteatoma (skin growth in the
middle ear), are all examples of what type of hearing loss? - ANS ✔✔Conductive
