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NSG 6020 Advanced Health Assessment Week 10
Final Exam South University Actual Exam
2026/2027 with Detailed Rationales | Complete
Exam-Style Questions | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Neurologic Assessment & Cranial Nerve Evaluation | Q1 – Q10
Section 2 | History Taking & SOAP Documentation | Q11 – Q18
Section 3 | Dermatology & Infectious Disease | Q19 – Q28
Section 4 | HEENT, Breast & Genitourinary Assessment | Q29 – Q38
Section 5 | Pediatric, Musculoskeletal & Integrated Case Analysis | Q39 – Q50
Instructions: Choose the single best answer unless "Select all that apply" is
indicated. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: NEUROLOGIC ASSESSMENT & CRANIAL NERVE
EVALUATION Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 62-year-old male with type 2 diabetes presents for a routine lower extremity
circulation assessment. When palpating the dorsalis pedis pulse, the nurse
practitioner correctly positions the fingers:
,2
A. Medial to the extensor tendon of the great toe
B. Posterior to the medial malleolus of the ankle
C. Lateral to the extensor tendon of the great toe ✓ CORRECT
D. In the popliteal fossa behind the knee joint
Correct Answer: C
Rationale: The dorsalis pedis artery is located on the dorsum of the foot, just lateral
to and parallel with the extensor tendon of the great toe; palpating this landmark is
essential for assessing peripheral circulation in lower extremity exams. Palpating
medial to the tendon would miss the artery entirely, as that area corresponds to the
extensor hallucis longus tendon rather than the pulse site. Checking both lower
extremity pulses is especially critical in diabetic patients who are at elevated risk
for peripheral arterial disease.
Question 2 of 50
A 45-year-old woman with a recent neck mass undergoes cranial nerve testing. To
assess the spinal accessory nerve (CN XI), the nurse practitioner asks the patient
to:
A. Protrude her tongue and move it from side to side
B. Shrug her shoulders against the examiner's resistance ✓ CORRECT
C. Follow a moving target with her eyes without head movement
D. Identify a familiar scent presented to each nostril separately
Correct Answer: B
Rationale: The spinal accessory nerve (CN XI) innervates the sternocleidomastoid
and trapezius muscles, so assessing shoulder shrug against resistance is the correct
,3
method for evaluating this cranial nerve. Asking the patient to protrude and move
the tongue tests CN XII (hypoglossal), not CN XI, which is a common exam trap
when cranial nerve functions are confused. A neck mass compromising CN XI
may also produce weakness when the patient turns her head against the examiner's
hand.
Question 3 of 50
A 58-year-old man is admitted with suspected spinal cord compression at T10.
During the neurologic exam, the nurse practitioner understands that superficial
reflexes differ from deep tendon reflexes in that superficial reflexes:
A. Are always hyperactive in upper motor neuron lesions
B. Require a reflex hammer strike on a tendon to elicit the response
C. Are mediated exclusively through cranial nerve pathways
D. Are elicited by stroking the skin and assess intact cutaneous reflex arcs ✓
CORRECT
Correct Answer: D
Rationale: Superficial reflexes are elicited by gently stroking the skin, such as the
abdominal or plantar surface, and assess the integrity of cutaneous reflex arcs at
specific spinal cord levels. Deep tendon reflexes require a reflex hammer to strike
a tendon and assess the stretch reflex arc at the muscle spindle. In upper motor
neuron lesions, superficial reflexes are typically absent rather than hyperactive,
while deep tendon reflexes become exaggerated.
Question 4 of 50
, 4
A 71-year-old woman presents with right-sided facial weakness and reports that
her right eye feels dry. When testing the corneal reflex, the nurse practitioner
recalls that this reflex involves:
A. CN V as the afferent limb and CN VII as the efferent limb ✓ CORRECT
B. CN II as the afferent limb and CN III as the efferent limb
C. CN VII as the afferent limb and CN V as the efferent limb
D. CN III as the afferent limb and CN IV as the efferent limb
Correct Answer: A
Rationale: The corneal reflex is mediated by the trigeminal nerve (CN V) as the
sensory afferent limb and the facial nerve (CN VII) as the motor efferent limb,
producing a bilateral blink when the cornea is stimulated. Reversing the two nerves
is a common exam error, as CN VII cannot transmit sensory input from the cornea
and CN V does not innervate the orbicularis oculi. Facial weakness involving CN
VII can impair the efferent limb, explaining this patient's dry eye from incomplete
lid closure.
Question 5 of 50
A 34-year-old construction worker complains of intermittent numbness in his
dominant right hand. To assess stereognosis, the nurse practitioner places a
familiar object in the patient's right palm with his eyes closed and asks him to:
A. Distinguish between sharp and dull pressure sensations
B. Identify the object by touch alone ✓ CORRECT
C. Determine whether one or two points are touching the skin
D. Trace the direction of a line drawn on the palm surface
NSG 6020 Advanced Health Assessment Week 10
Final Exam South University Actual Exam
2026/2027 with Detailed Rationales | Complete
Exam-Style Questions | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Neurologic Assessment & Cranial Nerve Evaluation | Q1 – Q10
Section 2 | History Taking & SOAP Documentation | Q11 – Q18
Section 3 | Dermatology & Infectious Disease | Q19 – Q28
Section 4 | HEENT, Breast & Genitourinary Assessment | Q29 – Q38
Section 5 | Pediatric, Musculoskeletal & Integrated Case Analysis | Q39 – Q50
Instructions: Choose the single best answer unless "Select all that apply" is
indicated. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: NEUROLOGIC ASSESSMENT & CRANIAL NERVE
EVALUATION Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 62-year-old male with type 2 diabetes presents for a routine lower extremity
circulation assessment. When palpating the dorsalis pedis pulse, the nurse
practitioner correctly positions the fingers:
,2
A. Medial to the extensor tendon of the great toe
B. Posterior to the medial malleolus of the ankle
C. Lateral to the extensor tendon of the great toe ✓ CORRECT
D. In the popliteal fossa behind the knee joint
Correct Answer: C
Rationale: The dorsalis pedis artery is located on the dorsum of the foot, just lateral
to and parallel with the extensor tendon of the great toe; palpating this landmark is
essential for assessing peripheral circulation in lower extremity exams. Palpating
medial to the tendon would miss the artery entirely, as that area corresponds to the
extensor hallucis longus tendon rather than the pulse site. Checking both lower
extremity pulses is especially critical in diabetic patients who are at elevated risk
for peripheral arterial disease.
Question 2 of 50
A 45-year-old woman with a recent neck mass undergoes cranial nerve testing. To
assess the spinal accessory nerve (CN XI), the nurse practitioner asks the patient
to:
A. Protrude her tongue and move it from side to side
B. Shrug her shoulders against the examiner's resistance ✓ CORRECT
C. Follow a moving target with her eyes without head movement
D. Identify a familiar scent presented to each nostril separately
Correct Answer: B
Rationale: The spinal accessory nerve (CN XI) innervates the sternocleidomastoid
and trapezius muscles, so assessing shoulder shrug against resistance is the correct
,3
method for evaluating this cranial nerve. Asking the patient to protrude and move
the tongue tests CN XII (hypoglossal), not CN XI, which is a common exam trap
when cranial nerve functions are confused. A neck mass compromising CN XI
may also produce weakness when the patient turns her head against the examiner's
hand.
Question 3 of 50
A 58-year-old man is admitted with suspected spinal cord compression at T10.
During the neurologic exam, the nurse practitioner understands that superficial
reflexes differ from deep tendon reflexes in that superficial reflexes:
A. Are always hyperactive in upper motor neuron lesions
B. Require a reflex hammer strike on a tendon to elicit the response
C. Are mediated exclusively through cranial nerve pathways
D. Are elicited by stroking the skin and assess intact cutaneous reflex arcs ✓
CORRECT
Correct Answer: D
Rationale: Superficial reflexes are elicited by gently stroking the skin, such as the
abdominal or plantar surface, and assess the integrity of cutaneous reflex arcs at
specific spinal cord levels. Deep tendon reflexes require a reflex hammer to strike
a tendon and assess the stretch reflex arc at the muscle spindle. In upper motor
neuron lesions, superficial reflexes are typically absent rather than hyperactive,
while deep tendon reflexes become exaggerated.
Question 4 of 50
, 4
A 71-year-old woman presents with right-sided facial weakness and reports that
her right eye feels dry. When testing the corneal reflex, the nurse practitioner
recalls that this reflex involves:
A. CN V as the afferent limb and CN VII as the efferent limb ✓ CORRECT
B. CN II as the afferent limb and CN III as the efferent limb
C. CN VII as the afferent limb and CN V as the efferent limb
D. CN III as the afferent limb and CN IV as the efferent limb
Correct Answer: A
Rationale: The corneal reflex is mediated by the trigeminal nerve (CN V) as the
sensory afferent limb and the facial nerve (CN VII) as the motor efferent limb,
producing a bilateral blink when the cornea is stimulated. Reversing the two nerves
is a common exam error, as CN VII cannot transmit sensory input from the cornea
and CN V does not innervate the orbicularis oculi. Facial weakness involving CN
VII can impair the efferent limb, explaining this patient's dry eye from incomplete
lid closure.
Question 5 of 50
A 34-year-old construction worker complains of intermittent numbness in his
dominant right hand. To assess stereognosis, the nurse practitioner places a
familiar object in the patient's right palm with his eyes closed and asks him to:
A. Distinguish between sharp and dull pressure sensations
B. Identify the object by touch alone ✓ CORRECT
C. Determine whether one or two points are touching the skin
D. Trace the direction of a line drawn on the palm surface
