NURS 5334 ADVANCED HEALTH
ASSESSMENT TEST 3 2026/2027
QUESTIONS AND ANSWERS
1. When assessing the function of the trigeminal nerve (CN V), the nurse practitioner should
evaluate which of the following?
A. Symmetry of the smile and puffing of the cheeks
B. Tongue protrusion and lateral movement
C. Gag reflex and swallowing ability
D. Masseter muscle strength and facial sensation
Answer: D
Conceptual Explanation: Cranial Nerve V (Trigeminal) has both motor and sensory
components. Motor assessment involves palpating temporal and masseter muscles while
the patient clinches teeth. Sensory involves light touch on the ophthalmic, maxillary, and
mandibular branches.
,2. A patient presents with a positive Phalen test and Tinel sign. Which condition is most
likely?
A. De Quervain tenosynovitis
B. Carpal tunnel syndrome
C. Ganglion cyst of the wrist
D. Ulnar nerve entrapment
Answer: B
Conceptual Explanation: Phalen’s test and Tinel’s sign are specific provocative maneuvers
used to diagnose Carpal Tunnel Syndrome, which involves compression of the median
nerve.
3. During a musculoskeletal exam, a patient is unable to initiate abduction of the arm. This
suggests an injury to which rotator cuff muscle?
A. Supraspinatus
B. Subscapularis
C. Teres minor
D. Infraspinatus
Answer: A
Conceptual Explanation: The supraspinatus muscle is primarily responsible for the
initiation of arm abduction (the first 15 degrees).
, 4. A patient exhibits ‘Peau d’orange’ skin changes during a breast examination. This finding is
classically associated with:
A. Inflammatory breast cancer
B. Fibroadenoma
C. Mammary duct ectasia
D. Fat necrosis
Answer: A
Conceptual Explanation: Peau d’orange (orange peel skin) is caused by lymphatic
obstruction and edema, often indicating underlying inflammatory breast cancer.
5. Which of the following findings is considered a normal age-related change in the
neurological assessment of an older adult?
A. Consistent resting tremor
B. Decreased vibratory sense in the lower extremities
C. Loss of deep tendon reflexes in the upper extremities
D. Global cognitive decline
Answer: B
Conceptual Explanation: Loss of vibratory sense at the ankles is a common, often benign,
finding in aging adults due to peripheral nerve changes.
ASSESSMENT TEST 3 2026/2027
QUESTIONS AND ANSWERS
1. When assessing the function of the trigeminal nerve (CN V), the nurse practitioner should
evaluate which of the following?
A. Symmetry of the smile and puffing of the cheeks
B. Tongue protrusion and lateral movement
C. Gag reflex and swallowing ability
D. Masseter muscle strength and facial sensation
Answer: D
Conceptual Explanation: Cranial Nerve V (Trigeminal) has both motor and sensory
components. Motor assessment involves palpating temporal and masseter muscles while
the patient clinches teeth. Sensory involves light touch on the ophthalmic, maxillary, and
mandibular branches.
,2. A patient presents with a positive Phalen test and Tinel sign. Which condition is most
likely?
A. De Quervain tenosynovitis
B. Carpal tunnel syndrome
C. Ganglion cyst of the wrist
D. Ulnar nerve entrapment
Answer: B
Conceptual Explanation: Phalen’s test and Tinel’s sign are specific provocative maneuvers
used to diagnose Carpal Tunnel Syndrome, which involves compression of the median
nerve.
3. During a musculoskeletal exam, a patient is unable to initiate abduction of the arm. This
suggests an injury to which rotator cuff muscle?
A. Supraspinatus
B. Subscapularis
C. Teres minor
D. Infraspinatus
Answer: A
Conceptual Explanation: The supraspinatus muscle is primarily responsible for the
initiation of arm abduction (the first 15 degrees).
, 4. A patient exhibits ‘Peau d’orange’ skin changes during a breast examination. This finding is
classically associated with:
A. Inflammatory breast cancer
B. Fibroadenoma
C. Mammary duct ectasia
D. Fat necrosis
Answer: A
Conceptual Explanation: Peau d’orange (orange peel skin) is caused by lymphatic
obstruction and edema, often indicating underlying inflammatory breast cancer.
5. Which of the following findings is considered a normal age-related change in the
neurological assessment of an older adult?
A. Consistent resting tremor
B. Decreased vibratory sense in the lower extremities
C. Loss of deep tendon reflexes in the upper extremities
D. Global cognitive decline
Answer: B
Conceptual Explanation: Loss of vibratory sense at the ankles is a common, often benign,
finding in aging adults due to peripheral nerve changes.
