2026/2027 Grand
canyon university
Q1. Which assessment is used to determine a client's level of
consciousness?
A. Ask the client to identify the smell of coffee
B. Assess the client's response to verbal and physical stimuli
C. Test the gag reflex
D. Assess visual acuity
Correct Answer: B
Rationale: Level of consciousness is assessed by observing the client's
alertness and response to verbal, tactile, or painful stimuli as appropriate.
Q2. Which finding indicates that a client is alert and oriented?
A. The client knows the person's name but not the location.
B. The client responds appropriately and identifies person, place, time, and
situation.
C. The client opens the eyes only after painful stimulation.
D. The client is unable to follow commands.
Correct Answer: B
Rationale: Orientation assessment evaluates awareness of person, place,
time, and situation.
**Q3. Which finding is most concerning during a neurological assessment?
A. Symmetrical facial movement
B. New unilateral weakness
C. Equal hand grips
D. Clear speech
Correct Answer: B
Rationale: New unilateral weakness can indicate an acute neurological
event such as stroke and requires prompt evaluation.
**Q4. Which assessment evaluates recent and remote memory?
A. Ask the client to recall three words immediately and after several minutes.
B. Test the pupillary response.
, C. Assess plantar reflexes.
D. Test visual fields.
Correct Answer: A
Rationale: Immediate and delayed recall provides information about short-
term and recent memory; additional questioning can assess remote memory.
**Q5. Which finding suggests impaired recent memory?
A. Correctly recalling childhood events
B. Repeatedly asking the same question after receiving an answer
C. Identifying family members correctly
D. Recalling the current year
Correct Answer: B
Rationale: Repetition of questions despite recent answers can indicate
impaired short-term or recent memory.
**Q6. Which finding suggests aphasia?
A. Slurred speech caused by poor tongue movement
B. Difficulty understanding or producing language
C. Difficulty moving the eyes laterally
D. Loss of the gag reflex
Correct Answer: B
Rationale: Aphasia is an impairment of language comprehension or
expression.
**Q7. Which finding is more consistent with dysarthria?
A. Difficulty forming words because of impaired motor control of speech
B. Inability to understand spoken language
C. Inability to recognize objects
D. Inability to recall a person's name
Correct Answer: A
Rationale: Dysarthria is a motor speech disorder that can cause slurred or
poorly articulated speech.
**Q8. Which assessment is useful for evaluating speech articulation?
A. Ask the client to repeat a phrase containing difficult consonant sounds.
B. Ask the client to identify a familiar odor.