NURS 6512 WEEK 9: ADVANCED
HEALTH ASSESSMENT OF THE
MUSCULOSKELETAL AND
NEUROLOGICAL SYSTEMS QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. When assessing for carpal tunnel syndrome, the nurse practitioner asks the patient to hold
both wrists in a fully flexed position for 60 seconds. This test is known as:
A. Tinel’s sign
B. Lachman test
C. McMurray test
D. Phalen’s test
Answer: D
Conceptual Explanation: Phalen’s test involves acute flexion of the wrists for 60 seconds
to reproduce numbness or tingling in the median nerve distribution, indicating carpal
tunnel syndrome.
2. A patient presents with a ‘staggering, wide-based gait’ and difficulty with rapid alternating
movements. Which area of the brain is most likely affected?
A. Cerebrum
,B. Cerebellum
C. Brainstem
D. Thalamus
Answer: B
Conceptual Explanation: The cerebellum is responsible for coordination, balance, and
smooth motor movements. Ataxia and dysdiadochokinesia are classic signs of cerebellar
dysfunction.
3. During a neurological exam, the patient is unable to identify a common object (like a key)
placed in their hand while their eyes are closed. This finding is documented as:
A. Astereognosis
B. Agraphesthesia
C. Anosmia
D. Apraxia
Answer: A
Conceptual Explanation: Stereognosis is the ability to recognize objects by touch; the
inability to do so is astereognosis, often indicating a lesion in the sensory cortex.
4. The nurse practitioner performs the McMurray test on a patient complaining of knee pain.
A ‘click’ or ‘pop’ felt during the maneuver suggests:
A. Anterior cruciate ligament tear
, B. Meniscal tear
C. Collateral ligament strain
D. Patellar subluxation
Answer: B
Conceptual Explanation: The McMurray test is specifically used to evaluate for tears in
the meniscus of the knee joint.
5. Which cranial nerve is responsible for the motor function of the muscles of mastication
(chewing)?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: A
Conceptual Explanation: Cranial Nerve V (Trigeminal) has both sensory and motor
functions, including the innervation of the muscles used for chewing.
6. To assess for a possible hip flexor contracture, the provider asks the patient to lie supine
and bring one knee to the chest while keeping the other leg extended. This is the:
A. Trendelenburg test
B. Thomas test
HEALTH ASSESSMENT OF THE
MUSCULOSKELETAL AND
NEUROLOGICAL SYSTEMS QUESTIONS
AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A+
1. When assessing for carpal tunnel syndrome, the nurse practitioner asks the patient to hold
both wrists in a fully flexed position for 60 seconds. This test is known as:
A. Tinel’s sign
B. Lachman test
C. McMurray test
D. Phalen’s test
Answer: D
Conceptual Explanation: Phalen’s test involves acute flexion of the wrists for 60 seconds
to reproduce numbness or tingling in the median nerve distribution, indicating carpal
tunnel syndrome.
2. A patient presents with a ‘staggering, wide-based gait’ and difficulty with rapid alternating
movements. Which area of the brain is most likely affected?
A. Cerebrum
,B. Cerebellum
C. Brainstem
D. Thalamus
Answer: B
Conceptual Explanation: The cerebellum is responsible for coordination, balance, and
smooth motor movements. Ataxia and dysdiadochokinesia are classic signs of cerebellar
dysfunction.
3. During a neurological exam, the patient is unable to identify a common object (like a key)
placed in their hand while their eyes are closed. This finding is documented as:
A. Astereognosis
B. Agraphesthesia
C. Anosmia
D. Apraxia
Answer: A
Conceptual Explanation: Stereognosis is the ability to recognize objects by touch; the
inability to do so is astereognosis, often indicating a lesion in the sensory cortex.
4. The nurse practitioner performs the McMurray test on a patient complaining of knee pain.
A ‘click’ or ‘pop’ felt during the maneuver suggests:
A. Anterior cruciate ligament tear
, B. Meniscal tear
C. Collateral ligament strain
D. Patellar subluxation
Answer: B
Conceptual Explanation: The McMurray test is specifically used to evaluate for tears in
the meniscus of the knee joint.
5. Which cranial nerve is responsible for the motor function of the muscles of mastication
(chewing)?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
D. CN XII (Hypoglossal)
Answer: A
Conceptual Explanation: Cranial Nerve V (Trigeminal) has both sensory and motor
functions, including the innervation of the muscles used for chewing.
6. To assess for a possible hip flexor contracture, the provider asks the patient to lie supine
and bring one knee to the chest while keeping the other leg extended. This is the:
A. Trendelenburg test
B. Thomas test
