6/18/25, 11:38 AM NURS 5220-Advanced Health Assessment-Test 2
NURS 5220- Advanced Health Assessment- Test 2 Questions and
Answers Latest Update 2025-2026
Sign of meningitis; positive when a patient's legs lift
involuntarily when lifting a patient's head
Brudzinski's sign
An infant reflex that occurs when something is placed in the
infant's palm; the infant grasps the object.
palmar grasp
Touch sole of foot, toes curl downwards
Plantar grasp
Infant reflex where a baby will startle in response to a loud
sound or sudden movement.
Moro reflex
cranial nerve I Olfactory (smell)
cranial nerve II Optic - vision
cranial nerve III Oculomotor
cranial nerve IV Trochlear
how do you test cranial nerve cardinal field test
IV?
/ 1/16
,6/18/25, 11:38 AM NURS 5220-Advanced Health Assessment-Test 2
cranial nerve V Trigeminal
how do you test trigeminal Assess facial sensation (hot/cold, dull/sharp), clench teeth,
nerve? corneal reflex
cranial nerve VI Abducens
how do you test abducens 6 fields of gaze for lateral movement
nerve?
what 3 cranial nerves are III, IV, VI
tested together?
blinking in response to corneal
stimulation by a cotton wisp
corneal reflex
Cranial Nerve VII Facial - controls most facial expressions & secretion of tears &
saliva & taste
cranial nerve VIII Vestibulocochlear (hearing and balance)
cranial nerve IX Glossopharyngeal
ability to identify sour and bitter tastes on each side of
the tongue. Test gag reflex and ability to swallow.
cranial nerve IX and X Inspect palate and uvula for symmetry with speech
sounds and gag reflex. Observe for swallowing
difficulty. Evaluate quality of guttural speech sounds
(presence of
nasal or hoarse quality to voice).
cranial nerve XI spinal accessory
how to test cranial nerve XI? shrug shoulders and rotate head against resistance
cranial nerve XII Hypoglossal
inspect tongue in mouth and while protruded for symmetry,
tremors, atrophy.
how to test cranial nerve XII? Inspect tongue movement toward nose and chin. Test
tongue strength with index finger when tongue is
pressed against cheek. Evaluate quality of lingual
speech sounds (l, t, d, n).
plantar flexion of foot
achilles reflex tests....
DTR 0 no response
DTR 1+ sluggish or diminished
DTR 2+ active or expected response
DTR 3+ more brisk than expected, slightly hyperactive
DTR 4+ brisk, hyperactive with intermittent or transient clonus
/ 2/16
, 6/18/25, 11:38 AM NURS 5220-Advanced Health Assessment-Test 2
rapidly alternating involuntary contraction and
clonus
relaxation of a muscle in response to sudden stretch
extension of the elbow tests triceps reflex
for....
triceps reflex C7-C8
a diagnostic sign for meningitis
marked by the person's inability
Kernig's sign
to extend the leg completely
when the thigh is flexed upon
the abdomen and the person is
sitting or lying down
/ 3/16
NURS 5220- Advanced Health Assessment- Test 2 Questions and
Answers Latest Update 2025-2026
Sign of meningitis; positive when a patient's legs lift
involuntarily when lifting a patient's head
Brudzinski's sign
An infant reflex that occurs when something is placed in the
infant's palm; the infant grasps the object.
palmar grasp
Touch sole of foot, toes curl downwards
Plantar grasp
Infant reflex where a baby will startle in response to a loud
sound or sudden movement.
Moro reflex
cranial nerve I Olfactory (smell)
cranial nerve II Optic - vision
cranial nerve III Oculomotor
cranial nerve IV Trochlear
how do you test cranial nerve cardinal field test
IV?
/ 1/16
,6/18/25, 11:38 AM NURS 5220-Advanced Health Assessment-Test 2
cranial nerve V Trigeminal
how do you test trigeminal Assess facial sensation (hot/cold, dull/sharp), clench teeth,
nerve? corneal reflex
cranial nerve VI Abducens
how do you test abducens 6 fields of gaze for lateral movement
nerve?
what 3 cranial nerves are III, IV, VI
tested together?
blinking in response to corneal
stimulation by a cotton wisp
corneal reflex
Cranial Nerve VII Facial - controls most facial expressions & secretion of tears &
saliva & taste
cranial nerve VIII Vestibulocochlear (hearing and balance)
cranial nerve IX Glossopharyngeal
ability to identify sour and bitter tastes on each side of
the tongue. Test gag reflex and ability to swallow.
cranial nerve IX and X Inspect palate and uvula for symmetry with speech
sounds and gag reflex. Observe for swallowing
difficulty. Evaluate quality of guttural speech sounds
(presence of
nasal or hoarse quality to voice).
cranial nerve XI spinal accessory
how to test cranial nerve XI? shrug shoulders and rotate head against resistance
cranial nerve XII Hypoglossal
inspect tongue in mouth and while protruded for symmetry,
tremors, atrophy.
how to test cranial nerve XII? Inspect tongue movement toward nose and chin. Test
tongue strength with index finger when tongue is
pressed against cheek. Evaluate quality of lingual
speech sounds (l, t, d, n).
plantar flexion of foot
achilles reflex tests....
DTR 0 no response
DTR 1+ sluggish or diminished
DTR 2+ active or expected response
DTR 3+ more brisk than expected, slightly hyperactive
DTR 4+ brisk, hyperactive with intermittent or transient clonus
/ 2/16
, 6/18/25, 11:38 AM NURS 5220-Advanced Health Assessment-Test 2
rapidly alternating involuntary contraction and
clonus
relaxation of a muscle in response to sudden stretch
extension of the elbow tests triceps reflex
for....
triceps reflex C7-C8
a diagnostic sign for meningitis
marked by the person's inability
Kernig's sign
to extend the leg completely
when the thigh is flexed upon
the abdomen and the person is
sitting or lying down
/ 3/16
