NSG316 / NSG 316 Exam 2
Health Assessment
Grand Canyon University
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Each rationale is tailored for depth and clinical reasoning.
,1. A nurse asks a client to say "light, ght, dynamite" and observes
that the words are slurred. Which cranial nerve is most likely affected?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve VII (Facial)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve XII (Hypoglossal)
Correct Answer: D. Cranial Nerve XII (Hypoglossal)
Expert Ra onale: The hypoglossal nerve innervates the muscles of the
tongue. Slurred ar$cula$on when producing lingual sounds such as
"light, $ght, dynamite" indicates a deficit in tongue movement and
strength, which is directly tested by assessing cranial nerve XII.
---
2. A nurse is performing a neurological assessment on a client. When
the nurse asks the client to close their eyes and iden fy a familiar
object placed in their hand, which assessment is being performed?
A. Graphesthesia
B. Stereognosis
C. Ex$nc$on
D. Two-point discrimina$on
Correct Answer: B. Stereognosis
,Expert Ra onale: Stereognosis evaluates the parietal lobe’s ability to
process and recognize objects by touch without visual input. It is a
cri$cal component of sensory func$on during neurological assessment.
---
3. During a cranial nerve assessment, the nurse asks the pa ent to
smile, frown, close their eyes ghtly, and puff out their cheeks. Which
cranial nerve is the nurse assessing?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve VII (Facial)
C. Cranial Nerve IX (Glossopharyngeal)
D. Cranial Nerve XII (Hypoglossal)
Correct Answer: B. Cranial Nerve VII (Facial)
Expert Ra onale: Cranial nerve VII controls the muscles of facial
expression. These ac$ons evaluate the strength and symmetry of facial
movements, which are specifically innervated by the facial nerve.
---
4. The nurse performs the Romberg test on a client. The client sways
and begins to fall when asked to stand with feet together and eyes
closed. How should the nurse interpret this finding?
, A. Posi$ve Romberg sign indica$ng sensory ataxia
B. Nega$ve Romberg sign indica$ng normal balance
C. Posi$ve Romberg sign indica$ng cerebellar dysfunc$on
D. Nega$ve Romberg sign indica$ng ves$bular deficit
Correct Answer: A. Posi ve Romberg sign indica ng sensory ataxia
Expert Ra onale: A posi$ve Romberg sign—loss of balance with eyes
closed—indicates sensory (propriocep$ve or ves$bular) deficits rather
than cerebellar dysfunc$on, as cerebellar ataxia presents with
unsteadiness even with eyes open.
---
5. The nurse is assessing deep tendon reflexes and elicits a very brisk
response with clonus. How should the nurse document this finding?
A. 1+
B. 2+
C. 3+
D. 4+
Correct Answer: D. 4+
Expert Ra onale: The grading of deep tendon reflexes iden$fies 4+ as a
very brisk response accompanied by clonus. This finding is abnormal
and typically indicates hyperexcitability of the lower motor neurons or
upper motor neuron lesions.
Health Assessment
Grand Canyon University
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Each rationale is tailored for depth and clinical reasoning.
,1. A nurse asks a client to say "light, ght, dynamite" and observes
that the words are slurred. Which cranial nerve is most likely affected?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve VII (Facial)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve XII (Hypoglossal)
Correct Answer: D. Cranial Nerve XII (Hypoglossal)
Expert Ra onale: The hypoglossal nerve innervates the muscles of the
tongue. Slurred ar$cula$on when producing lingual sounds such as
"light, $ght, dynamite" indicates a deficit in tongue movement and
strength, which is directly tested by assessing cranial nerve XII.
---
2. A nurse is performing a neurological assessment on a client. When
the nurse asks the client to close their eyes and iden fy a familiar
object placed in their hand, which assessment is being performed?
A. Graphesthesia
B. Stereognosis
C. Ex$nc$on
D. Two-point discrimina$on
Correct Answer: B. Stereognosis
,Expert Ra onale: Stereognosis evaluates the parietal lobe’s ability to
process and recognize objects by touch without visual input. It is a
cri$cal component of sensory func$on during neurological assessment.
---
3. During a cranial nerve assessment, the nurse asks the pa ent to
smile, frown, close their eyes ghtly, and puff out their cheeks. Which
cranial nerve is the nurse assessing?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve VII (Facial)
C. Cranial Nerve IX (Glossopharyngeal)
D. Cranial Nerve XII (Hypoglossal)
Correct Answer: B. Cranial Nerve VII (Facial)
Expert Ra onale: Cranial nerve VII controls the muscles of facial
expression. These ac$ons evaluate the strength and symmetry of facial
movements, which are specifically innervated by the facial nerve.
---
4. The nurse performs the Romberg test on a client. The client sways
and begins to fall when asked to stand with feet together and eyes
closed. How should the nurse interpret this finding?
, A. Posi$ve Romberg sign indica$ng sensory ataxia
B. Nega$ve Romberg sign indica$ng normal balance
C. Posi$ve Romberg sign indica$ng cerebellar dysfunc$on
D. Nega$ve Romberg sign indica$ng ves$bular deficit
Correct Answer: A. Posi ve Romberg sign indica ng sensory ataxia
Expert Ra onale: A posi$ve Romberg sign—loss of balance with eyes
closed—indicates sensory (propriocep$ve or ves$bular) deficits rather
than cerebellar dysfunc$on, as cerebellar ataxia presents with
unsteadiness even with eyes open.
---
5. The nurse is assessing deep tendon reflexes and elicits a very brisk
response with clonus. How should the nurse document this finding?
A. 1+
B. 2+
C. 3+
D. 4+
Correct Answer: D. 4+
Expert Ra onale: The grading of deep tendon reflexes iden$fies 4+ as a
very brisk response accompanied by clonus. This finding is abnormal
and typically indicates hyperexcitability of the lower motor neurons or
upper motor neuron lesions.
