Republic of the Philippines
ISABELA STATE UNIVERSITY
COLLEGE OF NURSING
NUR 125 - HEALTH ASSESSMENT ROTATIONAL EXAM MIDYEAR S.Y. 2025-2026-
GRADED A
Name: Date:
Group & Section: Rate:
Instructions: Read each question carefully and choose the letter of your best answer.
I. MULTIPLE CHOICE:
1. The nurse begins a neurological assessment by first evaluating the patient’s:
A. Cranial nerves
B. Level of consciousness
C. Reflexes
D. Sensory function
Answer: B. Level of consciousness
Rationale: Assessment of level of consciousness (LOC) is the priority because it provides the earliest
indication of neurological deterioration.
2. The nurse asks a patient to identify the smell of coffee while keeping the eyes closed. Which cranial
nerve is assessed?
A. CN II- Oculomotor Nerve
B. CN I - Olfactory Nerve
C. CN I – Optic Nerve
D. CN III- Optic Nerve
Answer: B. CN I
Rationale: The olfactory nerve (CN I) is responsible for the sense of smell.
3. The nurse is assessing cranial nerve II. Which assessments are appropriate? Select All That Apply (SATA)
□ A. Visual acuity testing
□ B. Visual field testing
□ C. Smell identification
□ D. Pupillary response
□ E. Extraocular movement
Correct Answers: A, B, D only
Rationale: CN II is responsible for vision and the afferent limb of the pupillary light reflex.
4. During a musculoskeletal assessment, the nurse should first:
A. Assess muscle strength
B. Observe gait and posture
, Republic of the Philippines
ISABELA STATE UNIVERSITY
COLLEGE OF NURSING
C. Test reflexes
D. Measure joint circumference
Answer: B. Observe gait and posture
5. Which cranial nerve is tested when assessing extraocular movements?
A. II, III, IV, VI
B. V, VII, VIII
C. IX, X, XI
D. XI, XII
Answer: A. II, III, IV, VI
Rationale: Extraocular movement involves the optic nerve for visual tracking and cranial nerves III, IV, and VI
for eye movement.
6. Muscle strength graded as 5/5 means:
A. Movement against gravity only
B. Weak movement
C. Full strength against resistance
D. No movement
Answer: C. Full strength against resistance Rationale:
Grade 5 indicates normal muscle strength.
7. Which question is most important when obtaining a musculoskeletal history?
A. Favorite food
B. Family structure
C. History of falls or injuries
D. Religious preference
Answer: C. History of falls or injuries
Rationale: Previous injuries significantly affect musculoskeletal health.
8. Which action should the nurse take when assessing joint ROM?
A. Force movement to achieve normal range
B. Compare bilaterally
C. Assess one side only
D. Ignore pain complaints
Answer: B. Compare bilaterally
Rationale: Comparison allows identification of asymmetry and abnormalities.
9. The nurse notes a crackling sensation during knee movement. This finding is documented as:
ISABELA STATE UNIVERSITY
COLLEGE OF NURSING
NUR 125 - HEALTH ASSESSMENT ROTATIONAL EXAM MIDYEAR S.Y. 2025-2026-
GRADED A
Name: Date:
Group & Section: Rate:
Instructions: Read each question carefully and choose the letter of your best answer.
I. MULTIPLE CHOICE:
1. The nurse begins a neurological assessment by first evaluating the patient’s:
A. Cranial nerves
B. Level of consciousness
C. Reflexes
D. Sensory function
Answer: B. Level of consciousness
Rationale: Assessment of level of consciousness (LOC) is the priority because it provides the earliest
indication of neurological deterioration.
2. The nurse asks a patient to identify the smell of coffee while keeping the eyes closed. Which cranial
nerve is assessed?
A. CN II- Oculomotor Nerve
B. CN I - Olfactory Nerve
C. CN I – Optic Nerve
D. CN III- Optic Nerve
Answer: B. CN I
Rationale: The olfactory nerve (CN I) is responsible for the sense of smell.
3. The nurse is assessing cranial nerve II. Which assessments are appropriate? Select All That Apply (SATA)
□ A. Visual acuity testing
□ B. Visual field testing
□ C. Smell identification
□ D. Pupillary response
□ E. Extraocular movement
Correct Answers: A, B, D only
Rationale: CN II is responsible for vision and the afferent limb of the pupillary light reflex.
4. During a musculoskeletal assessment, the nurse should first:
A. Assess muscle strength
B. Observe gait and posture
, Republic of the Philippines
ISABELA STATE UNIVERSITY
COLLEGE OF NURSING
C. Test reflexes
D. Measure joint circumference
Answer: B. Observe gait and posture
5. Which cranial nerve is tested when assessing extraocular movements?
A. II, III, IV, VI
B. V, VII, VIII
C. IX, X, XI
D. XI, XII
Answer: A. II, III, IV, VI
Rationale: Extraocular movement involves the optic nerve for visual tracking and cranial nerves III, IV, and VI
for eye movement.
6. Muscle strength graded as 5/5 means:
A. Movement against gravity only
B. Weak movement
C. Full strength against resistance
D. No movement
Answer: C. Full strength against resistance Rationale:
Grade 5 indicates normal muscle strength.
7. Which question is most important when obtaining a musculoskeletal history?
A. Favorite food
B. Family structure
C. History of falls or injuries
D. Religious preference
Answer: C. History of falls or injuries
Rationale: Previous injuries significantly affect musculoskeletal health.
8. Which action should the nurse take when assessing joint ROM?
A. Force movement to achieve normal range
B. Compare bilaterally
C. Assess one side only
D. Ignore pain complaints
Answer: B. Compare bilaterally
Rationale: Comparison allows identification of asymmetry and abnormalities.
9. The nurse notes a crackling sensation during knee movement. This finding is documented as:
