Simulation: HealthAssess 2.0 Module:
Ryan Martinez: Musculoskeletal and
Neuro | Latest Version | 2025/2026 |
Correct & Verified
What is the most appropriate way to assess muscle strength in the upper extremities during a
neurological exam?
✔✔ Ask the client to push and pull against resistance applied by the nurse to the arms.
How should the nurse assess for balance in a standing client?
✔✔ Ask the client to perform the Romberg test by standing with feet together, eyes closed, and
observing for swaying.
What instruction should the nurse give to assess coordination of movement in the hands?
✔✔ Ask the client to rapidly alternate palms and backs of hands on their thighs.
What is the correct technique to test deep tendon reflexes in the knee?
✔✔ Strike the patellar tendon below the kneecap using a reflex hammer while the lower leg
hangs loosely.
1
, What does it indicate when a client has difficulty performing heel-to-shin movement smoothly?
✔✔ It may suggest cerebellar dysfunction.
How should the nurse assess for graphesthesia?
✔✔ Trace a number or letter on the client’s palm and ask them to identify it.
What is a normal finding when testing muscle strength on a 0 to 5 scale?
✔✔ 5/5 strength indicates full resistance against opposing force.
What technique is used to assess for pronator drift?
✔✔ Ask the client to hold both arms outstretched with palms up and eyes closed, and observe for
drifting.
How should the nurse assess a client’s gait during a neurological exam?
✔✔ Ask the client to walk across the room, turn, and walk back, observing posture and
coordination.
What is a concerning finding when performing the Romberg test?
2
Ryan Martinez: Musculoskeletal and
Neuro | Latest Version | 2025/2026 |
Correct & Verified
What is the most appropriate way to assess muscle strength in the upper extremities during a
neurological exam?
✔✔ Ask the client to push and pull against resistance applied by the nurse to the arms.
How should the nurse assess for balance in a standing client?
✔✔ Ask the client to perform the Romberg test by standing with feet together, eyes closed, and
observing for swaying.
What instruction should the nurse give to assess coordination of movement in the hands?
✔✔ Ask the client to rapidly alternate palms and backs of hands on their thighs.
What is the correct technique to test deep tendon reflexes in the knee?
✔✔ Strike the patellar tendon below the kneecap using a reflex hammer while the lower leg
hangs loosely.
1
, What does it indicate when a client has difficulty performing heel-to-shin movement smoothly?
✔✔ It may suggest cerebellar dysfunction.
How should the nurse assess for graphesthesia?
✔✔ Trace a number or letter on the client’s palm and ask them to identify it.
What is a normal finding when testing muscle strength on a 0 to 5 scale?
✔✔ 5/5 strength indicates full resistance against opposing force.
What technique is used to assess for pronator drift?
✔✔ Ask the client to hold both arms outstretched with palms up and eyes closed, and observe for
drifting.
How should the nurse assess a client’s gait during a neurological exam?
✔✔ Ask the client to walk across the room, turn, and walk back, observing posture and
coordination.
What is a concerning finding when performing the Romberg test?
2
