NUR 6001
Exam 3
Advanced Health Assessment
High-Yield Qns & Verified
Answers with Rationales
William Paterson University
What You'll Get:
✔ High-Yield Exam 3 Questions & Answers
✔ Verified Answers with Detailed Rationales
✔ Advanced Health Assessment Review
✔ Exam-Style Multiple-Choice Questions
✔ Key Concepts & Clinical Assessment Focus
✔ Structured Format for Easy Studying
✔ Printable & Digital-Friendly PDF
✔ Ideal for Exam Preparation & Quick Review
Independent study resource for educational review purposes only. Not affiliated with or endorsed
by William Paterson University.
, NUR 6001 Exam 3 | Advanced Health Assessment | High-Yield Questions & Verified
Answers with Rationales | William Paterson University | PDF Download
1. During a neurological assessment of a healthy 35-year-old patient, the NP asks
him to relax his muscles completely. The NP then moves each extremity through
full range of motion. Which of these results would the NP expect to find?
A. Firm, rigid resistance to movement
B. Mild, even resistance to movement
C. Hypotonic muscles as a result of total relaxation
D. Pain with some direction of movement
Correct Answer: B. Mild, even resistance to movement
Rationale: Normal muscle tone is characterized by mild, even resistance to passive movement.
Healthy adults should demonstrate smooth movement without rigidity, flaccidity, or pain.
2. The NP is conducting an assessment on a 29-year-old woman who visits the
clinic complaining of always dropping things and falling down. While testing
rapid alternating movements, the NP notices that the woman is unable to pat
both her knees. Her response is very slow and misses frequently. What should
the NP suspect?
A. Dysfunction of the cerebellum
B. Vestibular disease
C. Lesion of cranial nerve IX
D. Inability to understand directions
Correct Answer: A. Dysfunction of the cerebellum
Rationale: Rapid alternating movement testing evaluates cerebellar function.
Dysdiadochokinesia (impaired rapid alternating movements) is a hallmark sign of cerebellar
dysfunction.
3. The NP is performing a neurological assessment on a 41-year-old woman with
a history of diabetes. When testing her ability to feel the vibrations of a tuning
fork, the NP notices that the patient is unable to feel vibration on the great toe or
,ankle bilaterally, but she is able to feel vibrations on both patellae. Given this
information, what would the NP suspect?
A. Hyperalgesia
B. Hyperesthesia
C. Peripheral neuropathy
D. Lesion of sensory cortex
Correct Answer: C. Peripheral neuropathy
Rationale: Loss of vibration sensation in the distal lower extremities is a common finding in
diabetic peripheral neuropathy due to damage to peripheral nerves.
4. The NP is testing superficial reflexes on an adult patient. When stroking up
the lateral side of the sole and across the ball of the foot, the NP notices plantar
flexion of the toes. How would the NP document this finding?
A. Positive Babinski sign
B. Plantar reflex abnormal
C. Plantar reflex "2+" on a scale from 0–4
D. Plantar reflex is normal
Correct Answer: D. Plantar reflex is normal
Rationale: Normal adult plantar response is plantar flexion (downward movement) of the toes.
Dorsiflexion of the great toe with fanning of the others indicates a positive Babinski sign.
5. During an assessment of an 80-year-old patient, the NP notices that his hands
show tremors when he reaches for something and his head is always nodding.
There is no associated rigidity with movement. Which statement is most
accurate?
A. These findings are normal, resulting from aging
B. These findings could be related to hyperthyroidism
C. These findings are the result of Parkinson disease
D. This patient should be evaluated for a cerebellar lesion
Correct Answer: A. These findings are normal, resulting from aging
Rationale: Benign essential tremors commonly occur with aging and often involve the hands
and head. They occur during purposeful movement and are not associated with rigidity.
, 6. Of the following, which cranial nerves are only motor in function?
A. I, VII, X
B. IV, V, VI
C. III, XI, XII
D. I, VIII, XI
Correct Answer: C. III, XI, XII
Rationale: Cranial nerves III (Oculomotor), XI (Spinal Accessory), and XII (Hypoglossal) are
primarily motor nerves responsible for eye movement, shoulder movement, and tongue
movement, respectively.
7. During an assessment of a 62-year-old man, the NP notices the patient has a
stooped posture, shuffling gait with short steps, flat facial expression, and pill-
rolling movements. These findings would be consistent with:
A. Parkinsonism
B. Cerebral palsy
C. Cerebellar ataxia
D. Muscular dystrophy
Correct Answer: A. Parkinsonism
Rationale: Parkinsonism is characterized by bradykinesia, resting tremor, masked facies,
stooped posture, rigidity, and shuffling gait.
8. A 59-year-old patient has a herniated disk in the L3 area. Which of the
following should the NP expect to observe when assessing deep tendon reflexes?
A. Hyperreflexia
B. Hyporeflexia
C. Clonus
D. Positive Babinski sign
Correct Answer: B. Hyporeflexia
Rationale: Compression of spinal nerve roots from a herniated disk can interrupt the reflex arc,
resulting in diminished or absent deep tendon reflexes (hyporeflexia).
Exam 3
Advanced Health Assessment
High-Yield Qns & Verified
Answers with Rationales
William Paterson University
What You'll Get:
✔ High-Yield Exam 3 Questions & Answers
✔ Verified Answers with Detailed Rationales
✔ Advanced Health Assessment Review
✔ Exam-Style Multiple-Choice Questions
✔ Key Concepts & Clinical Assessment Focus
✔ Structured Format for Easy Studying
✔ Printable & Digital-Friendly PDF
✔ Ideal for Exam Preparation & Quick Review
Independent study resource for educational review purposes only. Not affiliated with or endorsed
by William Paterson University.
, NUR 6001 Exam 3 | Advanced Health Assessment | High-Yield Questions & Verified
Answers with Rationales | William Paterson University | PDF Download
1. During a neurological assessment of a healthy 35-year-old patient, the NP asks
him to relax his muscles completely. The NP then moves each extremity through
full range of motion. Which of these results would the NP expect to find?
A. Firm, rigid resistance to movement
B. Mild, even resistance to movement
C. Hypotonic muscles as a result of total relaxation
D. Pain with some direction of movement
Correct Answer: B. Mild, even resistance to movement
Rationale: Normal muscle tone is characterized by mild, even resistance to passive movement.
Healthy adults should demonstrate smooth movement without rigidity, flaccidity, or pain.
2. The NP is conducting an assessment on a 29-year-old woman who visits the
clinic complaining of always dropping things and falling down. While testing
rapid alternating movements, the NP notices that the woman is unable to pat
both her knees. Her response is very slow and misses frequently. What should
the NP suspect?
A. Dysfunction of the cerebellum
B. Vestibular disease
C. Lesion of cranial nerve IX
D. Inability to understand directions
Correct Answer: A. Dysfunction of the cerebellum
Rationale: Rapid alternating movement testing evaluates cerebellar function.
Dysdiadochokinesia (impaired rapid alternating movements) is a hallmark sign of cerebellar
dysfunction.
3. The NP is performing a neurological assessment on a 41-year-old woman with
a history of diabetes. When testing her ability to feel the vibrations of a tuning
fork, the NP notices that the patient is unable to feel vibration on the great toe or
,ankle bilaterally, but she is able to feel vibrations on both patellae. Given this
information, what would the NP suspect?
A. Hyperalgesia
B. Hyperesthesia
C. Peripheral neuropathy
D. Lesion of sensory cortex
Correct Answer: C. Peripheral neuropathy
Rationale: Loss of vibration sensation in the distal lower extremities is a common finding in
diabetic peripheral neuropathy due to damage to peripheral nerves.
4. The NP is testing superficial reflexes on an adult patient. When stroking up
the lateral side of the sole and across the ball of the foot, the NP notices plantar
flexion of the toes. How would the NP document this finding?
A. Positive Babinski sign
B. Plantar reflex abnormal
C. Plantar reflex "2+" on a scale from 0–4
D. Plantar reflex is normal
Correct Answer: D. Plantar reflex is normal
Rationale: Normal adult plantar response is plantar flexion (downward movement) of the toes.
Dorsiflexion of the great toe with fanning of the others indicates a positive Babinski sign.
5. During an assessment of an 80-year-old patient, the NP notices that his hands
show tremors when he reaches for something and his head is always nodding.
There is no associated rigidity with movement. Which statement is most
accurate?
A. These findings are normal, resulting from aging
B. These findings could be related to hyperthyroidism
C. These findings are the result of Parkinson disease
D. This patient should be evaluated for a cerebellar lesion
Correct Answer: A. These findings are normal, resulting from aging
Rationale: Benign essential tremors commonly occur with aging and often involve the hands
and head. They occur during purposeful movement and are not associated with rigidity.
, 6. Of the following, which cranial nerves are only motor in function?
A. I, VII, X
B. IV, V, VI
C. III, XI, XII
D. I, VIII, XI
Correct Answer: C. III, XI, XII
Rationale: Cranial nerves III (Oculomotor), XI (Spinal Accessory), and XII (Hypoglossal) are
primarily motor nerves responsible for eye movement, shoulder movement, and tongue
movement, respectively.
7. During an assessment of a 62-year-old man, the NP notices the patient has a
stooped posture, shuffling gait with short steps, flat facial expression, and pill-
rolling movements. These findings would be consistent with:
A. Parkinsonism
B. Cerebral palsy
C. Cerebellar ataxia
D. Muscular dystrophy
Correct Answer: A. Parkinsonism
Rationale: Parkinsonism is characterized by bradykinesia, resting tremor, masked facies,
stooped posture, rigidity, and shuffling gait.
8. A 59-year-old patient has a herniated disk in the L3 area. Which of the
following should the NP expect to observe when assessing deep tendon reflexes?
A. Hyperreflexia
B. Hyporeflexia
C. Clonus
D. Positive Babinski sign
Correct Answer: B. Hyporeflexia
Rationale: Compression of spinal nerve roots from a herniated disk can interrupt the reflex arc,
resulting in diminished or absent deep tendon reflexes (hyporeflexia).
