NUR 611 Midterm Exam Utica College 2026 | Complete
Study Guide | Graded A+
1. Describe the primary functions of cranial nerve 11 and how it is assessed
during a physical examination.
Cranial nerve 11 controls shoulder elevation and head rotation,
assessed by asking the patient to shrug their shoulders and turn
their head against resistance.
Cranial nerve 11 is responsible for taste sensation, assessed by asking
the patient to identify flavors.
Cranial nerve 11 regulates heart rate, assessed by measuring pulse.
Cranial nerve 11 is involved in eye movement, assessed by tracking
visual stimuli.
2. What is the primary purpose of the whisper test in clinical assessments?
Balance function
Respiratory function
Hearing ability
Visual acuity
3. Which cranial nerve is assessed using the Rinne and Weber tests?
Vestibulocochlear nerve (cranial nerve 8)
Optic nerve (cranial nerve 2)
Trigeminal nerve (cranial nerve 5)
Facial nerve (cranial nerve 7)
,4. A patient presents to your clinic with radiating abdominal pain somewhat
localized to the RLQ. You palpate to check for any abnormalities and
discover the patient has pain while flexing their thigh against your hand. This
patient is exhibiting a positive:
Obturator sign
Rovsing's sign
Psoas sign
Murphy's sign
5. A patient presents with a blockage in the ear canal due to cerumen
impaction. During the Weber test, sound lateralizes to the affected side. What
does this finding suggest about the patient's hearing?
The patient has normal hearing function.
The patient has a mixed hearing loss.
The patient likely has sensorineural hearing loss.
The patient likely has conductive deafness due to the blockage.
6. A 35-year-old healthy daycare worker presents with a fever of 102, sore
throat, and difficulty drinking or eating comfortably. On examination, you see
3+ tonsils with exudate. You suspect:
Otitis media
Viral pharyngitis
Strep pharyngitis
7. If a patient presents with a lentigo maligna melanoma, what considerations
should a nurse take into account regarding monitoring and treatment
options?
, The nurse should recommend immediate chemotherapy due to high
metastatic potential.
The nurse should advise the patient that no treatment is necessary due
to its benign nature.
The nurse should focus solely on cosmetic treatments without
considering the cancer's characteristics.
The nurse should consider the slow growth and potential for local
invasion, emphasizing regular monitoring and possible surgical
intervention.
8. What condition is indicated by a positive Murphy's sign?
Cholecystitis
Hepatitis
Appendicitis
Pancreatitis
9. What is the definition of a papule in dermatological terms?
A small, raised, solid pimple or swelling on the skin.
A flat, discolored area on the skin.
A rough, scaly patch on the skin.
A large, fluid-filled blister.
10. Describe the significance of assessing pain in the left lower quadrant during
a physical examination.
Assessing pain in the left lower quadrant can help identify
conditions such as diverticulitis or ovarian issues.
It indicates a problem with cranial nerve function.
, It is not relevant to nursing practice.
It is primarily used to evaluate respiratory health.
11. A 22-year-old man presents to the clinic with a diffuse itchy rash after cutting
down tree branches 3 days ago. Vital signs include a HR of 80 bpm, BP of
120/80 mm Hg, RR of 20/min, oxygen saturation of 98% on room air, and T of
98.6°F. Physical exam findings include an erythematous papular rash on the
bilateral arms in linear streaks with vesicles and bullae. Which of the following
is the most likely diagnosis?
Erythema multiforme
Allergic contact dermatitis
Staphylococcal toxic shock syndrome
Irritant contact dermatitis
Stevens-Johnson syndrome
12. A patient presents with right lower quadrant pain and a positive psoas sign.
What would be the most appropriate next step in management?
Obtain an abdominal ultrasound or CT scan.
Study Guide | Graded A+
1. Describe the primary functions of cranial nerve 11 and how it is assessed
during a physical examination.
Cranial nerve 11 controls shoulder elevation and head rotation,
assessed by asking the patient to shrug their shoulders and turn
their head against resistance.
Cranial nerve 11 is responsible for taste sensation, assessed by asking
the patient to identify flavors.
Cranial nerve 11 regulates heart rate, assessed by measuring pulse.
Cranial nerve 11 is involved in eye movement, assessed by tracking
visual stimuli.
2. What is the primary purpose of the whisper test in clinical assessments?
Balance function
Respiratory function
Hearing ability
Visual acuity
3. Which cranial nerve is assessed using the Rinne and Weber tests?
Vestibulocochlear nerve (cranial nerve 8)
Optic nerve (cranial nerve 2)
Trigeminal nerve (cranial nerve 5)
Facial nerve (cranial nerve 7)
,4. A patient presents to your clinic with radiating abdominal pain somewhat
localized to the RLQ. You palpate to check for any abnormalities and
discover the patient has pain while flexing their thigh against your hand. This
patient is exhibiting a positive:
Obturator sign
Rovsing's sign
Psoas sign
Murphy's sign
5. A patient presents with a blockage in the ear canal due to cerumen
impaction. During the Weber test, sound lateralizes to the affected side. What
does this finding suggest about the patient's hearing?
The patient has normal hearing function.
The patient has a mixed hearing loss.
The patient likely has sensorineural hearing loss.
The patient likely has conductive deafness due to the blockage.
6. A 35-year-old healthy daycare worker presents with a fever of 102, sore
throat, and difficulty drinking or eating comfortably. On examination, you see
3+ tonsils with exudate. You suspect:
Otitis media
Viral pharyngitis
Strep pharyngitis
7. If a patient presents with a lentigo maligna melanoma, what considerations
should a nurse take into account regarding monitoring and treatment
options?
, The nurse should recommend immediate chemotherapy due to high
metastatic potential.
The nurse should advise the patient that no treatment is necessary due
to its benign nature.
The nurse should focus solely on cosmetic treatments without
considering the cancer's characteristics.
The nurse should consider the slow growth and potential for local
invasion, emphasizing regular monitoring and possible surgical
intervention.
8. What condition is indicated by a positive Murphy's sign?
Cholecystitis
Hepatitis
Appendicitis
Pancreatitis
9. What is the definition of a papule in dermatological terms?
A small, raised, solid pimple or swelling on the skin.
A flat, discolored area on the skin.
A rough, scaly patch on the skin.
A large, fluid-filled blister.
10. Describe the significance of assessing pain in the left lower quadrant during
a physical examination.
Assessing pain in the left lower quadrant can help identify
conditions such as diverticulitis or ovarian issues.
It indicates a problem with cranial nerve function.
, It is not relevant to nursing practice.
It is primarily used to evaluate respiratory health.
11. A 22-year-old man presents to the clinic with a diffuse itchy rash after cutting
down tree branches 3 days ago. Vital signs include a HR of 80 bpm, BP of
120/80 mm Hg, RR of 20/min, oxygen saturation of 98% on room air, and T of
98.6°F. Physical exam findings include an erythematous papular rash on the
bilateral arms in linear streaks with vesicles and bullae. Which of the following
is the most likely diagnosis?
Erythema multiforme
Allergic contact dermatitis
Staphylococcal toxic shock syndrome
Irritant contact dermatitis
Stevens-Johnson syndrome
12. A patient presents with right lower quadrant pain and a positive psoas sign.
What would be the most appropriate next step in management?
Obtain an abdominal ultrasound or CT scan.
