NSG 351 Exam 4 V3 | NSG 351 Health
Assessment | Actual Q&A with Rationale
(NSG351 Exam 4) | James Madison
University
1. When assessing the neurological system, the nurse asks the patient to close their eyes and
identifies an object placed in their hand. What is this specifically testing?
A. Graphesthesia
B. Proprioception
C. Stereognosis
D. Two-point discrimination
Answer: C
Rationale: Stereognosis is the ability to recognize objects by feeling their form, size, and
weight while the eyes are closed. This test assesses the sensory cortex and the posterior
column of the spinal cord. Abnormal results may indicate a lesion in the sensory cortex or
posterior column tracts.
2. A patient presents with a ‘stooped’ posture, a shuffling gait, and a pill-rolling tremor. These
clinical manifestations are most consistent with which condition?
A. Multiple Sclerosis
B. Parkinson Disease
,C. Cerebral Palsy
D. Amyotrophic Lateral Sclerosis
Answer: B
Rationale: Parkinson disease is characterized by a deficiency of dopamine in the basal
ganglia. Classic symptoms include a resting tremor, bradykinesia, and rigidity. The nurse
would observe a loss of automatic movements such as arm swinging while walking.
3. During a musculoskeletal assessment, the nurse notes a lateral curvature of the thoracic
and lumbar segments of the spine. How should the nurse document this finding?
A. Scoliosis
B. Lordosis
C. Kyphosis
D. Ankylosis
Answer: A
Rationale: Scoliosis is a lateral S-shaped curvature of the thoracic and lumbar spine. It is
most frequently diagnosed during the adolescent growth spurt and is more common in
females. Screening usually involves the forward bend test to check for rib hump or spinal
deviation.
, 4. Which cranial nerve is responsible for the movement of the tongue during speech and
swallowing?
A. Cranial Nerve XII
B. Cranial Nerve X
C. Cranial Nerve XI
D. Cranial Nerve IX
Answer: A
Rationale: Cranial nerve XII, the hypoglossal nerve, controls the motor functions of the
tongue. Assessment involves asking the patient to protrude the tongue and move it from
side to side. Any deviation to one side or tremors should be documented as abnormal
findings.
5. A nurse is performing a breast exam on a 50-year-old female. Which location is the most
common site for breast tumors to occur?
A. Upper outer quadrant
B. Lower inner quadrant
C. Nipple and areola area
D. Upper inner quadrant
Answer: A
Assessment | Actual Q&A with Rationale
(NSG351 Exam 4) | James Madison
University
1. When assessing the neurological system, the nurse asks the patient to close their eyes and
identifies an object placed in their hand. What is this specifically testing?
A. Graphesthesia
B. Proprioception
C. Stereognosis
D. Two-point discrimination
Answer: C
Rationale: Stereognosis is the ability to recognize objects by feeling their form, size, and
weight while the eyes are closed. This test assesses the sensory cortex and the posterior
column of the spinal cord. Abnormal results may indicate a lesion in the sensory cortex or
posterior column tracts.
2. A patient presents with a ‘stooped’ posture, a shuffling gait, and a pill-rolling tremor. These
clinical manifestations are most consistent with which condition?
A. Multiple Sclerosis
B. Parkinson Disease
,C. Cerebral Palsy
D. Amyotrophic Lateral Sclerosis
Answer: B
Rationale: Parkinson disease is characterized by a deficiency of dopamine in the basal
ganglia. Classic symptoms include a resting tremor, bradykinesia, and rigidity. The nurse
would observe a loss of automatic movements such as arm swinging while walking.
3. During a musculoskeletal assessment, the nurse notes a lateral curvature of the thoracic
and lumbar segments of the spine. How should the nurse document this finding?
A. Scoliosis
B. Lordosis
C. Kyphosis
D. Ankylosis
Answer: A
Rationale: Scoliosis is a lateral S-shaped curvature of the thoracic and lumbar spine. It is
most frequently diagnosed during the adolescent growth spurt and is more common in
females. Screening usually involves the forward bend test to check for rib hump or spinal
deviation.
, 4. Which cranial nerve is responsible for the movement of the tongue during speech and
swallowing?
A. Cranial Nerve XII
B. Cranial Nerve X
C. Cranial Nerve XI
D. Cranial Nerve IX
Answer: A
Rationale: Cranial nerve XII, the hypoglossal nerve, controls the motor functions of the
tongue. Assessment involves asking the patient to protrude the tongue and move it from
side to side. Any deviation to one side or tremors should be documented as abnormal
findings.
5. A nurse is performing a breast exam on a 50-year-old female. Which location is the most
common site for breast tumors to occur?
A. Upper outer quadrant
B. Lower inner quadrant
C. Nipple and areola area
D. Upper inner quadrant
Answer: A
