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NSG 6020 Week 10 Final Actual Exam
Practice Test Questions & Verified Answers
South University Advanced Health
Assessment Graded A+ Just Released
This comprehensive practice exam is designed to prepare students
for the NSG 6020 Week 10 Final Exam at South University. The
questions cover advanced health assessment topics including
HEENT, pulmonary, cardiovascular, abdominal, musculoskeletal,
neurological, dermatological, and reproductive assessments. Each
question includes the correct answer and a detailed rationale.
PART 1: NEUROLOGICAL ASSESSMENT
Question 1
To assess the dorsalis pedis artery, the nurse would palpate:
A) Medial to the extensor tendon of the great toe
B) Lateral to the extensor tendon of the great toe
C) Posterior to the medial malleolus
D) At the popliteal fossa
Verified Answer: B
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Rationale: The dorsalis pedis artery is located on the dorsum of the foot.
It should be palpated just lateral to and parallel with the extensor tendon
of the great toe. Palpating medial to the tendon would not locate the
pulse correctly. The posterior tibial pulse is found posterior to the medial
malleolus, and the popliteal pulse is found in the popliteal fossa .
Question 2
A patient is unable to feel vibrations on the great toe or ankle bilaterally
but can feel vibrations on both patellae. The nurse practitioner should
document this finding as:
A) Hyperalgesia
B) Hyperesthesia
C) Peripheral neuropathy
D) Lesion of sensory cortex
Verified Answer: C
Rationale: Peripheral neuropathy typically presents with a stocking-
glove distribution of sensory loss, meaning the deficit is worse at the feet
and gradually improves as you move up the leg. This pattern
distinguishes peripheral neuropathy from a specific nerve lesion, which
would have a clear zone of deficit for its dermatome .
Question 3
Lightly touching the cornea with a cotton ball examines which type of
reflex?
A) Deep tendon reflex
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B) Superficial reflex
C) Pathologic reflex
D) Visceral reflex
Verified Answer: B
Rationale: The corneal reflex is a superficial reflex mediated by cranial
nerves V (trigeminal, afferent) and VII (facial, efferent). It is elicited by
lightly touching the cornea with a wisp of cotton. A normal response is a
bilateral blink .
Question 4
Which of the following is Cranial Nerve XI?
A) Trigeminal
B) Facial
C) Vagus
D) Spinal accessory
Verified Answer: D
Rationale: Cranial nerve XI is the spinal accessory nerve. It innervates
the sternocleidomastoid and trapezius muscles, controlling shoulder
shrug and head rotation. The trigeminal nerve is CN V, the facial nerve is
CN VII, and the vagus nerve is CN X .
Question 5
The Romberg test is used to assess:
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A) Cerebellar function
B) Proprioception and balance
C) Motor strength
D) Cranial nerve function
Verified Answer: B
Rationale: The Romberg test is used to assess proprioception and
balance. The patient stands with feet together and eyes closed. A positive
test (swaying or falling) indicates proprioceptive or vestibular
dysfunction. The test evaluates the dorsal columns of the spinal cord and
the vestibular system .
Question 6
A positive Babinski sign is characterized by:
A) Flexion of the great toe
B) Extension of the great toe with fanning of the other toes
C) Plantar flexion of the foot
D) Dorsiflexion of the foot
Verified Answer: B
Rationale: The Babinski sign is extension of the great toe with fanning
of the other toes when the sole of the foot is stimulated. It is a normal
finding in infants up to 12 to 18 months of age but indicates an upper
motor neuron lesion in adults. The normal response in adults is plantar
flexion of the toes .
NSG 6020 Week 10 Final Actual Exam
Practice Test Questions & Verified Answers
South University Advanced Health
Assessment Graded A+ Just Released
This comprehensive practice exam is designed to prepare students
for the NSG 6020 Week 10 Final Exam at South University. The
questions cover advanced health assessment topics including
HEENT, pulmonary, cardiovascular, abdominal, musculoskeletal,
neurological, dermatological, and reproductive assessments. Each
question includes the correct answer and a detailed rationale.
PART 1: NEUROLOGICAL ASSESSMENT
Question 1
To assess the dorsalis pedis artery, the nurse would palpate:
A) Medial to the extensor tendon of the great toe
B) Lateral to the extensor tendon of the great toe
C) Posterior to the medial malleolus
D) At the popliteal fossa
Verified Answer: B
,2 | Page
Rationale: The dorsalis pedis artery is located on the dorsum of the foot.
It should be palpated just lateral to and parallel with the extensor tendon
of the great toe. Palpating medial to the tendon would not locate the
pulse correctly. The posterior tibial pulse is found posterior to the medial
malleolus, and the popliteal pulse is found in the popliteal fossa .
Question 2
A patient is unable to feel vibrations on the great toe or ankle bilaterally
but can feel vibrations on both patellae. The nurse practitioner should
document this finding as:
A) Hyperalgesia
B) Hyperesthesia
C) Peripheral neuropathy
D) Lesion of sensory cortex
Verified Answer: C
Rationale: Peripheral neuropathy typically presents with a stocking-
glove distribution of sensory loss, meaning the deficit is worse at the feet
and gradually improves as you move up the leg. This pattern
distinguishes peripheral neuropathy from a specific nerve lesion, which
would have a clear zone of deficit for its dermatome .
Question 3
Lightly touching the cornea with a cotton ball examines which type of
reflex?
A) Deep tendon reflex
,3 | Page
B) Superficial reflex
C) Pathologic reflex
D) Visceral reflex
Verified Answer: B
Rationale: The corneal reflex is a superficial reflex mediated by cranial
nerves V (trigeminal, afferent) and VII (facial, efferent). It is elicited by
lightly touching the cornea with a wisp of cotton. A normal response is a
bilateral blink .
Question 4
Which of the following is Cranial Nerve XI?
A) Trigeminal
B) Facial
C) Vagus
D) Spinal accessory
Verified Answer: D
Rationale: Cranial nerve XI is the spinal accessory nerve. It innervates
the sternocleidomastoid and trapezius muscles, controlling shoulder
shrug and head rotation. The trigeminal nerve is CN V, the facial nerve is
CN VII, and the vagus nerve is CN X .
Question 5
The Romberg test is used to assess:
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A) Cerebellar function
B) Proprioception and balance
C) Motor strength
D) Cranial nerve function
Verified Answer: B
Rationale: The Romberg test is used to assess proprioception and
balance. The patient stands with feet together and eyes closed. A positive
test (swaying or falling) indicates proprioceptive or vestibular
dysfunction. The test evaluates the dorsal columns of the spinal cord and
the vestibular system .
Question 6
A positive Babinski sign is characterized by:
A) Flexion of the great toe
B) Extension of the great toe with fanning of the other toes
C) Plantar flexion of the foot
D) Dorsiflexion of the foot
Verified Answer: B
Rationale: The Babinski sign is extension of the great toe with fanning
of the other toes when the sole of the foot is stimulated. It is a normal
finding in infants up to 12 to 18 months of age but indicates an upper
motor neuron lesion in adults. The normal response in adults is plantar
flexion of the toes .
