ADVANCED HEALTH ASSESSMENT FINAL - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A 3-year-old child suffered a severe traumatic brain
injury. The examiner would expect this child's Babinski reflex to be:
a. Negative
b. Positive
c. Fluctuating, depending on intracranial pressure
d. Unable to be assessed
Answer:
b. Positive
Question 2: A 5-year-old boy is new to the clinical practice and
presents for a kindergarten physical. During the examination, his
gait is assessed. No limp or ataxia is noted, but he is toe walking.
The provider asks his parents if this is how he normally walks and
they say yes. Which of the following parts of the child's past
medical history are important to assess?
a. Previous history of hyperactive deep tendon reflexes
b. Previous history of lower extremity injury
c. History of perinatal or neonatal hypoxia or asphyxia
d. History of high fever in infancy
Answer:
c. History of perinatal or neonatal hypoxia or asphyxia
,Question 3: Which of the following developmental assessment
findings requires an in-depth neurologic assessment?
a. Delayed expressive language milestone achievement
b. Poor school performance
c. Loss of developmental skills
d. Poor social skills with peers
Answer:
c. Loss of developmental skills
Question 4: Which of the following assessment findings indicates
increased intracranial pressure?
a. Papilledema on fundoscopic examination
b. Nuchal rigidity
c. Numbness and tingling
d. Hyperactive deep tendon reflexes
Answer:
a. Papilledema on fundoscopic examination
Question 5: A normal response to the elicitation of the Achilles
tendon reflex is:
a. Flexion of the toes
b. Plantar flexion
c. Extension of the great toe with fanning of the remaining toes
d. Extension of the toes
Answer:
b. Plantar flexion
,Question 6: To test the sensory function of the trigeminal nerve in
an infant, the examiner would:
a. Elicit the startle reflex
b. Elicit the gag reflex
c. Assess direct and consensual pupillary response to light
d. Elicit the corneal (blink) reflex
Answer:
d. Elicit the corneal (blink) reflex
Question 7: To elicit the plantar reflex:
a. Ask the child to slide the heel of the foot along the opposite shin
b. Place a vibrating tuning fork on the child's ankle and ask the child
when the vibration stops
c. Strike the lateral aspect of the sole of the foot with the end of the
reflex hammer
d. Ask the child to perform a heel-to-toe walk
Answer:
c. Strike the lateral aspect of the sole of the foot with the end of the reflex hammer
Question 8: A child has been hit by a car while riding her bicycle.
The Glasgow Coma Scale assessment reveals a total score of 10.
This is considered indicative of a:
a. Mild head injury
b. Moderate head injury
c. Severe head injury
d. Normal finding
Answer:
b. Moderate head injury
, Question 9: Which of the following postural reflexes should
disappear between age 12 and 24 months?
a. Positive support
b. Landau
c. Parachute
d. Protective extension sitting position
Answer:
b. Landau
Question 10: The Glasgow Coma Scale includes all of the following
assessment areas except:
a. Eye opening
b. Thought processes
c. Motor response
d. Verbal response
Answer:
b. Thought processes
Question 11: Because of the need for the child's cooperation
during assessment, the sensory examination is not typically
conducted until age:
a. 2 years
b. 3 years
c. 4 years
d. 5 years
Answer:
b. 3 years
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A 3-year-old child suffered a severe traumatic brain
injury. The examiner would expect this child's Babinski reflex to be:
a. Negative
b. Positive
c. Fluctuating, depending on intracranial pressure
d. Unable to be assessed
Answer:
b. Positive
Question 2: A 5-year-old boy is new to the clinical practice and
presents for a kindergarten physical. During the examination, his
gait is assessed. No limp or ataxia is noted, but he is toe walking.
The provider asks his parents if this is how he normally walks and
they say yes. Which of the following parts of the child's past
medical history are important to assess?
a. Previous history of hyperactive deep tendon reflexes
b. Previous history of lower extremity injury
c. History of perinatal or neonatal hypoxia or asphyxia
d. History of high fever in infancy
Answer:
c. History of perinatal or neonatal hypoxia or asphyxia
,Question 3: Which of the following developmental assessment
findings requires an in-depth neurologic assessment?
a. Delayed expressive language milestone achievement
b. Poor school performance
c. Loss of developmental skills
d. Poor social skills with peers
Answer:
c. Loss of developmental skills
Question 4: Which of the following assessment findings indicates
increased intracranial pressure?
a. Papilledema on fundoscopic examination
b. Nuchal rigidity
c. Numbness and tingling
d. Hyperactive deep tendon reflexes
Answer:
a. Papilledema on fundoscopic examination
Question 5: A normal response to the elicitation of the Achilles
tendon reflex is:
a. Flexion of the toes
b. Plantar flexion
c. Extension of the great toe with fanning of the remaining toes
d. Extension of the toes
Answer:
b. Plantar flexion
,Question 6: To test the sensory function of the trigeminal nerve in
an infant, the examiner would:
a. Elicit the startle reflex
b. Elicit the gag reflex
c. Assess direct and consensual pupillary response to light
d. Elicit the corneal (blink) reflex
Answer:
d. Elicit the corneal (blink) reflex
Question 7: To elicit the plantar reflex:
a. Ask the child to slide the heel of the foot along the opposite shin
b. Place a vibrating tuning fork on the child's ankle and ask the child
when the vibration stops
c. Strike the lateral aspect of the sole of the foot with the end of the
reflex hammer
d. Ask the child to perform a heel-to-toe walk
Answer:
c. Strike the lateral aspect of the sole of the foot with the end of the reflex hammer
Question 8: A child has been hit by a car while riding her bicycle.
The Glasgow Coma Scale assessment reveals a total score of 10.
This is considered indicative of a:
a. Mild head injury
b. Moderate head injury
c. Severe head injury
d. Normal finding
Answer:
b. Moderate head injury
, Question 9: Which of the following postural reflexes should
disappear between age 12 and 24 months?
a. Positive support
b. Landau
c. Parachute
d. Protective extension sitting position
Answer:
b. Landau
Question 10: The Glasgow Coma Scale includes all of the following
assessment areas except:
a. Eye opening
b. Thought processes
c. Motor response
d. Verbal response
Answer:
b. Thought processes
Question 11: Because of the need for the child's cooperation
during assessment, the sensory examination is not typically
conducted until age:
a. 2 years
b. 3 years
c. 4 years
d. 5 years
Answer:
b. 3 years
