NURS 190 PHYSICAL ASSESSMENT
WEEK 11 COMPREHENSIVE QUIZ
1. A nurse assesses a patient’s muscle strength and finds the patient can complete full range
of motion against gravity but not against any added resistance. How should this be
documented?
A. Grade 2/5
B. Grade 1/5
C. Grade 4/5
D. Grade 3/5
Answer: D
Conceptual Explanation: Grade 3/5 indicates full range of motion against gravity but not
against resistance. Grade 2 is full ROM with gravity eliminated, and Grade 4 is full ROM
against some resistance.
2. When assessing the cranial nerves, the nurse asks the patient to puff out their cheeks and
smile. Which cranial nerve is being evaluated?
A. CN V (Trigeminal)
B. CN VII (Facial)
,C. CN IX (Glossopharyngeal)
D. The Facial nerve (CN VII) controls facial expressions, including smiling and puffing
cheeks.
B. CN XII (Hypoglossal)
Answer: D
Conceptual Explanation: The Facial nerve (CN VII) controls muscles of facial expression.
3. An elderly patient presents with an exaggerated thoracic curvature of the spine. The nurse
recognizes this condition as:
A. Kyphosis
B. Lordosis
C. Scoliosis
D. Subluxation
Answer: A
Conceptual Explanation: Kyphosis is an exaggerated posterior curvature of the thoracic
spine, common in older adults due to osteoporosis.
4. During a neurological exam, the nurse asks the patient to stand with feet together and eyes
closed. The patient begins to sway significantly and loses balance. This is a positive:
A. Babinski sign
B. Phalen’s test
, C. Tinel’s sign
D. Romberg test
Answer: D
Conceptual Explanation: The Romberg test assesses cerebellar function and
proprioception; loss of balance when eyes are closed is a positive result.
5. To assess for stereognosis, the nurse should ask the patient to:
A. Identify a number traced on the palm.
B. Touch their nose with their eyes closed.
C. Distinguish between sharp and dull sensations.
D. Identify a familiar object placed in the hand with eyes closed.
Answer: D
Conceptual Explanation: Stereognosis is the ability to recognize an object by touch.
Graphesthesia is identifying a traced number.
6. A patient exhibits a positive Babinski reflex. In an adult, this indicates:
A. Normal neurological function
B. Lower motor neuron lesion
C. Peripheral neuropathy
D. Upper motor neuron lesion
WEEK 11 COMPREHENSIVE QUIZ
1. A nurse assesses a patient’s muscle strength and finds the patient can complete full range
of motion against gravity but not against any added resistance. How should this be
documented?
A. Grade 2/5
B. Grade 1/5
C. Grade 4/5
D. Grade 3/5
Answer: D
Conceptual Explanation: Grade 3/5 indicates full range of motion against gravity but not
against resistance. Grade 2 is full ROM with gravity eliminated, and Grade 4 is full ROM
against some resistance.
2. When assessing the cranial nerves, the nurse asks the patient to puff out their cheeks and
smile. Which cranial nerve is being evaluated?
A. CN V (Trigeminal)
B. CN VII (Facial)
,C. CN IX (Glossopharyngeal)
D. The Facial nerve (CN VII) controls facial expressions, including smiling and puffing
cheeks.
B. CN XII (Hypoglossal)
Answer: D
Conceptual Explanation: The Facial nerve (CN VII) controls muscles of facial expression.
3. An elderly patient presents with an exaggerated thoracic curvature of the spine. The nurse
recognizes this condition as:
A. Kyphosis
B. Lordosis
C. Scoliosis
D. Subluxation
Answer: A
Conceptual Explanation: Kyphosis is an exaggerated posterior curvature of the thoracic
spine, common in older adults due to osteoporosis.
4. During a neurological exam, the nurse asks the patient to stand with feet together and eyes
closed. The patient begins to sway significantly and loses balance. This is a positive:
A. Babinski sign
B. Phalen’s test
, C. Tinel’s sign
D. Romberg test
Answer: D
Conceptual Explanation: The Romberg test assesses cerebellar function and
proprioception; loss of balance when eyes are closed is a positive result.
5. To assess for stereognosis, the nurse should ask the patient to:
A. Identify a number traced on the palm.
B. Touch their nose with their eyes closed.
C. Distinguish between sharp and dull sensations.
D. Identify a familiar object placed in the hand with eyes closed.
Answer: D
Conceptual Explanation: Stereognosis is the ability to recognize an object by touch.
Graphesthesia is identifying a traced number.
6. A patient exhibits a positive Babinski reflex. In an adult, this indicates:
A. Normal neurological function
B. Lower motor neuron lesion
C. Peripheral neuropathy
D. Upper motor neuron lesion
