NURS 5220 Advanced Health
Assessment: Test 2 Mastery Guide —
Modules 3 & 4 with Verified
Questions and Answers | Instant
Downloaded PDF
SECTION I — NEUROLOGICAL & MENTAL STATUS ASSESSMENT
1. Which part of the brain is primarily responsible for higher cognitive functions and
mental status?
A. Cerebellum
B. Cerebrum
C. Medulla
D. Pons
Answer: B. Cerebrum
Rationale: The cerebrum controls higher functions such as cognition, memory, judgment,
language, voluntary movement, and awareness.
2. Which structure regulates wakefulness and arousal?
A. Limbic system
B. Cerebellum
C. Reticular activating system
D. Basal ganglia
Answer: C. Reticular activating system
Rationale: The reticular activating system contributes substantially to maintaining
consciousness, alertness, and wakefulness.
3. A patient understands a question but has difficulty producing meaningful speech.
Which finding is most consistent with this presentation?
,A. Receptive aphasia
B. Expressive aphasia
C. Dysphagia
D. Dysarthria
Answer: B. Expressive aphasia
Rationale: Expressive (Broca) aphasia involves impaired production of language, while
comprehension may remain relatively preserved.
4. A patient speaks fluently but the words lack meaningful content and the patient has
difficulty understanding spoken language. Which condition is suspected?
A. Expressive aphasia
B. Receptive aphasia
C. Dysarthria
D. Apraxia
Answer: B. Receptive aphasia
Rationale: Receptive (Wernicke) aphasia is characterized primarily by impaired
comprehension, often accompanied by fluent but nonsensical speech.
5. Which assessment best evaluates immediate recall?
A. Asking the patient to remember three words after five minutes
B. Asking the patient to repeat three words immediately
C. Asking the patient to interpret a proverb
D. Asking the patient to calculate serial sevens
Answer: B. Asking the patient to repeat three words immediately
Rationale: Immediate recall is assessed by having the patient repeat information immediately
after it is presented.
6. Which cranial nerve is responsible for the sense of smell?
A. CN I
B. CN II
C. CN V
D. CN VIII
Answer: A. CN I
, Rationale: Cranial nerve I is the olfactory nerve and mediates olfaction.
7. Which cranial nerve is primarily responsible for vision?
A. CN I
B. CN II
C. CN III
D. CN VIII
Answer: B. CN II
Rationale: The optic nerve transmits visual information from the retina to the brain.
8. Which cranial nerves are primarily evaluated together when assessing extraocular
movements?
A. II, V, VII
B. III, IV, VI
C. V, VII, VIII
D. IX, X, XII
Answer: B. III, IV, VI
Rationale: Cranial nerves III, IV, and VI control the extraocular muscles responsible for
coordinated eye movement.
9. Which cranial nerve controls lateral movement of the eye?
A. CN III
B. CN IV
C. CN VI
D. CN VII
Answer: C. CN VI
Rationale: The abducens nerve innervates the lateral rectus muscle, which abducts the eye.
10. Which cranial nerve is assessed by testing facial sensation and muscles of
mastication?
A. CN III
B. CN V
Assessment: Test 2 Mastery Guide —
Modules 3 & 4 with Verified
Questions and Answers | Instant
Downloaded PDF
SECTION I — NEUROLOGICAL & MENTAL STATUS ASSESSMENT
1. Which part of the brain is primarily responsible for higher cognitive functions and
mental status?
A. Cerebellum
B. Cerebrum
C. Medulla
D. Pons
Answer: B. Cerebrum
Rationale: The cerebrum controls higher functions such as cognition, memory, judgment,
language, voluntary movement, and awareness.
2. Which structure regulates wakefulness and arousal?
A. Limbic system
B. Cerebellum
C. Reticular activating system
D. Basal ganglia
Answer: C. Reticular activating system
Rationale: The reticular activating system contributes substantially to maintaining
consciousness, alertness, and wakefulness.
3. A patient understands a question but has difficulty producing meaningful speech.
Which finding is most consistent with this presentation?
,A. Receptive aphasia
B. Expressive aphasia
C. Dysphagia
D. Dysarthria
Answer: B. Expressive aphasia
Rationale: Expressive (Broca) aphasia involves impaired production of language, while
comprehension may remain relatively preserved.
4. A patient speaks fluently but the words lack meaningful content and the patient has
difficulty understanding spoken language. Which condition is suspected?
A. Expressive aphasia
B. Receptive aphasia
C. Dysarthria
D. Apraxia
Answer: B. Receptive aphasia
Rationale: Receptive (Wernicke) aphasia is characterized primarily by impaired
comprehension, often accompanied by fluent but nonsensical speech.
5. Which assessment best evaluates immediate recall?
A. Asking the patient to remember three words after five minutes
B. Asking the patient to repeat three words immediately
C. Asking the patient to interpret a proverb
D. Asking the patient to calculate serial sevens
Answer: B. Asking the patient to repeat three words immediately
Rationale: Immediate recall is assessed by having the patient repeat information immediately
after it is presented.
6. Which cranial nerve is responsible for the sense of smell?
A. CN I
B. CN II
C. CN V
D. CN VIII
Answer: A. CN I
, Rationale: Cranial nerve I is the olfactory nerve and mediates olfaction.
7. Which cranial nerve is primarily responsible for vision?
A. CN I
B. CN II
C. CN III
D. CN VIII
Answer: B. CN II
Rationale: The optic nerve transmits visual information from the retina to the brain.
8. Which cranial nerves are primarily evaluated together when assessing extraocular
movements?
A. II, V, VII
B. III, IV, VI
C. V, VII, VIII
D. IX, X, XII
Answer: B. III, IV, VI
Rationale: Cranial nerves III, IV, and VI control the extraocular muscles responsible for
coordinated eye movement.
9. Which cranial nerve controls lateral movement of the eye?
A. CN III
B. CN IV
C. CN VI
D. CN VII
Answer: C. CN VI
Rationale: The abducens nerve innervates the lateral rectus muscle, which abducts the eye.
10. Which cranial nerve is assessed by testing facial sensation and muscles of
mastication?
A. CN III
B. CN V
