NU 650 Advanced Health Assessment | Regis University | Academic Year 2026/2027 | Examination 3 Comprehensive Examination | 100 Verified Questions and Correct Answer Rationales

Regis University | NU 650 Advanced Health Assessment


NU 650 Advanced Health Assessment Exam 3
Comprehensive Examination 2026/2027 |
Verified Questions
Regis University | NU 650 Advanced Health Assessment | University-Level Advanced Practice Nursing
Students
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027

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Regis University | NU 650 Advanced Health Assessment

Examination 3 Actual Exam | Academic Year 2026/2027




NU 650 Advanced Health Assessment Exam 3 Comprehensive Examination 2026/2027 | Verified Questions

,INTRODUCTION

This comprehensive examination contains 100 original verified questions for Examination 3 of Regis
University NU 650 Advanced Health Assessment. The questions are organized into four core domains:
Neurological and Musculoskeletal Assessment; Cardiovascular and Peripheral Vascular Assessment;
Respiratory and Thoracic Assessment; and Abdominal, Genitourinary, and Rectal Assessment. The
content is original and designed to reinforce the official NU 650 course objectives for actual exam
readiness and clinical proficiency, aligned to the 2026/2027 academic year. Each question is accompanied
by a correct answer designation and a detailed rationale grounded in foundational advanced health
assessment and physical examination principles.

ACTUAL QUESTIONS

Domain 1: Neurological and Musculoskeletal Assessment

Question 1. When testing cranial nerve II (optic), the examiner assesses visual acuity and
which additional function?
A. Pupillary light reflex only
B. Extraocular movements
C. Visual fields by confrontation
D. Facial sensation
Correct Answer: C
Rationale: Cranial nerve II is evaluated by visual acuity (Snellen or near card) and visual fields by
confrontation. The pupillary light reflex tests CN II and III together; extraocular movements test CN III,
IV, and VI.

Question 2. A positive Babinski sign in an adult is characterized by:
A. Plantar flexion of all toes
B. Dorsiflexion of the great toe with fanning of the other toes
C. Absence of any toe movement
D. Inversion of the foot
Correct Answer: B
Rationale: In adults, a normal plantar response is flexion of the toes. Extension (dorsiflexion) of the
great toe with fanning of the lesser toes constitutes a positive Babinski sign and indicates upper-motor-
neuron dysfunction.

Question 3. The Romberg test primarily evaluates:
A. Proprioception and vestibular function with the eyes closed
B. Cerebellar coordination with the eyes open only
C. Visual acuity
D. Muscle strength in the lower extremities
Correct Answer: A
Rationale: The patient stands with feet together and eyes closed. Swaying or falling suggests impaired
proprioception or vestibular function. Cerebellar disease may cause instability even with eyes open.

Question 4. Hyperreflexia with clonus is most consistent with a lesion in which pathway?
A. Lower motor neuron (peripheral nerve)
B. Cerebellar hemisphere
C. Upper motor neuron (corticospinal tract)
D. Dorsal column exclusively



NU 650 Advanced Health Assessment Exam 3 Comprehensive Examination 2026/2027 | Verified Questions

, Correct Answer: C
Rationale: Upper-motor-neuron lesions produce spasticity, hyperreflexia, and clonus. Lower-motor-
neuron lesions produce hyporeflexia or areflexia, flaccidity, and fasciculations.

Question 5. To assess the trigeminal nerve motor function, the examiner asks the patient
to:
A. Clench the teeth while the examiner palpates the masseter and temporalis muscles
B. Raise the eyebrows
C. Shrug the shoulders
D. Stick out the tongue
Correct Answer: A
Rationale: Motor division of CN V innervates the muscles of mastication. Palpation of masseter and
temporalis during jaw clenching confirms strength and symmetry.

Question 6. A patient is unable to perform rapid alternating movements
(dysdiadochokinesia). This finding most strongly suggests dysfunction of the:
A. Basal ganglia only
B. Cerebellum
C. Corticospinal tract exclusively
D. Peripheral sensory nerves
Correct Answer: B
Rationale: Dysdiadochokinesia is a classic cerebellar sign. Other cerebellar findings include intention
tremor, dysmetria, and ataxic gait.

Question 7. When examining muscle strength, a grade of 3/5 indicates:
A. Active movement against gravity but not against resistance
B. Active movement against full resistance
C. Flicker of contraction only
D. No contraction
Correct Answer: A
Rationale: The Medical Research Council scale rates 3/5 as movement against gravity without added
resistance. 4/5 is against some resistance; 5/5 is normal strength.

Question 8. The phalen test is used to assess for:
A. Ulnar-nerve entrapment at the elbow
B. Rotator-cuff tear
C. Cervical radiculopathy
D. Carpal tunnel syndrome (median-nerve compression)
Correct Answer: D
Rationale: Phalen’s maneuver (wrist flexion for 60 seconds) reproduces paresthesias in the median-
nerve distribution when carpal tunnel syndrome is present. Tinel’s sign is complementary.

Question 9. Assessment of the deep tendon reflex at the Achilles tendon primarily tests
which spinal nerve roots?
A. S1–S2
B. L2–L4
C. C5–C6
D. C7–C8
Correct Answer: A



NU 650 Advanced Health Assessment Exam 3 Comprehensive Examination 2026/2027 | Verified Questions