NUR 2092 EXAM 3: ADVANCED HEALTH
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A patient presents with a visual acuity of 20/100 using a Snellen chart. How should the
nurse interpret this finding?
A. The patient is legally blind regardless of corrective lenses.
B. The patient can read at 100 feet what a person with normal vision can read at 20 feet.
C. The patient’s vision is better than average normal vision.
D. The patient can read at 20 feet what a person with normal vision can read at 100 feet.
Answer: D
Conceptual Explanation: Visual acuity expressed as a fraction means the numerator is the
distance from the chart (20 feet) and the denominator is the distance at which a normal eye
could read the same line.
2. 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 sign for
which test?
A. Babinski test
,B. Romberg test
C. Allen test
D. Phalen test
Answer: B
Conceptual Explanation: A positive Romberg test occurs when a patient loses balance
when closing their eyes, indicating a problem with proprioception or vestibular function
rather than cerebellar ataxia.
3. When assessing the thyroid gland, the nurse should use which approach and technique to
best palpate for enlargement?
A. Anterior approach, using the thumb to displace the trachea.
B. Lateral approach, while the patient hyperextends the neck.
C. Posterior approach, having the patient swallow a sip of water.
D. Auscultation first to check for bruits before palpating.
Answer: C
Conceptual Explanation: The posterior approach is the preferred method; having the
patient swallow moves the thyroid gland up, making it easier to palpate under the fingers.
4. Which cranial nerve is responsible for the motor function of the muscles of mastication?
A. CN VII (Facial)
B. CN IX (Glossopharyngeal)
, C. CN XII (Hypoglossal)
D. CN V (Trigeminal)
Answer: D
Conceptual Explanation: The Trigeminal nerve (CN V) has both sensory and motor
components; the motor component controls the muscles used for chewing (mastication).
5. A nurse observes a patient’s gait and notes the patient lifts the knee high and slaps the
foot down with every step. This is described as:
A. Spastic hemiparesis
B. Steppage gait
C. Scissors gait
D. Cerebellar ataxia
Answer: B
Conceptual Explanation: Steppage gait is often associated with foot drop, where the
patient must lift the leg high to avoid dragging the toe.
6. During a musculoskeletal assessment, the nurse notes a grating sound and sensation when
the patient moves their knee. The nurse documents this as:
A. Crepitus
B. Subluxation
C. Ankylosis
ASSESSMENT COMPREHENSIVE
QUESTIONS AND ANSWERS 100%
VERIFIED BY EXPERTS. 2026/2027
1. A patient presents with a visual acuity of 20/100 using a Snellen chart. How should the
nurse interpret this finding?
A. The patient is legally blind regardless of corrective lenses.
B. The patient can read at 100 feet what a person with normal vision can read at 20 feet.
C. The patient’s vision is better than average normal vision.
D. The patient can read at 20 feet what a person with normal vision can read at 100 feet.
Answer: D
Conceptual Explanation: Visual acuity expressed as a fraction means the numerator is the
distance from the chart (20 feet) and the denominator is the distance at which a normal eye
could read the same line.
2. 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 sign for
which test?
A. Babinski test
,B. Romberg test
C. Allen test
D. Phalen test
Answer: B
Conceptual Explanation: A positive Romberg test occurs when a patient loses balance
when closing their eyes, indicating a problem with proprioception or vestibular function
rather than cerebellar ataxia.
3. When assessing the thyroid gland, the nurse should use which approach and technique to
best palpate for enlargement?
A. Anterior approach, using the thumb to displace the trachea.
B. Lateral approach, while the patient hyperextends the neck.
C. Posterior approach, having the patient swallow a sip of water.
D. Auscultation first to check for bruits before palpating.
Answer: C
Conceptual Explanation: The posterior approach is the preferred method; having the
patient swallow moves the thyroid gland up, making it easier to palpate under the fingers.
4. Which cranial nerve is responsible for the motor function of the muscles of mastication?
A. CN VII (Facial)
B. CN IX (Glossopharyngeal)
, C. CN XII (Hypoglossal)
D. CN V (Trigeminal)
Answer: D
Conceptual Explanation: The Trigeminal nerve (CN V) has both sensory and motor
components; the motor component controls the muscles used for chewing (mastication).
5. A nurse observes a patient’s gait and notes the patient lifts the knee high and slaps the
foot down with every step. This is described as:
A. Spastic hemiparesis
B. Steppage gait
C. Scissors gait
D. Cerebellar ataxia
Answer: B
Conceptual Explanation: Steppage gait is often associated with foot drop, where the
patient must lift the leg high to avoid dragging the toe.
6. During a musculoskeletal assessment, the nurse notes a grating sound and sensation when
the patient moves their knee. The nurse documents this as:
A. Crepitus
B. Subluxation
C. Ankylosis
