ASSESSMENT | QUESTIONS AND CORRECT
ANSWERS | UPDATED 2024/2025 GUIDE |
RASMUSSEN
A patient complains of diplopia, which test should the nurse perform?
- Correct Answer - The 6 cardinal directions gaze test
A patient complains of diplopia, which cranial nerve should be
assessed?
- Correct Answer - The VI cranial nerve
A patient is complaining of pain and crepitus of their jaw when chewing.
How is this assessed?
- Correct Answer - TMJ assessment
Explain Reflex 0
- Correct Answer - No response
Always abnormal
Explain Reflex 1+
- Correct Answer - A slight response
May or may not be normal (Hyporeflexia)
Explain Reflex 2+
- Correct Answer - A brisk response
Normal
Explain Reflex 3+
, - Correct Answer - A very brisk response
May or may not be normal
Explain Reflex 4+
- Correct Answer - A tap elicits a repeating reflex (clonus)
Always abnormal — hyperactive/brisk
Which area of the brain needs further assessment if the patient has
uncoordinated use of voluntary movements?
- Correct Answer - Cerebellum
How would the nurse explain to a patient how to preform a Romberg
test?
- Correct Answer - Tell patient to close eyes, put feet together and hands
at their sides — have them balance for 30 seconds if possible
How would the nurse test for a peripheral pain response in an
unconscious patient?
- Correct Answer - Apply pressure to nail bed
Define Graphesthesia
- Correct Answer - The ability to "read" a number when it is traced on the
skin
Define Stereognosis
- Correct Answer - The ability to recognize the size, shape, and texture
of an object
What is the primary duty of the Frontal Lobe