NURS 5220 ADVANCED HEALTH ASSESSMENT EVALUATION
QUESTION WITH ANSWERS 2025/2026 GRADED A+
✅✅Cranial Nerve X (ten) - Vagus
Mixed (both sensory and motor)
Swallowing and speech
Inspect palate and uvula for symmetry
Inspect for swallow difficulty
Evaluate guttural speech sounds
✅✅Cranial Nerve XI (eleven) - Spinal accessory
Motor
Muscle strength
Test trapezius and sternocleidomastoid muscle strength
Shrug shoulders against resistance
✅✅Cranial Nerve XII (twelve) - Hypoglossal
Motor
Tongue strength
Inspect tongue for tremors, symmetry, atrophy
Test tongue movements
Test tongue strength
Evaluate lingual speech sounds
✅✅Assessing cranial nerves in infants - In infants, cranial nerves can be assessed by
observing:
CN II, III, IV, and VI can be assessed by looking for optical blink reflex, gaze and
tracking, doll's eye
CN V is evaluated with rooting and sucking reflex
CN VII look at facial expression, forehead wrinkling, smiling
CN VIII look at acoustic blink reflex, doll's eye manuever
CN IX, X evaluate swallow and gag reflex
CN XII evaluate sucking and swallowing ability, tongue position with pinch test
✅✅Types of agnosia: Visual - Occipital lobe
✅✅Types of agnosia: Auditory - Temporal lobe (lateral + superior)
✅✅Types of agnosia: Tactile - Parietal lobe
✅✅Types of agnosia: Body parts and relationships - Parietal lobe (posterio-inferior)
✅✅Types of aphasia: Auditory receptive - Temporal lobe (Wernicke's area)
✅✅Types of aphasia: Expressive speaking - Inferior posterior frontal area (Broca's)
, ✅✅Types of aphasia: Visual receptive - Parietal-occiptal
✅✅Broca's aphasia - Expressive type of aphasia characterized by intact reading
comprehension, impaired writing skills, and using only nouns and verbs in speech
Broca area (frontal lobe) contains the motor cortex, which is associated with speech
formation, as well as decision making, problem solving, the ability to concentrate, and
short-term memory
✅✅Which part of the brain contains the Wernicke's speech area? - Temporal lobe
The temporal lobe is responsible for perception and interpretation of sounds as well as
localizing their source. It contains the Wernicke speech area, which allows a person to
understand spoken and written language. It is also involved in the integration of
behavior, emotion, and personality, as well as long-term memory
✅✅Types of aphasia: Expressive writing - Posterior frontal
✅✅What are characteristics of delirium? - Characteristics of delirium include a sudden
onset of cognitive impairment, illogical flow of ideas, and hallucinations that fluctuates
during the day and last hours or days
✅✅What are characteristics of Parkinson's? - Slumped posture and a lack of facial
expression may indicate depression or a neurologic condition such as Parkinson
disease
Shuffling gait
✅✅What does the limbic system regulate? - Emotions
The limbic system mediates certain patterns of behavior that determine survival (e.g.,
mating, aggression, fear, and affection). Reactions to emotions such as anger, love,
hostility, and envy originate here, but the expression of emotion and behavior is
mediated by connections between the limbic system and the frontal lobe
✅✅What tool tracks cognitive changes over time? - Mini-Mental Status Exam (MMSE)
✅✅Deep tendon reflexes: Biceps - Elbow flexion
C5 & 6
✅✅Deep tendon reflexes: Brachioradial - Forearm pronation and elbow flexion
C5 & 6
✅✅Deep tendon reflexes: Triceps - Elbow extension
C6, 7, 8
✅✅Deep tendon reflexes: Patellar - Lower leg extension
L2, 3, 4
QUESTION WITH ANSWERS 2025/2026 GRADED A+
✅✅Cranial Nerve X (ten) - Vagus
Mixed (both sensory and motor)
Swallowing and speech
Inspect palate and uvula for symmetry
Inspect for swallow difficulty
Evaluate guttural speech sounds
✅✅Cranial Nerve XI (eleven) - Spinal accessory
Motor
Muscle strength
Test trapezius and sternocleidomastoid muscle strength
Shrug shoulders against resistance
✅✅Cranial Nerve XII (twelve) - Hypoglossal
Motor
Tongue strength
Inspect tongue for tremors, symmetry, atrophy
Test tongue movements
Test tongue strength
Evaluate lingual speech sounds
✅✅Assessing cranial nerves in infants - In infants, cranial nerves can be assessed by
observing:
CN II, III, IV, and VI can be assessed by looking for optical blink reflex, gaze and
tracking, doll's eye
CN V is evaluated with rooting and sucking reflex
CN VII look at facial expression, forehead wrinkling, smiling
CN VIII look at acoustic blink reflex, doll's eye manuever
CN IX, X evaluate swallow and gag reflex
CN XII evaluate sucking and swallowing ability, tongue position with pinch test
✅✅Types of agnosia: Visual - Occipital lobe
✅✅Types of agnosia: Auditory - Temporal lobe (lateral + superior)
✅✅Types of agnosia: Tactile - Parietal lobe
✅✅Types of agnosia: Body parts and relationships - Parietal lobe (posterio-inferior)
✅✅Types of aphasia: Auditory receptive - Temporal lobe (Wernicke's area)
✅✅Types of aphasia: Expressive speaking - Inferior posterior frontal area (Broca's)
, ✅✅Types of aphasia: Visual receptive - Parietal-occiptal
✅✅Broca's aphasia - Expressive type of aphasia characterized by intact reading
comprehension, impaired writing skills, and using only nouns and verbs in speech
Broca area (frontal lobe) contains the motor cortex, which is associated with speech
formation, as well as decision making, problem solving, the ability to concentrate, and
short-term memory
✅✅Which part of the brain contains the Wernicke's speech area? - Temporal lobe
The temporal lobe is responsible for perception and interpretation of sounds as well as
localizing their source. It contains the Wernicke speech area, which allows a person to
understand spoken and written language. It is also involved in the integration of
behavior, emotion, and personality, as well as long-term memory
✅✅Types of aphasia: Expressive writing - Posterior frontal
✅✅What are characteristics of delirium? - Characteristics of delirium include a sudden
onset of cognitive impairment, illogical flow of ideas, and hallucinations that fluctuates
during the day and last hours or days
✅✅What are characteristics of Parkinson's? - Slumped posture and a lack of facial
expression may indicate depression or a neurologic condition such as Parkinson
disease
Shuffling gait
✅✅What does the limbic system regulate? - Emotions
The limbic system mediates certain patterns of behavior that determine survival (e.g.,
mating, aggression, fear, and affection). Reactions to emotions such as anger, love,
hostility, and envy originate here, but the expression of emotion and behavior is
mediated by connections between the limbic system and the frontal lobe
✅✅What tool tracks cognitive changes over time? - Mini-Mental Status Exam (MMSE)
✅✅Deep tendon reflexes: Biceps - Elbow flexion
C5 & 6
✅✅Deep tendon reflexes: Brachioradial - Forearm pronation and elbow flexion
C5 & 6
✅✅Deep tendon reflexes: Triceps - Elbow extension
C6, 7, 8
✅✅Deep tendon reflexes: Patellar - Lower leg extension
L2, 3, 4
