NSG 316 Exam 2 – Health Assessment Test Questions
And Answers Verified 100% Correct
What does the corneal reflex test? - ANSWER -CN V sensory, CN VII motor
Corneal reflex test - ANSWER --remove contacts, bring cotton wisp from side,
lightly touch cornea
NORMALLY: patient blinks bilaterally
Cranial Nerve VII: Facial Test - ANSWER -Motor: have client smile, frown, puff
out her cheeks, raise her eyebrows, close her eyes tightly
Sensory: anterior 2/3 taste (sugar, salt, lemon juice)
Cranial Nerve VIII: Vestibulocochlear Test - ANSWER -Whispered voice test
Cranial Nerve IX & X: Glossopharyngeal and Vagus Test - ANSWER -Motor:
open mouth say "ahh" & gag reflex
NORMALLY: uvula and soft palate rise in midline
Sensory: CN IX does posterior 1/3 taste
Cranial Nerve XI: Accessory Test - ANSWER -shrug shoulders
Cranial Nerve XII: Hypoglossal Test - ANSWER -say "light, tight, dynamite"
screening neuro exam - ANSWER -perform on well persons who have no
significant subjective findings
complete neuro exam - ANSWER -perform on person with neuro concerns
neuro recheck exam - ANSWER -perform on person with demonstrated neuro
defect, who requires period ic assessment
ansomia - ANSWER -Decrease or loss of smell occurs bilaterally
hemianopsia; hemianopia - ANSWER -Defective vision or blindness in one half of
the visual field
ptosis - ANSWER -drooping eyelid
,paresthesias - ANSWER -tingling, prickling, "pins & needles" (sensory loss)
diplopia - ANSWER -double vision
dysphagia - ANSWER -difficulty swallowing
What are the test to evaluate cerebellar function? - ANSWER -Balance Test (Gait)
Romberg Test
Rapid Alternating Movements (RAM)
Balance Test (Gait) - ANSWER --observe as the person walks 10 to 20 feet, turns
and returns to the starting point
NORMALLY: gait is smooth, rhythmic and effortless opposing arm swing is
coordinating
Romberg test - ANSWER --ask client to stand with feet at comfortable distance
apart, arms at sides, and eyes closed for ~20 seconds
NORMALLY: patient can maintain posture and balance
Rapid Alternating Movements (RAM) - ANSWER -pat the knees with both hands,
turn hands over, then faster
NORMALLY: done with equal turning and quick rhythmic pace
flaccidity - ANSWER -decreased muscle tone (hypotonia), muscle feels limp, soft,
flabby
spasticity - ANSWER -increased muscle tone (hypertonia)
rigidity - ANSWER -constant state of resistance; resists passive movement in any
direction (dystonia)
cogwheel rigidity - ANSWER -Increased tone is released by degrees during
passive range of motion so it feels like small, regular jerks.
paralysis - ANSWER -decreased or loss of motor power
hemiplegia - ANSWER -Spastic or flaccid paralysis of one side of the body
paraplegia - ANSWER -symmetric paralysis of both lower extremities
, quadriplegia - ANSWER -paralysis of all four extremities
paresis - ANSWER -weakness of muscles rather than paralysis
tic - ANSWER -involuntary, compulsive, repetitive twitching of a muscle group
myoclonus - ANSWER -Rapid, sudden jerk or a short series of jerks at fairly
regular intervals. (ex: hiccup)
fasciculation - ANSWER -rapid continuous twitching of resting muscle without
movement of limb
chorea - ANSWER -sudden, rapid, jerky, purposeless movement involving limbs,
trunk, or face
irregular intervals, not rhythmic or repetitive
athetosis - ANSWER -slow, writhing involuntary movements
tremor - ANSWER -involuntary contraction of opposing muscle groups resulting
in rhythmic movement of one or more joints
rest tremor - ANSWER -occurs when muscles are quiet and supported against
gravity (hand in lap), coarse and slow, partly or completely disappears with
voluntary movement
intention tremor - ANSWER -worse with voluntary movement (like reaching to a
target)
spastic hemiparesis - ANSWER -Arm is immobile against the body, with flexion
of the shoulder, elbow, wrist, and fingers and adduction of shoulder; does not
swing freely. Leg is stiff and extended and circumducts with each step (drags toe in
a semicircle).
cerebellar ataxia - ANSWER -staggering, wide-based gait; difficulty with turns;
uncoordinated movement with positive Romberg sign
parkinsonian (festinating) - ANSWER -Posture is stooped; trunk is pitched
forward; elbows, hips, and knees are flexed. Shuffling gait. Difficulty with any
change in direction.
And Answers Verified 100% Correct
What does the corneal reflex test? - ANSWER -CN V sensory, CN VII motor
Corneal reflex test - ANSWER --remove contacts, bring cotton wisp from side,
lightly touch cornea
NORMALLY: patient blinks bilaterally
Cranial Nerve VII: Facial Test - ANSWER -Motor: have client smile, frown, puff
out her cheeks, raise her eyebrows, close her eyes tightly
Sensory: anterior 2/3 taste (sugar, salt, lemon juice)
Cranial Nerve VIII: Vestibulocochlear Test - ANSWER -Whispered voice test
Cranial Nerve IX & X: Glossopharyngeal and Vagus Test - ANSWER -Motor:
open mouth say "ahh" & gag reflex
NORMALLY: uvula and soft palate rise in midline
Sensory: CN IX does posterior 1/3 taste
Cranial Nerve XI: Accessory Test - ANSWER -shrug shoulders
Cranial Nerve XII: Hypoglossal Test - ANSWER -say "light, tight, dynamite"
screening neuro exam - ANSWER -perform on well persons who have no
significant subjective findings
complete neuro exam - ANSWER -perform on person with neuro concerns
neuro recheck exam - ANSWER -perform on person with demonstrated neuro
defect, who requires period ic assessment
ansomia - ANSWER -Decrease or loss of smell occurs bilaterally
hemianopsia; hemianopia - ANSWER -Defective vision or blindness in one half of
the visual field
ptosis - ANSWER -drooping eyelid
,paresthesias - ANSWER -tingling, prickling, "pins & needles" (sensory loss)
diplopia - ANSWER -double vision
dysphagia - ANSWER -difficulty swallowing
What are the test to evaluate cerebellar function? - ANSWER -Balance Test (Gait)
Romberg Test
Rapid Alternating Movements (RAM)
Balance Test (Gait) - ANSWER --observe as the person walks 10 to 20 feet, turns
and returns to the starting point
NORMALLY: gait is smooth, rhythmic and effortless opposing arm swing is
coordinating
Romberg test - ANSWER --ask client to stand with feet at comfortable distance
apart, arms at sides, and eyes closed for ~20 seconds
NORMALLY: patient can maintain posture and balance
Rapid Alternating Movements (RAM) - ANSWER -pat the knees with both hands,
turn hands over, then faster
NORMALLY: done with equal turning and quick rhythmic pace
flaccidity - ANSWER -decreased muscle tone (hypotonia), muscle feels limp, soft,
flabby
spasticity - ANSWER -increased muscle tone (hypertonia)
rigidity - ANSWER -constant state of resistance; resists passive movement in any
direction (dystonia)
cogwheel rigidity - ANSWER -Increased tone is released by degrees during
passive range of motion so it feels like small, regular jerks.
paralysis - ANSWER -decreased or loss of motor power
hemiplegia - ANSWER -Spastic or flaccid paralysis of one side of the body
paraplegia - ANSWER -symmetric paralysis of both lower extremities
, quadriplegia - ANSWER -paralysis of all four extremities
paresis - ANSWER -weakness of muscles rather than paralysis
tic - ANSWER -involuntary, compulsive, repetitive twitching of a muscle group
myoclonus - ANSWER -Rapid, sudden jerk or a short series of jerks at fairly
regular intervals. (ex: hiccup)
fasciculation - ANSWER -rapid continuous twitching of resting muscle without
movement of limb
chorea - ANSWER -sudden, rapid, jerky, purposeless movement involving limbs,
trunk, or face
irregular intervals, not rhythmic or repetitive
athetosis - ANSWER -slow, writhing involuntary movements
tremor - ANSWER -involuntary contraction of opposing muscle groups resulting
in rhythmic movement of one or more joints
rest tremor - ANSWER -occurs when muscles are quiet and supported against
gravity (hand in lap), coarse and slow, partly or completely disappears with
voluntary movement
intention tremor - ANSWER -worse with voluntary movement (like reaching to a
target)
spastic hemiparesis - ANSWER -Arm is immobile against the body, with flexion
of the shoulder, elbow, wrist, and fingers and adduction of shoulder; does not
swing freely. Leg is stiff and extended and circumducts with each step (drags toe in
a semicircle).
cerebellar ataxia - ANSWER -staggering, wide-based gait; difficulty with turns;
uncoordinated movement with positive Romberg sign
parkinsonian (festinating) - ANSWER -Posture is stooped; trunk is pitched
forward; elbows, hips, and knees are flexed. Shuffling gait. Difficulty with any
change in direction.
