NUR 2092/NUR2092 Exam 4 V3 | Health
Assessment Q&A with Rationale |
Rasmussen University
1. When assessing the musculoskeletal system, the nurse asks the patient to move their arm
away from the midline of the body. This movement is known as:
A. Abduction
B. Adduction
C. Flexion
D. Extension
Correct Answer: A
Expert Explanation: Abduction is the movement of a limb away from the midline of the
body. In contrast, adduction moves the limb toward the midline. Understanding these
terms is critical for documenting range of motion accurately during a physical assessment.
2. A nurse is performing a neurological assessment and asks the patient to ‘puff out their
cheeks.’ Which cranial nerve is being tested?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
,D. CN X (Vagus)
Correct Answer: B
Expert Explanation: The Facial Nerve (Cranial Nerve VII) is responsible for facial
expressions, such as smiling, frowning, and puffing out cheeks. Assessing for symmetry
during these actions helps identify potential nerve damage or Bell’s palsy. The Trigeminal
nerve (CN V) primarily handles facial sensation and mastication rather than these
expressions.
3. During an abdominal assessment, in which order should the nurse perform the following
techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Percussion, Palpation, Auscultation, Inspection
Correct Answer: C
Expert Explanation: The correct sequence for abdominal assessment is inspection,
followed by auscultation, percussion, and finally palpation. Auscultation is performed
before percussion and palpation to avoid stimulating bowel sounds that were not originally
present. Altering this order can lead to inaccurate clinical findings regarding the patient’s
bowel activity.
, 4. While assessing a patient for carpal tunnel syndrome, the nurse asks the patient to hold
both hands back-to-back while flexing the wrists 90 degrees for 60 seconds. This test is called:
A. Tinel Sign
B. Phalen Test
C. McMurray Test
D. Bulge Sign
Correct Answer: B
Expert Explanation: The Phalen test involves acute flexion of the wrists for one minute to
see if numbness or burning occurs. A positive result suggests compression of the median
nerve, commonly seen in carpal tunnel syndrome. The Tinel sign, conversely, involves
percussion over the median nerve at the wrist.
5. A 20-year-old male patient asks the nurse when and how he should perform a testicular
self-examination (TSE). What is the best response?
A. Perform it daily after exercising.
B. Perform it every six months before bed.
C. Perform it only if you feel pain or notice swelling.
D. Perform it once a month in a warm shower.
Correct Answer: D
Assessment Q&A with Rationale |
Rasmussen University
1. When assessing the musculoskeletal system, the nurse asks the patient to move their arm
away from the midline of the body. This movement is known as:
A. Abduction
B. Adduction
C. Flexion
D. Extension
Correct Answer: A
Expert Explanation: Abduction is the movement of a limb away from the midline of the
body. In contrast, adduction moves the limb toward the midline. Understanding these
terms is critical for documenting range of motion accurately during a physical assessment.
2. A nurse is performing a neurological assessment and asks the patient to ‘puff out their
cheeks.’ Which cranial nerve is being tested?
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN IX (Glossopharyngeal)
,D. CN X (Vagus)
Correct Answer: B
Expert Explanation: The Facial Nerve (Cranial Nerve VII) is responsible for facial
expressions, such as smiling, frowning, and puffing out cheeks. Assessing for symmetry
during these actions helps identify potential nerve damage or Bell’s palsy. The Trigeminal
nerve (CN V) primarily handles facial sensation and mastication rather than these
expressions.
3. During an abdominal assessment, in which order should the nurse perform the following
techniques?
A. Inspection, Palpation, Percussion, Auscultation
B. Auscultation, Inspection, Palpation, Percussion
C. Inspection, Auscultation, Percussion, Palpation
D. Percussion, Palpation, Auscultation, Inspection
Correct Answer: C
Expert Explanation: The correct sequence for abdominal assessment is inspection,
followed by auscultation, percussion, and finally palpation. Auscultation is performed
before percussion and palpation to avoid stimulating bowel sounds that were not originally
present. Altering this order can lead to inaccurate clinical findings regarding the patient’s
bowel activity.
, 4. While assessing a patient for carpal tunnel syndrome, the nurse asks the patient to hold
both hands back-to-back while flexing the wrists 90 degrees for 60 seconds. This test is called:
A. Tinel Sign
B. Phalen Test
C. McMurray Test
D. Bulge Sign
Correct Answer: B
Expert Explanation: The Phalen test involves acute flexion of the wrists for one minute to
see if numbness or burning occurs. A positive result suggests compression of the median
nerve, commonly seen in carpal tunnel syndrome. The Tinel sign, conversely, involves
percussion over the median nerve at the wrist.
5. A 20-year-old male patient asks the nurse when and how he should perform a testicular
self-examination (TSE). What is the best response?
A. Perform it daily after exercising.
B. Perform it every six months before bed.
C. Perform it only if you feel pain or notice swelling.
D. Perform it once a month in a warm shower.
Correct Answer: D
