NURS 255
FINAL EXAM
ACTUAL Questions with Verified Answers
(Health Assessment for Nursing Practice.)
Drexel University
This Document Description:
This document contains a collection of
Verified questions and accurate Answers
from FINAL EXAM at Drexel University. It
covers core topics assessed in the course and
reflects the actual exam format and question
style. Ideal for exam preparation and concept reinforcement.
,1. During a neurological examination, the tendon reflex fails to appear. Before
striking the tendon again, you use the technique of:
a. Two-point discrimination
b. Reinforcement
c. Vibration
d. Graphesthesia
Correct Answer:
b. Reinforcement
Expert Rationale:
Reinforcement is used when a deep tendon reflex is difficult to elicit. Having the patient
contract another muscle group can increase reflex response and improve assessment
accuracy.
2. During the assessment of the spine, the patient would be asked to:
a. Adduct and extend
b. Supinate, evert, and retract
c. Extend, adduct, invert, and rotate
d. Flex, extend, abduct, and rotate
Correct Answer:
d. Flex, extend, abduct, and rotate
Expert Rationale:
Spine range of motion is assessed through flexion, extension, lateral bending/abduction,
and rotation. These movements help identify pain, limitation, deformity, or
musculoskeletal dysfunction.
3. A 70- year- old woman has come for a health examination. Which of the
following is a common age-related change in the curvature of the spinal column.
a. Lordosis
b. Scoliosis
c. Kyphosis
d. Lateral scoliosis
Correct Answer:
c. Kyphosis
,Expert Rationale:
Kyphosis, an increased thoracic curvature, is a common age-related postural change. It
may result from vertebral compression, osteoporosis, or decreased musculoskeletal
strength.
4. A 65- year- old man has noticed a change in his personality and his ability to
understand. He cries and becomes angry very easily. The cerebral lobe
responsible for these behaviors is the ___ lobe.
a. Frontal
b. Parietal
c. Occipital
d. Temporal
Correct Answer:
a. Frontal
Expert Rationale:
The frontal lobe controls personality, judgment, emotional regulation, behavior, and
executive function. Changes in mood, impulse control, and understanding may indicate
frontal lobe involvement.
5. The medical record indicates that a person has an injury to Broca's area. When
meeting this person, you expect:
a. Difficulty speaking
b. Receptive aphasia
c. Visual disturbances
d. Emotional lability
Correct Answer:
a. Difficulty speaking
Expert Rationale:
Broca’s area controls motor speech production. Injury causes expressive aphasia,
where the patient understands language but has difficulty speaking or forming words.
6. To test for stereognosis, you would:
a. Have the person close his or her eyes and then raise the person's arm and ask the
person to describe its location.
, b. Touch the person with a tuning fork.
c. Place a coin in the person's hand and ask him or her to identify it.
d. Touch the person with a cold object.
Correct Answer:
c. Place a coin in the person's hand and ask him or her to identify it.
Expert Rationale:
Stereognosis tests the ability to recognize objects by touch. The patient should identify
a familiar object, such as a coin, while the eyes are closed.
7. Cerebellar function is assessed by which of the following:
a. Muscle size and strength assessment
b. Cranial nerve examination
c. Coordination - hopping on one foot
d. Spinothalamic test
Correct Answer:
c. Coordination - hopping on one foot
Expert Rationale:
The cerebellum controls coordination, balance, and smooth voluntary movement.
Hopping, finger-to-nose testing, and rapid alternating movements help assess
cerebellar function.
8. To elicit the Babinski reflex:
a. Gently tap the Achilles tendon.
b. Stroke the lateral aspect of the sole of the foot from heel to across the ball.
c. Present a noxious odor to the person
d. Observe the person walking heel to toe.
Correct Answer:
b. Stroke the lateral aspect of the sole of the foot from heel to across the ball.
Expert Rationale:
The Babinski reflex is tested by stroking the lateral sole of the foot. In adults,
dorsiflexion of the great toe is abnormal and may indicate upper motor neuron disease.
9. Examination of the shoulder includes 4 motions. These are:
FINAL EXAM
ACTUAL Questions with Verified Answers
(Health Assessment for Nursing Practice.)
Drexel University
This Document Description:
This document contains a collection of
Verified questions and accurate Answers
from FINAL EXAM at Drexel University. It
covers core topics assessed in the course and
reflects the actual exam format and question
style. Ideal for exam preparation and concept reinforcement.
,1. During a neurological examination, the tendon reflex fails to appear. Before
striking the tendon again, you use the technique of:
a. Two-point discrimination
b. Reinforcement
c. Vibration
d. Graphesthesia
Correct Answer:
b. Reinforcement
Expert Rationale:
Reinforcement is used when a deep tendon reflex is difficult to elicit. Having the patient
contract another muscle group can increase reflex response and improve assessment
accuracy.
2. During the assessment of the spine, the patient would be asked to:
a. Adduct and extend
b. Supinate, evert, and retract
c. Extend, adduct, invert, and rotate
d. Flex, extend, abduct, and rotate
Correct Answer:
d. Flex, extend, abduct, and rotate
Expert Rationale:
Spine range of motion is assessed through flexion, extension, lateral bending/abduction,
and rotation. These movements help identify pain, limitation, deformity, or
musculoskeletal dysfunction.
3. A 70- year- old woman has come for a health examination. Which of the
following is a common age-related change in the curvature of the spinal column.
a. Lordosis
b. Scoliosis
c. Kyphosis
d. Lateral scoliosis
Correct Answer:
c. Kyphosis
,Expert Rationale:
Kyphosis, an increased thoracic curvature, is a common age-related postural change. It
may result from vertebral compression, osteoporosis, or decreased musculoskeletal
strength.
4. A 65- year- old man has noticed a change in his personality and his ability to
understand. He cries and becomes angry very easily. The cerebral lobe
responsible for these behaviors is the ___ lobe.
a. Frontal
b. Parietal
c. Occipital
d. Temporal
Correct Answer:
a. Frontal
Expert Rationale:
The frontal lobe controls personality, judgment, emotional regulation, behavior, and
executive function. Changes in mood, impulse control, and understanding may indicate
frontal lobe involvement.
5. The medical record indicates that a person has an injury to Broca's area. When
meeting this person, you expect:
a. Difficulty speaking
b. Receptive aphasia
c. Visual disturbances
d. Emotional lability
Correct Answer:
a. Difficulty speaking
Expert Rationale:
Broca’s area controls motor speech production. Injury causes expressive aphasia,
where the patient understands language but has difficulty speaking or forming words.
6. To test for stereognosis, you would:
a. Have the person close his or her eyes and then raise the person's arm and ask the
person to describe its location.
, b. Touch the person with a tuning fork.
c. Place a coin in the person's hand and ask him or her to identify it.
d. Touch the person with a cold object.
Correct Answer:
c. Place a coin in the person's hand and ask him or her to identify it.
Expert Rationale:
Stereognosis tests the ability to recognize objects by touch. The patient should identify
a familiar object, such as a coin, while the eyes are closed.
7. Cerebellar function is assessed by which of the following:
a. Muscle size and strength assessment
b. Cranial nerve examination
c. Coordination - hopping on one foot
d. Spinothalamic test
Correct Answer:
c. Coordination - hopping on one foot
Expert Rationale:
The cerebellum controls coordination, balance, and smooth voluntary movement.
Hopping, finger-to-nose testing, and rapid alternating movements help assess
cerebellar function.
8. To elicit the Babinski reflex:
a. Gently tap the Achilles tendon.
b. Stroke the lateral aspect of the sole of the foot from heel to across the ball.
c. Present a noxious odor to the person
d. Observe the person walking heel to toe.
Correct Answer:
b. Stroke the lateral aspect of the sole of the foot from heel to across the ball.
Expert Rationale:
The Babinski reflex is tested by stroking the lateral sole of the foot. In adults,
dorsiflexion of the great toe is abnormal and may indicate upper motor neuron disease.
9. Examination of the shoulder includes 4 motions. These are:
