NURS 190 PHYSICAL ASSESSMENT
WEEK 10 FINAL QUIZ
1. When assessing the musculoskeletal system, the nurse notes a grating sound and sensation
caused by rubbing of bone fragments. This is documented as:
A. Ankylosis
B. Subluxation
C. Crepitus
D. Effusion
Answer: C
Conceptual Explanation: Crepitus is a dry, crackling or grating sound or sensation
produced by air in subcutaneous tissue or by bone rubbing against bone.
2. A patient exhibits a ‘shuffling’ gait with a stooped posture and diminished arm swinging.
The nurse recognizes this as a characteristic of:
A. Parkinsonian gait
B. Cerebellar ataxia
C. Spastic hemiparesis
D. Scissors gait
,Answer: A
Conceptual Explanation: Parkinsonian gait is characterized by a stooped posture, trunk
pitched forward, and short, shuffling steps.
3. To test the motor function of the Trigeminal nerve (CN V), the nurse should ask the patient
to:
A. Clench the teeth
B. Shrug the shoulders
C. Smile and frown
D. Stick out the tongue
Answer: A
Conceptual Explanation: CN V motor function is assessed by palpating the temporal and
masseter muscles as the person clenches the teeth.
4. During a neurological exam, the nurse asks the patient to identify a common object, like a
key, placed in their hand with eyes closed. This tests:
A. Graphesthesia
B. Extinction
C. Point localization
D. Stereognosis
Answer: D
, Conceptual Explanation: Stereognosis is the ability to recognize objects by feeling their
forms, sizes, and weights.
5. The nurse is assessing a patient’s deep tendon reflexes and finds them to be very brisk,
hyperactive, with clonus. How should this be graded?
A. 1+
B. 2+
C. 3+
D. 4+
Answer: D
Conceptual Explanation: 4+ indicates very brisk, hyperactive reflexes with clonus, often
indicative of disease.
6. Which assessment finding is a hallmark sign of Rheumatoid Arthritis rather than
Osteoarthritis?
A. Heberden nodes
B. Asymmetric joint involvement
C. Pain that worsens with activity
D. Ulnar deviation of the fingers
Answer: D
WEEK 10 FINAL QUIZ
1. When assessing the musculoskeletal system, the nurse notes a grating sound and sensation
caused by rubbing of bone fragments. This is documented as:
A. Ankylosis
B. Subluxation
C. Crepitus
D. Effusion
Answer: C
Conceptual Explanation: Crepitus is a dry, crackling or grating sound or sensation
produced by air in subcutaneous tissue or by bone rubbing against bone.
2. A patient exhibits a ‘shuffling’ gait with a stooped posture and diminished arm swinging.
The nurse recognizes this as a characteristic of:
A. Parkinsonian gait
B. Cerebellar ataxia
C. Spastic hemiparesis
D. Scissors gait
,Answer: A
Conceptual Explanation: Parkinsonian gait is characterized by a stooped posture, trunk
pitched forward, and short, shuffling steps.
3. To test the motor function of the Trigeminal nerve (CN V), the nurse should ask the patient
to:
A. Clench the teeth
B. Shrug the shoulders
C. Smile and frown
D. Stick out the tongue
Answer: A
Conceptual Explanation: CN V motor function is assessed by palpating the temporal and
masseter muscles as the person clenches the teeth.
4. During a neurological exam, the nurse asks the patient to identify a common object, like a
key, placed in their hand with eyes closed. This tests:
A. Graphesthesia
B. Extinction
C. Point localization
D. Stereognosis
Answer: D
, Conceptual Explanation: Stereognosis is the ability to recognize objects by feeling their
forms, sizes, and weights.
5. The nurse is assessing a patient’s deep tendon reflexes and finds them to be very brisk,
hyperactive, with clonus. How should this be graded?
A. 1+
B. 2+
C. 3+
D. 4+
Answer: D
Conceptual Explanation: 4+ indicates very brisk, hyperactive reflexes with clonus, often
indicative of disease.
6. Which assessment finding is a hallmark sign of Rheumatoid Arthritis rather than
Osteoarthritis?
A. Heberden nodes
B. Asymmetric joint involvement
C. Pain that worsens with activity
D. Ulnar deviation of the fingers
Answer: D
