NURS 190 PHYSICAL ASSESSMENT -
WEEK 14 ADVANCED QUIZ 2026 | WCU
1. A patient presents with a Glasgow Coma Scale (GCS) score of 7. The nurse interprets this as
which of the following?
A. Mild brain injury
B. Moderate brain injury
C. Normal neurological status
D. Severe brain injury (Comatose)
Answer: D
Conceptual Explanation: A GCS score of 8 or less is generally accepted as the clinical
definition of a coma or severe brain injury.
2. When assessing the oculomotor nerve (CN III), which finding would indicate a potential
cranial nerve deficit?
A. Constriction of pupils during accommodation
B. Visual acuity of 20/20 using a Snellen chart
C. Symmetric blink reflex
,D. Ptosis of the upper eyelid
Answer: D
Conceptual Explanation: CN III (Oculomotor) is responsible for elevating the eyelid;
ptosis (drooping) indicates dysfunction of this nerve.
3. Which assessment technique is most appropriate for identifying a patient with suspected
ascites?
A. Fluid wave test
B. Rebound tenderness
C. Deep palpation of the left upper quadrant
D. Auscultating for borborygmi
Answer: A
Conceptual Explanation: The fluid wave test and shifting dullness are specific maneuvers
used to detect free fluid in the peritoneal cavity (ascites).
4. During a cardiac assessment, the nurse notes a mid-systolic click. This sound is most
characteristic of:
A. Aortic stenosis
B. Ventricular septal defect
C. Pericardial friction rub
D. Mitral valve prolapse
, Answer: D
Conceptual Explanation: A mid-systolic click is the hallmark clinical finding for mitral
valve prolapse (MVP).
5. A patient exhibits a positive Romberg test. The nurse understands this indicates a problem
with:
A. Ophthalmic nerve integrity
B. Cerebellar function or proprioception
C. Upper motor neuron strength
D. Deep tendon reflexes
Answer: B
Conceptual Explanation: The Romberg test assesses balance and signifies issues with the
vestibular system, proprioception, or cerebellar function if the patient loses balance when
eyes are closed.
6. Which finding is considered abnormal when performing tactile fremitus on a patient with
lobar pneumonia?
A. Decreased vibrations over the affected lobe
B. Normal vibrations throughout
C. Absence of vibrations over the affected lobe
D. Increased vibrations over the affected lobe
WEEK 14 ADVANCED QUIZ 2026 | WCU
1. A patient presents with a Glasgow Coma Scale (GCS) score of 7. The nurse interprets this as
which of the following?
A. Mild brain injury
B. Moderate brain injury
C. Normal neurological status
D. Severe brain injury (Comatose)
Answer: D
Conceptual Explanation: A GCS score of 8 or less is generally accepted as the clinical
definition of a coma or severe brain injury.
2. When assessing the oculomotor nerve (CN III), which finding would indicate a potential
cranial nerve deficit?
A. Constriction of pupils during accommodation
B. Visual acuity of 20/20 using a Snellen chart
C. Symmetric blink reflex
,D. Ptosis of the upper eyelid
Answer: D
Conceptual Explanation: CN III (Oculomotor) is responsible for elevating the eyelid;
ptosis (drooping) indicates dysfunction of this nerve.
3. Which assessment technique is most appropriate for identifying a patient with suspected
ascites?
A. Fluid wave test
B. Rebound tenderness
C. Deep palpation of the left upper quadrant
D. Auscultating for borborygmi
Answer: A
Conceptual Explanation: The fluid wave test and shifting dullness are specific maneuvers
used to detect free fluid in the peritoneal cavity (ascites).
4. During a cardiac assessment, the nurse notes a mid-systolic click. This sound is most
characteristic of:
A. Aortic stenosis
B. Ventricular septal defect
C. Pericardial friction rub
D. Mitral valve prolapse
, Answer: D
Conceptual Explanation: A mid-systolic click is the hallmark clinical finding for mitral
valve prolapse (MVP).
5. A patient exhibits a positive Romberg test. The nurse understands this indicates a problem
with:
A. Ophthalmic nerve integrity
B. Cerebellar function or proprioception
C. Upper motor neuron strength
D. Deep tendon reflexes
Answer: B
Conceptual Explanation: The Romberg test assesses balance and signifies issues with the
vestibular system, proprioception, or cerebellar function if the patient loses balance when
eyes are closed.
6. Which finding is considered abnormal when performing tactile fremitus on a patient with
lobar pneumonia?
A. Decreased vibrations over the affected lobe
B. Normal vibrations throughout
C. Absence of vibrations over the affected lobe
D. Increased vibrations over the affected lobe
