Page |1
NSG 6020 HEALTH ASSESSMENT HEENT Practice Questions 50
100% SURE Questions | Answers & Rationales
1. Which cranial nerve is assessed by having the client smile,
frown, and raise eyebrows?
A. CN V
B. CN VII
C. CN IX
D. CN XII
Answer: B
Rationale: CN VII (facial) controls facial expression muscles. CN
V controls mastication/facial sensation.
2. The examiner tests the corneal reflex. Which cranial nerves
are involved?
A. I and II
B. V and VII
C. III and IV
D. IX and X
Answer: B
Rationale: Corneal reflex is sensory via CN V and motor (blink)
via CN VII.
, Page |2
3. A client has unequal pupils. The examiner notes the right
pupil is fixed and dilated. What is the priority action?
A. Document and recheck in 1 hour
B. Notify provider immediately; possible neurologic emergency
C. Apply a warm compress
D. Test visual acuity only
Answer: B
Rationale: Fixed, dilated pupil may indicate increased
intracranial pressure or oculomotor nerve compression;
emergency.
4. Which finding is normal when inspecting the tympanic
membrane?
A. Pearly gray, translucent, visible light reflex
B. Red and bulging
C. Dull and retracted
D. Blue-black discoloration
Answer: A
Rationale: Normal TM is pearly gray and translucent with visible
light reflex.
, Page |3
5. In an adult, the examiner should pull the pinna in which
direction for otoscopic examination?
A. Down and back
B. Up and back
C. Straight down
D. Forward
Answer: B
Rationale: Adult ear canal is straightened by pulling pinna up
and back. Children under 3: down and back.
6. The Rinne test is used to compare:
A. Bone conduction and air conduction
B. Hearing between ears
C. Visual fields
D. Pupillary reflexes
Answer: A
Rationale: Rinne compares bone conduction (BC) to air
conduction (AC). Normal AC > BC.
7. In the Weber test, sound lateralizes to the left ear. What
does this suggest?
NSG 6020 HEALTH ASSESSMENT HEENT Practice Questions 50
100% SURE Questions | Answers & Rationales
1. Which cranial nerve is assessed by having the client smile,
frown, and raise eyebrows?
A. CN V
B. CN VII
C. CN IX
D. CN XII
Answer: B
Rationale: CN VII (facial) controls facial expression muscles. CN
V controls mastication/facial sensation.
2. The examiner tests the corneal reflex. Which cranial nerves
are involved?
A. I and II
B. V and VII
C. III and IV
D. IX and X
Answer: B
Rationale: Corneal reflex is sensory via CN V and motor (blink)
via CN VII.
, Page |2
3. A client has unequal pupils. The examiner notes the right
pupil is fixed and dilated. What is the priority action?
A. Document and recheck in 1 hour
B. Notify provider immediately; possible neurologic emergency
C. Apply a warm compress
D. Test visual acuity only
Answer: B
Rationale: Fixed, dilated pupil may indicate increased
intracranial pressure or oculomotor nerve compression;
emergency.
4. Which finding is normal when inspecting the tympanic
membrane?
A. Pearly gray, translucent, visible light reflex
B. Red and bulging
C. Dull and retracted
D. Blue-black discoloration
Answer: A
Rationale: Normal TM is pearly gray and translucent with visible
light reflex.
, Page |3
5. In an adult, the examiner should pull the pinna in which
direction for otoscopic examination?
A. Down and back
B. Up and back
C. Straight down
D. Forward
Answer: B
Rationale: Adult ear canal is straightened by pulling pinna up
and back. Children under 3: down and back.
6. The Rinne test is used to compare:
A. Bone conduction and air conduction
B. Hearing between ears
C. Visual fields
D. Pupillary reflexes
Answer: A
Rationale: Rinne compares bone conduction (BC) to air
conduction (AC). Normal AC > BC.
7. In the Weber test, sound lateralizes to the left ear. What
does this suggest?
