NSG 500 EXAM 3 – ADVANCED HEALTH
ASSESSMENT QUESTIONS AND
ANSWERS
1. When assessing the Trigeminal nerve (CN V), which of the following clinical findings would
indicate a deficit?
A. Reduced sensation when touching the forehead, cheek, or jaw
B. Loss of taste on the anterior two-thirds of the tongue
C. Asymmetrical facial expression when smiling
D. Inability to shrug the shoulders against resistance
Answer: A
Conceptual Explanation: CN V is responsible for facial sensation and motor function of
the muscles of mastication.
2. A patient exhibits a positive Romberg test. This finding is most indicative of a dysfunction
in which system?
A. Cerebellar rhythmic movement
B. Upper motor neuron coordination
,C. Lower motor neuron strength
D. Proprioception or vestibular function
Answer: D
Conceptual Explanation: The Romberg test assesses the ability to maintain balance
without visual input, relying on vestibular and proprioceptive systems.
3. Which grade should the nurse practitioner assign to a deep tendon reflex that is brisk and
hyperactive with intermittent clonus?
A. 1+
B. 2+
C. 4+
D. 3+
Answer: C
Conceptual Explanation: A 4+ reflex is very brisk, hyperactive, and often associated with
clonus.
4. A positive Phalen’s sign is an indicator for which of the following conditions?
A. De Quervain’s tenosynovitis
B. Carpal tunnel syndrome
C. Ulnar nerve entrapment
, D. Radial nerve palsy
Answer: B
Conceptual Explanation: Phalen’s sign involves wrist flexion for 60 seconds; numbness or
tingling suggests carpal tunnel syndrome.
5. The McMurray test is specifically designed to evaluate the integrity of which structure?
A. Meniscus
B. Posterior cruciate ligament
C. Anterior cruciate ligament
D. Collateral ligaments
Answer: A
Conceptual Explanation: The McMurray test identifies meniscal tears by rotating the knee
with internal/external stress.
6. A patient is able to move their arm against gravity but not against any added resistance.
What is the correct muscle strength grade?
A. 3/5
B. 2/5
C. 4/5
D. 5/5
ASSESSMENT QUESTIONS AND
ANSWERS
1. When assessing the Trigeminal nerve (CN V), which of the following clinical findings would
indicate a deficit?
A. Reduced sensation when touching the forehead, cheek, or jaw
B. Loss of taste on the anterior two-thirds of the tongue
C. Asymmetrical facial expression when smiling
D. Inability to shrug the shoulders against resistance
Answer: A
Conceptual Explanation: CN V is responsible for facial sensation and motor function of
the muscles of mastication.
2. A patient exhibits a positive Romberg test. This finding is most indicative of a dysfunction
in which system?
A. Cerebellar rhythmic movement
B. Upper motor neuron coordination
,C. Lower motor neuron strength
D. Proprioception or vestibular function
Answer: D
Conceptual Explanation: The Romberg test assesses the ability to maintain balance
without visual input, relying on vestibular and proprioceptive systems.
3. Which grade should the nurse practitioner assign to a deep tendon reflex that is brisk and
hyperactive with intermittent clonus?
A. 1+
B. 2+
C. 4+
D. 3+
Answer: C
Conceptual Explanation: A 4+ reflex is very brisk, hyperactive, and often associated with
clonus.
4. A positive Phalen’s sign is an indicator for which of the following conditions?
A. De Quervain’s tenosynovitis
B. Carpal tunnel syndrome
C. Ulnar nerve entrapment
, D. Radial nerve palsy
Answer: B
Conceptual Explanation: Phalen’s sign involves wrist flexion for 60 seconds; numbness or
tingling suggests carpal tunnel syndrome.
5. The McMurray test is specifically designed to evaluate the integrity of which structure?
A. Meniscus
B. Posterior cruciate ligament
C. Anterior cruciate ligament
D. Collateral ligaments
Answer: A
Conceptual Explanation: The McMurray test identifies meniscal tears by rotating the knee
with internal/external stress.
6. A patient is able to move their arm against gravity but not against any added resistance.
What is the correct muscle strength grade?
A. 3/5
B. 2/5
C. 4/5
D. 5/5
