NURS 5220 EXAM 2: NURS 5220 EXAM 2
PRACTICE EXAM: 150 QUESTIONS &
ANSWERS: LATEST UPDATED A+ GUIDE
SOLUTION
CORE DOMAINS
• Neurological System Assessment
• Mental Status and Cognitive Function
• Cranial Nerve Assessment
• Sensory and Motor Function
• Deep Tendon Reflexes and Pathological Reflexes
• Head, Eyes, Ears, Nose, and Throat (HEENT)
• Cardiac and Peripheral Vascular Assessment
• Respiratory Assessment
• Gastrointestinal and Genitourinary Assessment
• Health History and Clinical Decision-Making
INTRODUCTION
The NURS 5220 Exam 2 evaluates advanced health assessment competencies
essential for graduate nursing practice. This comprehensive examination assesses
knowledge of neurological, cardiac, respiratory, and gastrointestinal system
assessment, including mental status evaluation, cranial nerve testing, sensory and
motor function, and clinical decision-making. The exam employs multiple-choice
,and scenario-based questions requiring application of assessment techniques and
interpretation of findings. Candidates must demonstrate understanding of normal
versus abnormal findings, diagnostic reasoning, and evidence-based practice.
Competency in this course supports the development of advanced clinical
judgment essential for comprehensive patient evaluation and management.
SECTION ONE: QUESTIONS 1–150
1. What part of the brain is primarily responsible for a patient's mental status?
A. Limbic System
B. Cerebrum
C. Reticular Activating System
D. Cerebellum
RATIONALE: The cerebrum is primarily responsible for a patient's mental
status and is divided into four lobes, each playing a significant role in cognitive
function .
2. Which part of the brain regulates wakefulness and arousal?
A. Limbic System
B. Cerebrum
C. Reticular Activating System
D. Thalamus
RATIONALE: The reticular activating system (RAS) regulates levels of
wakefulness and arousal, maintaining consciousness and alertness .
3. Which part of the brain controls behavioral patterns essential for survival such
as emotions and motivation?
, A. Limbic System
B. Cerebrum
C. Reticular Activating System
D. Brainstem
RATIONALE: The limbic system mediates patterns of behavior that determine
survival, including emotions such as anger, love, hostility, and envy .
4. A 69-year-old truck driver presents with sudden loss of ability to understand
spoken language. This indicates a lesion in which area?
A. Temporal lobe
B. Broca area
C. Frontal cortex
D. Cerebellum
RATIONALE: The temporal lobe contains the Wernicke speech area, which
permits comprehension of spoken and written language. A lesion here causes
receptive (auditory) aphasia .
5. What is the function of Broca's area?
A. Comprehension of language
B. Motor speech formation
C. Visual processing
D. Balance and coordination
RATIONALE: Broca's area, located in the frontal lobe, contains the motor
cortex associated with speech formation, decision-making, problem-solving, and
short-term memory .
6. Which phrase can be used to test abstract reasoning?
, A. What is your name and date of birth?
B. What are the three words I just said to you 5 minutes ago?
C. What did you eat for dinner last night?
D. What does "A stitch in time saves nine" mean?
RATIONALE: Abstract reasoning is tested by asking patients to interpret
proverbs or metaphors, which requires higher-level cognitive processing .
7. Loss of ability to recognize common objects despite intact sensory function is
called:
A. Agnosia
B. Apraxia
C. Aphasia
D. Ataxia
RATIONALE: Agnosia is the inability to recognize familiar objects or sounds
despite having the sensory ability to do so. It is categorized by the affected
sensory modality .
8. A patient is unable to recognize everyday objects and faces. Which part of the
brain is affected?
A. Temporal lobe
B. Parietal lobe
C. Occipital lobe
D. Frontal lobe
RATIONALE: Visual agnosia occurs with occipital lobe lesions, where patients
cannot recognize objects or faces despite intact vision .
PRACTICE EXAM: 150 QUESTIONS &
ANSWERS: LATEST UPDATED A+ GUIDE
SOLUTION
CORE DOMAINS
• Neurological System Assessment
• Mental Status and Cognitive Function
• Cranial Nerve Assessment
• Sensory and Motor Function
• Deep Tendon Reflexes and Pathological Reflexes
• Head, Eyes, Ears, Nose, and Throat (HEENT)
• Cardiac and Peripheral Vascular Assessment
• Respiratory Assessment
• Gastrointestinal and Genitourinary Assessment
• Health History and Clinical Decision-Making
INTRODUCTION
The NURS 5220 Exam 2 evaluates advanced health assessment competencies
essential for graduate nursing practice. This comprehensive examination assesses
knowledge of neurological, cardiac, respiratory, and gastrointestinal system
assessment, including mental status evaluation, cranial nerve testing, sensory and
motor function, and clinical decision-making. The exam employs multiple-choice
,and scenario-based questions requiring application of assessment techniques and
interpretation of findings. Candidates must demonstrate understanding of normal
versus abnormal findings, diagnostic reasoning, and evidence-based practice.
Competency in this course supports the development of advanced clinical
judgment essential for comprehensive patient evaluation and management.
SECTION ONE: QUESTIONS 1–150
1. What part of the brain is primarily responsible for a patient's mental status?
A. Limbic System
B. Cerebrum
C. Reticular Activating System
D. Cerebellum
RATIONALE: The cerebrum is primarily responsible for a patient's mental
status and is divided into four lobes, each playing a significant role in cognitive
function .
2. Which part of the brain regulates wakefulness and arousal?
A. Limbic System
B. Cerebrum
C. Reticular Activating System
D. Thalamus
RATIONALE: The reticular activating system (RAS) regulates levels of
wakefulness and arousal, maintaining consciousness and alertness .
3. Which part of the brain controls behavioral patterns essential for survival such
as emotions and motivation?
, A. Limbic System
B. Cerebrum
C. Reticular Activating System
D. Brainstem
RATIONALE: The limbic system mediates patterns of behavior that determine
survival, including emotions such as anger, love, hostility, and envy .
4. A 69-year-old truck driver presents with sudden loss of ability to understand
spoken language. This indicates a lesion in which area?
A. Temporal lobe
B. Broca area
C. Frontal cortex
D. Cerebellum
RATIONALE: The temporal lobe contains the Wernicke speech area, which
permits comprehension of spoken and written language. A lesion here causes
receptive (auditory) aphasia .
5. What is the function of Broca's area?
A. Comprehension of language
B. Motor speech formation
C. Visual processing
D. Balance and coordination
RATIONALE: Broca's area, located in the frontal lobe, contains the motor
cortex associated with speech formation, decision-making, problem-solving, and
short-term memory .
6. Which phrase can be used to test abstract reasoning?
, A. What is your name and date of birth?
B. What are the three words I just said to you 5 minutes ago?
C. What did you eat for dinner last night?
D. What does "A stitch in time saves nine" mean?
RATIONALE: Abstract reasoning is tested by asking patients to interpret
proverbs or metaphors, which requires higher-level cognitive processing .
7. Loss of ability to recognize common objects despite intact sensory function is
called:
A. Agnosia
B. Apraxia
C. Aphasia
D. Ataxia
RATIONALE: Agnosia is the inability to recognize familiar objects or sounds
despite having the sensory ability to do so. It is categorized by the affected
sensory modality .
8. A patient is unable to recognize everyday objects and faces. Which part of the
brain is affected?
A. Temporal lobe
B. Parietal lobe
C. Occipital lobe
D. Frontal lobe
RATIONALE: Visual agnosia occurs with occipital lobe lesions, where patients
cannot recognize objects or faces despite intact vision .
