NUR 631/NUR631 Advanced Health Assessment
Exam 2 (V2) – 2026/2027 D’Youville University | 250
Verified Q&A with Detailed Rationales | A+ Graded
Guaranteed Pass
,1. Which cranial nerve is tested by asking the patient to shrug the
shoulders?
A. CN VII
B. CN XI
C. CN X
D. CN XII
B. CN XI
CN XI, the spinal accessory nerve, innervates the trapezius and
sternocleidomastoid muscles.
2. Which finding is an expected age-related change in the older
adult’s eye?
A. Increased tear production
B. Arcus senilis
C. Miosis
D. Exophthalmos
B. Arcus senilis
Arcus senilis is a benign lipid deposit around the cornea that is
common with aging.
3. Which test assesses red-green color vision?
A. Snellen chart
B. Ishihara plates
, C. Confrontation test
D. Cover-uncover test
B. Ishihara plates
Ishihara plates are used to detect red-green color vision
deficiency.
4. Which cranial nerve is responsible for facial expression?
A. CN V
B. CN VII
C. CN IX
D. CN X
B. CN VII
CN VII, the facial nerve, controls muscles of facial expression.
5. Which finding suggests acute otitis media on otoscopic exam?
A. Pearly gray tympanic membrane
B. Bulging, red tympanic membrane
C. Visible malleus
D. Light reflex present
B. Bulging, red tympanic membrane
A bulging, erythematous tympanic membrane suggests middle
ear infection.
, 6. Which maneuver best assesses for sinus tenderness?
A. Palpation of the maxillary and frontal sinuses
B. Otoscopic examination
C. Transillumination of the throat
D. Auscultation of the neck
A. Palpation of the maxillary and frontal sinuses
Tenderness over the maxillary or frontal sinuses may indicate
sinusitis.
7. Which symptom is most consistent with vertigo?
A. Room spinning sensation
B. Loss of consciousness
C. Generalized weakness
D. Blurred vision only
A. Room spinning sensation
Vertigo is an illusory sensation of movement, often described as
spinning.
8. Which cranial nerve is tested by asking the patient to stick out the
tongue?
A. CN IX
B. CN X
C. CN XI
Exam 2 (V2) – 2026/2027 D’Youville University | 250
Verified Q&A with Detailed Rationales | A+ Graded
Guaranteed Pass
,1. Which cranial nerve is tested by asking the patient to shrug the
shoulders?
A. CN VII
B. CN XI
C. CN X
D. CN XII
B. CN XI
CN XI, the spinal accessory nerve, innervates the trapezius and
sternocleidomastoid muscles.
2. Which finding is an expected age-related change in the older
adult’s eye?
A. Increased tear production
B. Arcus senilis
C. Miosis
D. Exophthalmos
B. Arcus senilis
Arcus senilis is a benign lipid deposit around the cornea that is
common with aging.
3. Which test assesses red-green color vision?
A. Snellen chart
B. Ishihara plates
, C. Confrontation test
D. Cover-uncover test
B. Ishihara plates
Ishihara plates are used to detect red-green color vision
deficiency.
4. Which cranial nerve is responsible for facial expression?
A. CN V
B. CN VII
C. CN IX
D. CN X
B. CN VII
CN VII, the facial nerve, controls muscles of facial expression.
5. Which finding suggests acute otitis media on otoscopic exam?
A. Pearly gray tympanic membrane
B. Bulging, red tympanic membrane
C. Visible malleus
D. Light reflex present
B. Bulging, red tympanic membrane
A bulging, erythematous tympanic membrane suggests middle
ear infection.
, 6. Which maneuver best assesses for sinus tenderness?
A. Palpation of the maxillary and frontal sinuses
B. Otoscopic examination
C. Transillumination of the throat
D. Auscultation of the neck
A. Palpation of the maxillary and frontal sinuses
Tenderness over the maxillary or frontal sinuses may indicate
sinusitis.
7. Which symptom is most consistent with vertigo?
A. Room spinning sensation
B. Loss of consciousness
C. Generalized weakness
D. Blurred vision only
A. Room spinning sensation
Vertigo is an illusory sensation of movement, often described as
spinning.
8. Which cranial nerve is tested by asking the patient to stick out the
tongue?
A. CN IX
B. CN X
C. CN XI
