Examl 4:l NSG121/l NSGl 121l (NEWl 2025/l
2026l Update)l Healthl Assessmentl Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Herzing
QUESTION
Focusedl orl Advanced
Neurologicall Systeml Assessment
Answer:
-Evaluatel complexl cognitivel function.
-Assessl functionl ofl CNsl I-XIIl thoroughly
-Assessl rapidlyl alternatingl movements,l finger-to-nosel andl heel-to-shinl test
-Temperaturel sensation,l vibrationl sensation,l motionl andl positionl sense,l stereognosis,l
graphesthesia,l two-pointl discrimination,l andl extinction
-Assessl deepl tendonl andl superficiall reflexes
QUESTION
Musclel Strengthl Grading
Answer:
▪Assessl musclel strengthl (pyramidall motorl system)l byl askingl thel patientl tol movel
extremitiesl orl selectedl musclel groupsl bothl independentlyl andl againstl thel examiner'sl
resistance.
▪0—Nol musclel contraction
▪1—Barelyl detectable,l flicker
▪2—Activel movementl withl gravityl eliminated
▪3—Activel movementl againstl gravity
▪4—Activel movementl againstl somel resistance
▪5—Activel movementl againstl fulll resistance
▪Normall strengthl isl 4-5+
,QUESTION
Advancedl Practicel Assessmentl Techniques
Answer:
-Temperaturel Sensation
-Pointl Localization
-Vibrationl Sensation
-Motionl andl Positionl Sense
-Stereognosis
-Graphesthesia
-Two-pointl discrimination
-Extinction
QUESTION
Assessmentl ofl Reflexes
Deepl Tendonl Reflexesl (DTR)
Answer:
Deepl Tendonl Reflexesl -l includel biceps,l triceps,l brachioradialis,l patellar,l andl Achilles
▪observedl forl symmetryl whenl testedl bilaterallyl andl forl brisknessl ofl reflexl movement
▪4+—Veryl brisk,l hyperactivel withl clonus
▪3+—Briskerl thanl average
▪2+—Average,l normal
▪1+—Diminished;l lowl normal
▪0—Nol response
QUESTION
Assessmentl ofl Reflexes
Plantarl Response
Answer:
, testl byl strokingl thel solel ofl thel footl withl al bluntl instrument.l Applyl thel stimulusl firmlyl
butl gentlyl tol thel laterall aspect,l beginningl atl thel heell andl stoppingl shortl ofl thel basel ofl
thel toes.l Thel toesl flexl (al flexor-plantarl response).
QUESTION
Assessmentl ofl Reflexes
Babinskil Sign
Answer:
greatl toel extendsl upwardl (dorsiflexion),l andl thel otherl toesl fanl out
QUESTION
I:l Olfactory
Answer:
Askl thel clientl tol smelll andl identifyl thel smelll ofl colognel withl eachl nostrill separatelyl
andl withl thel eyesl closed.
QUESTION
II:l Optic
Answer:
Providel adequatel lightingl andl askl clientl tol readl froml al readingl materiall heldl atl al
distancel ofl 36l cm.
QUESTION
III:l Oculomotor
Answer:
2026l Update)l Healthl Assessmentl Guide|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Herzing
QUESTION
Focusedl orl Advanced
Neurologicall Systeml Assessment
Answer:
-Evaluatel complexl cognitivel function.
-Assessl functionl ofl CNsl I-XIIl thoroughly
-Assessl rapidlyl alternatingl movements,l finger-to-nosel andl heel-to-shinl test
-Temperaturel sensation,l vibrationl sensation,l motionl andl positionl sense,l stereognosis,l
graphesthesia,l two-pointl discrimination,l andl extinction
-Assessl deepl tendonl andl superficiall reflexes
QUESTION
Musclel Strengthl Grading
Answer:
▪Assessl musclel strengthl (pyramidall motorl system)l byl askingl thel patientl tol movel
extremitiesl orl selectedl musclel groupsl bothl independentlyl andl againstl thel examiner'sl
resistance.
▪0—Nol musclel contraction
▪1—Barelyl detectable,l flicker
▪2—Activel movementl withl gravityl eliminated
▪3—Activel movementl againstl gravity
▪4—Activel movementl againstl somel resistance
▪5—Activel movementl againstl fulll resistance
▪Normall strengthl isl 4-5+
,QUESTION
Advancedl Practicel Assessmentl Techniques
Answer:
-Temperaturel Sensation
-Pointl Localization
-Vibrationl Sensation
-Motionl andl Positionl Sense
-Stereognosis
-Graphesthesia
-Two-pointl discrimination
-Extinction
QUESTION
Assessmentl ofl Reflexes
Deepl Tendonl Reflexesl (DTR)
Answer:
Deepl Tendonl Reflexesl -l includel biceps,l triceps,l brachioradialis,l patellar,l andl Achilles
▪observedl forl symmetryl whenl testedl bilaterallyl andl forl brisknessl ofl reflexl movement
▪4+—Veryl brisk,l hyperactivel withl clonus
▪3+—Briskerl thanl average
▪2+—Average,l normal
▪1+—Diminished;l lowl normal
▪0—Nol response
QUESTION
Assessmentl ofl Reflexes
Plantarl Response
Answer:
, testl byl strokingl thel solel ofl thel footl withl al bluntl instrument.l Applyl thel stimulusl firmlyl
butl gentlyl tol thel laterall aspect,l beginningl atl thel heell andl stoppingl shortl ofl thel basel ofl
thel toes.l Thel toesl flexl (al flexor-plantarl response).
QUESTION
Assessmentl ofl Reflexes
Babinskil Sign
Answer:
greatl toel extendsl upwardl (dorsiflexion),l andl thel otherl toesl fanl out
QUESTION
I:l Olfactory
Answer:
Askl thel clientl tol smelll andl identifyl thel smelll ofl colognel withl eachl nostrill separatelyl
andl withl thel eyesl closed.
QUESTION
II:l Optic
Answer:
Providel adequatel lightingl andl askl clientl tol readl froml al readingl materiall heldl atl al
distancel ofl 36l cm.
QUESTION
III:l Oculomotor
Answer:
