HEALTH ASSESSMENT EXAM 3|(100) VERIFIED
PRACTICE EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS ALL RATED
A+|GUARANTEED SUCCESS|LATEST UPDATE
2024-2025
When assessing the hypoglossal nerve (CN XII), the nurse looks at and tests:
A. full, sustained eye opening
B. Movement and strength of the tongue.
C. The uvula rising to the midline when a person says, "Ah."
D. Symmetry of facial feature - ANSWER-✅B. Movement and strength of the tongue
The Glascow Coma Scale (GCS) is used to measure all of the following functions
except
A. Eye opening
B. Motor response
C. Verbal response
D. limb ataxia - ANSWER-✅D. limb ataxia
F.A.S.T. is an acronym used as a mnemonic to help detect and enhance
responsiveness to stroke victim needs. The nurse recognizes that a correct
interpretation of the acronym is:
A. F = feel the face, A = arm yourself, S = stop, T=time to rest
B. S.T.O.P. S=stop stroke, T=time to rest, O=opt out, P=poke to test
C. F=face drooping, A=arm weakness, S=speech difficulty, T=time to call 911
D. none of the above. - ANSWER-✅C. F=face drooping, A=arm weakness, S=speech
difficulty, T=time to call 911
The area of the brain that controls personality, behavior, emotions, and intellectual
function is:
A. Broca's area
B. The frontal lobe
C. Wernicke's area
D. the temporal lobe - ANSWER-✅B. The frontal lobe
Testing the deep tendon reflexes gives the examiner information regarding the
intactness of the:
A. corticospinal tract.
B. medulla.
,C. reflex arc at specific levels in the spinal cord.
D. upper motor and lower motor neuron synaptic junction. - ANSWER-✅C. reflex arc
at specific levels in the spinal cord.
Measurement of the deep tendon reflexes reveals the intactness of the reflex arc at
specific spinal levels.
An abnormal sensation of burning or tingling is best described as:
A. paralysis.
B. paresis.
C. paresthesia.
D. paraphasia. - ANSWER-✅C. paresthesia.
Paresthesia is an abnormal sensation such as burning or tingling.
What term is used to describe involuntary muscle movements?
A. Ataxia
B. Flaccidity
C. Athetosis
D. Vestibular function - ANSWER-✅C. Athetosis
Athetosis is slow, writhing, continuous, and involuntary movements of the
extremities.
Cerebellar function is tested by:
A. muscle strength assessment.
B. performance of rapid alternating movements.
C. the Phalen maneuver.
D. superficial pain and touch assessment. - ANSWER-✅B. performance of rapid
alternating movements.
The cerebellum controls motor coordination of voluntary movements, equilibrium,
and muscle tone. Cerebellar function is tested by balance tests (e.g., gait, Romberg
test) and coordination and skilled movements (e.g., rapid alternating movements,
finger-to-finger test, finger-to-nose test, heel-to-shin test).
The _____________ coordinates movement, maintains equilibrium, and helps
maintain posture.
A. extrapyramidal system
B. cerebellum
C. upper and lower motor neurons
D. basal ganglia - ANSWER-✅B. Cerebellum
The cerebellum controls motor coordination of voluntary movements, equilibrium
(i.e., the posture balance of the body), and muscle tone.
,An area of the body that is supplied mainly from one spinal segment through a
particular spinal nerve is identified as a:
A. dermatome.
B. dermal segmentation.
C. dermal hemisphere.
D. crossed representation. - ANSWER-✅A. dermatome.
A dermatome is a circumscribed skin area that is supplied mainly from one spinal
cord segment through a particular spinal nerve.
When examining a patient's cranial nerve (CN) function, the nurse remembers that
the muscles in the neck that are innervated by CN XI( Spinal Accessory) are the:
A)sternomastoid and trapezius.
B)spinal accessory and omohyoid.
C)trapezius and sternomandibular.
D)sternomandibular and spinal accessory. - ANSWER-✅Correct Answer is A
The major neck muscles are the sternomastoid and the trapezius. They are
innervated by CN XI, the spinal accessory.
A patient comes to the clinic complaining of neck and shoulder pain and is unable to
turn her head. The nurse suspects damage to cranial nerve (CN) _____ and proceeds
with the examination by _____.
A) XI; palpating the anterior and posterior triangles
B) XI; asking the patient to shrug her shoulders against resistance
C) XII; percussing the sternomastoid and submandibular neck muscles
D) XII; assessing for a positive Romberg sign - ANSWER-✅Correct Answer: B
The major neck muscles are the sternomastoid and the trapezius. They are
innervated by CN XI, the spinal accessory. The innervated muscles assist with head
rotation and head flexion, movement of the shoulders, and extension and turning of
the head. To test CN XI, we would have the patient perform neck ROM against
resistance and shrugging the shoulders against resistance.
During an examination, the nurse knows that the best way to palpate the lymph
nodes in the neck is described by which statement?
A) Using gentle pressure, palpate with both hands to compare the two sides.
B) Using strong pressure, palpate with both hands to compare the two sides.
C) Gently pinch each node between one's thumb and forefinger and move down the
neck muscle.
D)Using the index and middle fingers, gently palpate by applying pressure in a
rotating pattern. - ANSWER-✅ANS: A
Use gentle pressure because strong pressure could push the nodes into the neck
muscles. It is usually most efficient to palpate with both hands, to compare the two
sides symmetrically
, The nurse is palpating the temporomandibular joint (TMJ) which is located just
below the temporal artery and anterior to the tragus. Which of the following would
be a normal finding?
A) Nontender to palpation
B) Crepitus
C) The jaw locking
D) Painful palpation - ANSWER-✅The correct answer is A: Nontender to palpation.
When palpating the TMJ normal findings are smooth movement with no popping,
crepitus, or tenderness.
Which of the following subjective data would you want to collect for your patient
when performing a Head, Face and Neck Exam? (Select all that apply)
A. they have unusually frequent or severe headaches
B. If they have any dizziness
C. If they have any neck pain
D. If they have any chest pain
E. If they have any history of neck injury or surgery - ANSWER-✅Correct answers are
A, B, C, E.
Subjective data that you want to collect includes:
Headache
History of head injury, cosmetic or cranial surgery
Dizziness
Neck pain
Noticed lumps or swelling
History of neck injury or surgery
A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the
thyroid gland for the presence of a bruit. A bruit is a __________ sound that is heard
best with the __________ of the stethoscope.
A)Low gurgling; bell
B) Loud, whooshing, blowing; diaphragm
C) Soft, whooshing, pulsatile; bell
D)High-pitched tinkling; diaphragm - ANSWER-✅Correct answer is C:
a bruit is a soft, whooshing, pulsatile sound that is best assessed with the bell of the
stethescope.
The nurse is assessing the patient's trachea. Which of the following would be a
normal finding?
A.The trachea rising to midline when the patient swallows
B.The trachea deviating to the left when the person swallows
C.The trachea deviating to the right when the person swallows
D.The trachea not moving when the person swallows - ANSWER-✅Correct answer is
A.
