HEALTH ASSESSMENT EXAM 3 TEST
BANK 2025/2026 UPDATED EXAM WITH
VERIFIED SOLUTIONS.
A nurse is having difficulty eliciting a patellar reflex. Which of the
following would be most appropriate for the nurse to have the
client do?
A) Lock the fingers together and pull against each other.
B) Clench the jaw tightly.
C) Squeeze a thigh with the opposite hand.
D) Stretch the arms over head. - correct answer -a
Which of the following tests would be most appropriate for the
nurse to use when assessing motor function of the trigeminal
nerve?
A) Ask client to differentiate sharp and dull sensations on client's
face.
B) Have the client smile, frown and wrinkle the forehead.
C) Palpates temporal and masseter muscles while client clenches
teeth.
D) Assess dilatation of pupils with direct light. - correct answer -c
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Which of the following assessment findings would lead the nurse
to suspect that a client has Bell's palsy?
A) Inability to detect sharp and dull stimuli
B) Inability to wrinkle the forehead
C) Closure of the affected eye from swelling
D) Muscle spasm of the lower face on the affected side - correct
answer -b
When assessing cranial nerves IX and X, which of the following
would the nurse consider as a normal finding?
A) Stationary soft palate on phonation
B) Deviation of uvula when client says "ah"
C) Asymmetrical soft palate
D) Uvula and soft palate rising bilaterally - correct answer -d
The nurse is preparing to assess balance in an older adult client.
Which test would the nurse plan on possibly omitting from the
exam?
A) Romberg
B) Tandem walking
C) Gait
D) Hop on one foot - correct answer -d
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When explaining how the nurse would test graphesthesia, which
of the following would the nurse include?
A) Client will close the eyes and identify what number the nurse
writes in the palm of the client's hand with a blunt-ended object
B) The client is to identify the numbers of points felt when the
nurse touches the client with the ends of two applicators at the
same time.
C) The nurse will simultaneously touch the client in the same area
on both sides of the body and the client will identify where the
touch occurred.
D) The nurse will briefly touch the client and the client will need to
identify where the touch occurred. - correct answer -a
When documenting the findings of a neurologic assessment,
which of the following would be most important?
A) Verify the data before documenting.
B) Describe the client's response.
C) Label the client's behavior.
D) Record objective data primarily. - correct answer -b
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During the Romberg test, a client is unable to stand with the feet
together and demonstrates a wide-based, staggering, unsteady
gait. The nurse would identify this as which of the following?
A) Spastic hemiparesis
B) Parkinsonian gait
C) Scissors gait
D) Cerebellar ataxia - correct answer -d
When assessing a client's deep tendon reflexes, which technique
would be most appropriate for the nurse to use?
A) Use the blunt end of the reflex hammer to strike a smaller area.
B) Strike the area slowly and methodically.
C) Hold the reflex hammer between the thumb and index finger.
D) Percuss the area of the tendon to be struck for the reflex. -
correct answer -c
When preparing to test a client for meningeal irritation, which of
the following would be most important for the nurse to do first?
A) Check for evidence of fever and chills
B) Ensure no injury to the cervical spine
C) Position the client prone
D) Check for a Babinski reflex - correct answer -b