WGU HEALTH ASSESSMENT (UPDATE
2026) QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS 100%
CORRECT
Mental Status - CORRECT ANSWES -- 1. Assess level of consciousness; facial
expression and body language; speech; cognition and functioning
2. Assess while doing health history
cerebral - CORRECT ANSWES -- mental status
cerebellum - CORRECT ANSWES -- gait, coordination, balance, etc.
cranial nerves - CORRECT ANSWES -- sensory motor parasympathetic or mixed
Ptosis - CORRECT ANSWES -- CN 3
Facial Droop or Asymmertry - CORRECT ANSWES -- CN 7
Hoarse Voice - CORRECT ANSWES -- CN 10
Observation Neurologic Examination - CORRECT ANSWES -- 1. Ptosis (III)
2. Facial Droop or Asymmetry (VII)
3. Hoarse Voice (X)
4. Articulation of Words (V, VII, X, XII)
5. Abnormal Eye Position (III, IV, VI)
6. Abnormal or Asymmetrical P
Olfactory - CORRECT ANSWES -- 1. Sensory nerve: Tests sense of smell
2. Not routinely tested unless indicated.
Optic - CORRECT ANSWES -- 1. Sensory nerve: vision
2. Test Visual Acuity: Use Snellen eye chart or a Rosenbaum pocket card at a 14 inch
"reading" distance). Process is on pg. 10 under "Examination of eye".
3. Screen Visual Fields by Confrontation
Oculomotor - CORRECT ANSWES -- Oculomotor
1. Mixed nerve: (A) Motor: controls extraocular movements (EOM), opening eyelids;
,(B) Parasympathetic: pupil constriction, iris shape
2. Observe for Ptosis (drooping eyelid)
3. Test Extraocular Movements Process is on page 11 under "Examination of Eye"
4. Test Pupillary Reactions to Light. Process is on page 11 under "Examination of Eye"
Parasympathetic - CORRECT ANSWES -- pupil constriction iris shape
trochlear - CORRECT ANSWES -- motor nerve: inward and downward movement of
eye
Trigeminal - CORRECT ANSWES -- 1. Mixed nerve. (A) Motor: muscles of mastication;
(B) sensory: face, scalp, mouth, nose
Trigeminal Test Temporal and Masseter Muscle Strength - CORRECT ANSWES -- a.
Ask patient to both open their mouth and clench their teeth.
b. Palpate the temporal and masseter muscles as they do this.
Trigeminal Test the Three Divisions for Pain Sensation - CORRECT ANSWES -- a.
Explain what you intend to do.
b. Use a suitable sharp object to test the forehead, cheeks, and jaw on both sides.
c. Substitute a blunt object occasionally and ask the patient to report "sharp" or "dull."
d. If you find and abnormality then: Test the three divisions for temperature sensation
with a
tuning fork heated or cooled by water.
e. Test the three divisions for sensation to light touch using a wisp of cotton
Trigemianl Test the Corneal Reflex (normally not checked unless specific concerns) -
CORRECT ANSWES -- a. Ask the patient to look up and away.
b. From the other side, touch the cornea lightly with a fine wisp of cotton.
c. Look for the normal blink reaction of both eyes.
d. Repeat on the other side.
e. Use of contact lens may decrease this response.
Adbucens - CORRECT ANSWES -- Motor: lateral eye movement
Facial Test - CORRECT ANSWES -- 1. Mixed: (A) Motor: muscles used for facial
expressions, close eye and mouth; (B) Sensory
(sense of taste in the front 2/3 of tongue; (C) Parasympathetic: saliva and tear secretion
2. Sense of taste not usually checked unless specific concerns
3. Observe for Any Facial Droop or Asymmetry
a) Ask Patient to do the following, note any lag, weakness, or asymmetry: Raise
eyebrows
b) Close both eyes to resistance
c) Smile
d) Frown
e) Show teeth
, f) Puff out cheeks
4. Test the Corneal Reflex (See C.N. V above)
Acoustic - CORRECT ANSWES -- 1. Sensory: Hearing and Equilibrium
2. Initial test:
a) Face the patient and hold out your arms with your fingers near each ear.
b) Rub your fingers together on one side while moving the fingers noiselessly on the
other.
c) Ask the patient to tell you when and on which side they hear the rubbing.
d) Increase intensity as needed and note any asymmetry.
e) Test hearing with normal voice and whispers
3. If abnormal, proceed with the Weber and Rinne tests.
Weber test lateralization - CORRECT ANSWES -- a) Screening tool - not used as often
as in past
b) Use a 512 Hz or 1024 Hz tuning fork.
c) Start the fork vibrating by tapping it on your opposite hand.
d) Place the base of the tuning fork firmly on top of the patient's head.
e) Ask the patient where the sound appears to be coming from (normally in the midline).
f) Normal is to hear equally in bone ears. If louder in one ear, it is abnormal. Abnormal
indicates conductive hearing loss in that ear or sensory hearing loss in opposite ear.
Rinne Test Air and Bone Conduciton - CORRECT ANSWES -- a) Screening tool - not
used as often as in past
b) Use a 512 Hz or 1024 Hz tuning fork.
c) Start the fork vibrating by tapping it on your opposite hand.
d) Place the base of the tuning fork against the mastoid bone behind the ear.
e) When the patient no longer hears the sound, hold the end of the fork near the
patient's ear
(air conduction is normally greater than bone conduction).
f) Normal (positive result) = hearing sound still once moved behind mastoid bone.
Abnormal =
not hearing the sound, usually indicates conductive hearing loss.
glossopharyngeal - CORRECT ANSWES -- Glossopharyngeal
1. Mixed: motor: (A) Motor: pharynx (phonation and swallowing); (B) Sensory: taste on
posterior 1/3 of tongue; gag reflex; (C) parasympathetic: parotid gland, carotid reflex.
Vagus - CORRECT ANSWES -- 1. Mixed - (A) Motor: pharynx and larynx (swallowing
and talking); (B) Sensory: general sensation
from carotid body, carotid sinus, pharynx, viscera; (C) parasympathetic: carotid reflex.
Slows
heart rate.
2. Listen to the patient's voice, is it hoarse or nasal?
3. Ask patient to swallow
4. Ask patient to Say "Ahhh". Watch the movements of the soft palate and the pharynx.
2026) QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS 100%
CORRECT
Mental Status - CORRECT ANSWES -- 1. Assess level of consciousness; facial
expression and body language; speech; cognition and functioning
2. Assess while doing health history
cerebral - CORRECT ANSWES -- mental status
cerebellum - CORRECT ANSWES -- gait, coordination, balance, etc.
cranial nerves - CORRECT ANSWES -- sensory motor parasympathetic or mixed
Ptosis - CORRECT ANSWES -- CN 3
Facial Droop or Asymmertry - CORRECT ANSWES -- CN 7
Hoarse Voice - CORRECT ANSWES -- CN 10
Observation Neurologic Examination - CORRECT ANSWES -- 1. Ptosis (III)
2. Facial Droop or Asymmetry (VII)
3. Hoarse Voice (X)
4. Articulation of Words (V, VII, X, XII)
5. Abnormal Eye Position (III, IV, VI)
6. Abnormal or Asymmetrical P
Olfactory - CORRECT ANSWES -- 1. Sensory nerve: Tests sense of smell
2. Not routinely tested unless indicated.
Optic - CORRECT ANSWES -- 1. Sensory nerve: vision
2. Test Visual Acuity: Use Snellen eye chart or a Rosenbaum pocket card at a 14 inch
"reading" distance). Process is on pg. 10 under "Examination of eye".
3. Screen Visual Fields by Confrontation
Oculomotor - CORRECT ANSWES -- Oculomotor
1. Mixed nerve: (A) Motor: controls extraocular movements (EOM), opening eyelids;
,(B) Parasympathetic: pupil constriction, iris shape
2. Observe for Ptosis (drooping eyelid)
3. Test Extraocular Movements Process is on page 11 under "Examination of Eye"
4. Test Pupillary Reactions to Light. Process is on page 11 under "Examination of Eye"
Parasympathetic - CORRECT ANSWES -- pupil constriction iris shape
trochlear - CORRECT ANSWES -- motor nerve: inward and downward movement of
eye
Trigeminal - CORRECT ANSWES -- 1. Mixed nerve. (A) Motor: muscles of mastication;
(B) sensory: face, scalp, mouth, nose
Trigeminal Test Temporal and Masseter Muscle Strength - CORRECT ANSWES -- a.
Ask patient to both open their mouth and clench their teeth.
b. Palpate the temporal and masseter muscles as they do this.
Trigeminal Test the Three Divisions for Pain Sensation - CORRECT ANSWES -- a.
Explain what you intend to do.
b. Use a suitable sharp object to test the forehead, cheeks, and jaw on both sides.
c. Substitute a blunt object occasionally and ask the patient to report "sharp" or "dull."
d. If you find and abnormality then: Test the three divisions for temperature sensation
with a
tuning fork heated or cooled by water.
e. Test the three divisions for sensation to light touch using a wisp of cotton
Trigemianl Test the Corneal Reflex (normally not checked unless specific concerns) -
CORRECT ANSWES -- a. Ask the patient to look up and away.
b. From the other side, touch the cornea lightly with a fine wisp of cotton.
c. Look for the normal blink reaction of both eyes.
d. Repeat on the other side.
e. Use of contact lens may decrease this response.
Adbucens - CORRECT ANSWES -- Motor: lateral eye movement
Facial Test - CORRECT ANSWES -- 1. Mixed: (A) Motor: muscles used for facial
expressions, close eye and mouth; (B) Sensory
(sense of taste in the front 2/3 of tongue; (C) Parasympathetic: saliva and tear secretion
2. Sense of taste not usually checked unless specific concerns
3. Observe for Any Facial Droop or Asymmetry
a) Ask Patient to do the following, note any lag, weakness, or asymmetry: Raise
eyebrows
b) Close both eyes to resistance
c) Smile
d) Frown
e) Show teeth
, f) Puff out cheeks
4. Test the Corneal Reflex (See C.N. V above)
Acoustic - CORRECT ANSWES -- 1. Sensory: Hearing and Equilibrium
2. Initial test:
a) Face the patient and hold out your arms with your fingers near each ear.
b) Rub your fingers together on one side while moving the fingers noiselessly on the
other.
c) Ask the patient to tell you when and on which side they hear the rubbing.
d) Increase intensity as needed and note any asymmetry.
e) Test hearing with normal voice and whispers
3. If abnormal, proceed with the Weber and Rinne tests.
Weber test lateralization - CORRECT ANSWES -- a) Screening tool - not used as often
as in past
b) Use a 512 Hz or 1024 Hz tuning fork.
c) Start the fork vibrating by tapping it on your opposite hand.
d) Place the base of the tuning fork firmly on top of the patient's head.
e) Ask the patient where the sound appears to be coming from (normally in the midline).
f) Normal is to hear equally in bone ears. If louder in one ear, it is abnormal. Abnormal
indicates conductive hearing loss in that ear or sensory hearing loss in opposite ear.
Rinne Test Air and Bone Conduciton - CORRECT ANSWES -- a) Screening tool - not
used as often as in past
b) Use a 512 Hz or 1024 Hz tuning fork.
c) Start the fork vibrating by tapping it on your opposite hand.
d) Place the base of the tuning fork against the mastoid bone behind the ear.
e) When the patient no longer hears the sound, hold the end of the fork near the
patient's ear
(air conduction is normally greater than bone conduction).
f) Normal (positive result) = hearing sound still once moved behind mastoid bone.
Abnormal =
not hearing the sound, usually indicates conductive hearing loss.
glossopharyngeal - CORRECT ANSWES -- Glossopharyngeal
1. Mixed: motor: (A) Motor: pharynx (phonation and swallowing); (B) Sensory: taste on
posterior 1/3 of tongue; gag reflex; (C) parasympathetic: parotid gland, carotid reflex.
Vagus - CORRECT ANSWES -- 1. Mixed - (A) Motor: pharynx and larynx (swallowing
and talking); (B) Sensory: general sensation
from carotid body, carotid sinus, pharynx, viscera; (C) parasympathetic: carotid reflex.
Slows
heart rate.
2. Listen to the patient's voice, is it hoarse or nasal?
3. Ask patient to swallow
4. Ask patient to Say "Ahhh". Watch the movements of the soft palate and the pharynx.
