NURS 5220 - ADVANCED HEALTH ASSESSMENT TEST 2 PREP QUESTIONS ANSWERED CORRECTLY LATEST 2026

NURS 5220 - ADVANCED HEALTH ASSESSMENT TEST 2 PREP QUESTIONS ANSWERED CORRECTLY LATEST 2026 Cranial Nerve I (one) - Answers Olfactory Sense of smell Sensory Test for odor identification (rule out nasal obstruction) Cranial Nerve II (two) - Answers Optic Sensory and visual acuity Test for visual acuity Test visual fields Perform ophthalmologic exam Cranial Nerve III (three) - Answers Oculomotor Motor Evaluated with IV and VI Eye movement, pupil size, eyelid opening Inspect eyelid for drooping Inspect pupil size and equality Test consensual response and accommodation Test extra-ocular eye movement So tested thru PERLA and six cardinal fields Eyelid dooping/palsy is cranial nerve III Cranial Nerve IV (four) - Answers Trochlear Motor Evaluated with III and VI Eye movement, pupil size, eyelid opening Inspect eyelid for drooping Inspect pupil size and equality Test consensual response and accommodation Test extra-ocular eye movement So tested thru PERLA and six cardinal fields Cranial Nerve V (five) - Answers Trigeminal Mixed (both sensory and motor) Jaw strength, ask to clench teeth Inspect face for atrophy or tremors Palpate jaw for tone and strength Test for pain and sensation Test corneal reflex Cranial Nerve VI (six) - Answers Abducens Motor Evaluated with III and IV Eye movement, pupil size, eyelid opening Inspect eyelid for drooping Inspect pupil size and equality Test consensual response and accommodation Test extra-ocular eye movement So tested thru PERLA and six cardinal fields Cranial Nerve VII (seven) - Answers Facial Mixed (both sensory and motor) Facial expressions and taste Inspect facial symmetry Test tongue for salt and sweet Assess smile, frown, puff out cheeks Cranial Nerve VIII (eight) - Answers Acoustic Sensory Hearing and balance Test hearing (whisper test) Compare bone and air conduction Test for sound lateralization Cranial Nerve IX (nine) - Answers Glossopharyngeal Mixed (both sensory and motor) Taste and swallowing Test tongue for sour and bitter Test gag reflex and swallowing Cranial Nerve X (ten) - Answers Vagus Mixed (both sensory and motor) Swallowing and speech Inspect palate and uvula for symmetry Inspect for swallow difficulty Evaluate guttural speech sounds Cranial Nerve XI (eleven) - Answers Spinal accessory Motor Muscle strength Test trapezius and sternocleidomastoid muscle strength Shrug shoulders against resistance Cranial Nerve XII (twelve) - Answers Hypoglossal Motor Tongue strength Inspect tongue for tremors, symmetry, atrophy Test tongue movements Test tongue strength Evaluate lingual speech sounds Assessing cranial nerves in infants - Answers In infants, cranial nerves can be assessed by observing: CN II, III, IV, and VI can be assessed by looking for optical blink reflex, gaze and tracking, doll's eye CN V is evaluated with rooting and sucking reflex CN VII look at facial expression, forehead wrinkling, smiling CN VIII look at acoustic blink reflex, doll's eye manuever CN IX, X evaluate swallow and gag reflex CN XII evaluate sucking and swallowing ability, tongue position with pinch test Types of agnosia: Visual - Answers Occipital lobe Types of agnosia: Auditory - Answers Temporal lobe (lateral + superior) Types of agnosia: Tactile - Answers Parietal lobe Types of agnosia: Body parts and relationships - Answers Parietal lobe (posterio-inferior) Types of aphasia: Auditory receptive - Answers Temporal lobe (Wernicke's area) Types of aphasia: Expressive speaking - Answers Inferior posterior frontal area (Broca's) Types of aphasia: Visual receptive - Answers Parietal-occiptal Broca's aphasia - Answers Expressive type of aphasia characterized by intact reading comprehension, impaired writing skills, and using only nouns and verbs in speech Broca area (frontal lobe) contains the motor cortex, which is associated with speech formation, as well as decision making, problem solving, the ability to concentrate, and short-term memory Which part of the brain contains the Wernicke's speech area? - Answers Temporal lobe The temporal lobe is responsible for perception and interpretation of sounds as well as localizing their source. It contains the Wernicke speech area, which allows a person to understand spoken and written language. It is also involved in the integration of behavior, emotion, and personality, as well as long-term memory Types of aphasia: Expressive writing - Answers Posterior frontal What are characteristics of delirium? - Answers Characteristics of delirium include a sudden onset of cognitive impairment, illogical flow of ideas, and hallucinations that fluctuates during the day and last hours or days What are characteristics of Parkinson's? - Answers Slumped posture and a lack of facial expression may indicate depression or a neurologic condition such as Parkinson disease Shuffling gait What does the limbic system regulate? - Answers Emotions The limbic system mediates certain patterns of behavior that determine survival (e.g., mating, aggression, fear, and affection). Reactions to emotions such as anger, love, hostility, and envy originate here, but the expression of emotion and behavior is mediated by connections between the limbic system and the frontal lobe What tool tracks cognitive changes over time? - Answers Mini-Mental Status Exam (MMSE) Deep tendon reflexes: Biceps - Answers Elbow flexion C5 & 6 Deep tendon reflexes: Brachioradial - Answers Forearm pronation and elbow flexion C5 & 6 Deep tendon reflexes: Triceps - Answers Elbow extension C6, 7, 8 Deep tendon reflexes: Patellar - Answers Lower leg extension L2, 3, 4 Deep tendon reflexes: Clonus - Answers Rhythmic oscillating movements Ankle Associated with upper motor neuron disease Deep tendon reflexes: Plantar - Answers S1 & 2 Deep tendon reflex scoring - Answers 0 no response 1+ sluggish or diminished 2+ active or expected response 3+ more brisk than expected, slightly hyperactive 4+ brisk, hyperactive, with intermittent or transient clonus Tinel sign - Answers Medial nerve tingling, carpal tunnel Brudzinski's sign - Answers Involuntary flexion of the hips and knees when the neck is passively flexed; indicates meningeal irritation Kernig's sign - Answers Evaluated by flexing the leg at the knee and hips and then attempting to straighten the leg Pain in the lower back and resistance to straighten is a positive Kernig sign May indicate meningeal irritation Multiple sclerosis - Answers a progressive autoimmune disorder characterized by a combination of inflammation and degeneration of the myelin of the brain's white matter leading to decreased brain mass and obstructed transmission of nerve impulses Seizure disorder (epilepsy) - Answers a chronic disorder characterized by recurrent, unprovoked seizures secondary to an underlying brain abnormality