NR 305 Health Assessment Exam 4 Practice 2026 |Chamberlain
College
1. When assessing Cranial Nerve II (Optic), which tool is most appropriate for
the nurse to use?
A. Snellen chart
B. Penlight
C. Ophthalmoscope
D. Tuning fork
Answer: A
Rationale: The Snellen chart is used to test visual acuity, which is the primary function of
the Optic nerve (CN II).
2. The nurse asks the patient to smile, frown, and puff out their cheeks. Which
cranial nerve is being assessed?
A. Cranial Nerve V
B. Cranial Nerve VII
C. Cranial Nerve X
D. Cranial Nerve XII
Answer: B
Rationale: Cranial Nerve VII (Facial) controls the muscles of facial expression.
,3. A positive Romberg test is characterized by which of the following?
A. The patient being unable to stand on one foot
B. The patient swaying or falling when eyes are closed
C. A lack of coordination during rapid alternating movements
D. Inability to feel vibrations in the feet
Answer: B
Rationale: A positive Romberg sign is when a patient loses balance when closing their
eyes, indicating a problem with proprioception or vestibular function.
4. When testing deep tendon reflexes, a ‘normal’ response is documented as:
A. 1+
B. 4+
C. 3+
D. 2+
Answer: D
Rationale: A grade of 2+ indicates a normal, average reflex response.
5. The nurse is assessing a patient’s gait and notes the patient is stumbling and
lacks coordination. This is documented as:
A. Aphasia
B. Alopecia
C. Ataxia
D. Asterixis
Answer: C
Rationale: Ataxia is the term used to describe uncoordinated or unsteady gait.
, 6. Which assessment technique is used to test for Carpal Tunnel Syndrome by
having the patient hold their wrists in acute flexion for 60 seconds?
A. Tinel’s sign
B. McMurray test
C. Phalen’s test
D. Lachman test
Answer: C
Rationale: Phalen’s test involves acute flexion of the wrists; numbness or tingling indicates
potential carpal tunnel syndrome.
7. A patient exhibits Heberden’s nodes on the distal interphalangeal joints. This
is a characteristic finding of:
A. Rheumatoid Arthritis
B. Bursitis
C. Gouty Arthritis
D. Osteoarthritis
Answer: D
Rationale: Heberden’s nodes are bony overgrowths at the distal joints specifically
associated with Osteoarthritis.
8. The ‘Bulge Sign’ is used to assess for which of the following in the knee?
A. Swelling in the suprapatellar pouch
B. Tear in the meniscus
C. Ligamentous laxity
D. Bone spurs
Answer: A
Rationale: The bulge sign is used to detect small amounts of fluid (effusion) in the knee
joint.
College
1. When assessing Cranial Nerve II (Optic), which tool is most appropriate for
the nurse to use?
A. Snellen chart
B. Penlight
C. Ophthalmoscope
D. Tuning fork
Answer: A
Rationale: The Snellen chart is used to test visual acuity, which is the primary function of
the Optic nerve (CN II).
2. The nurse asks the patient to smile, frown, and puff out their cheeks. Which
cranial nerve is being assessed?
A. Cranial Nerve V
B. Cranial Nerve VII
C. Cranial Nerve X
D. Cranial Nerve XII
Answer: B
Rationale: Cranial Nerve VII (Facial) controls the muscles of facial expression.
,3. A positive Romberg test is characterized by which of the following?
A. The patient being unable to stand on one foot
B. The patient swaying or falling when eyes are closed
C. A lack of coordination during rapid alternating movements
D. Inability to feel vibrations in the feet
Answer: B
Rationale: A positive Romberg sign is when a patient loses balance when closing their
eyes, indicating a problem with proprioception or vestibular function.
4. When testing deep tendon reflexes, a ‘normal’ response is documented as:
A. 1+
B. 4+
C. 3+
D. 2+
Answer: D
Rationale: A grade of 2+ indicates a normal, average reflex response.
5. The nurse is assessing a patient’s gait and notes the patient is stumbling and
lacks coordination. This is documented as:
A. Aphasia
B. Alopecia
C. Ataxia
D. Asterixis
Answer: C
Rationale: Ataxia is the term used to describe uncoordinated or unsteady gait.
, 6. Which assessment technique is used to test for Carpal Tunnel Syndrome by
having the patient hold their wrists in acute flexion for 60 seconds?
A. Tinel’s sign
B. McMurray test
C. Phalen’s test
D. Lachman test
Answer: C
Rationale: Phalen’s test involves acute flexion of the wrists; numbness or tingling indicates
potential carpal tunnel syndrome.
7. A patient exhibits Heberden’s nodes on the distal interphalangeal joints. This
is a characteristic finding of:
A. Rheumatoid Arthritis
B. Bursitis
C. Gouty Arthritis
D. Osteoarthritis
Answer: D
Rationale: Heberden’s nodes are bony overgrowths at the distal joints specifically
associated with Osteoarthritis.
8. The ‘Bulge Sign’ is used to assess for which of the following in the knee?
A. Swelling in the suprapatellar pouch
B. Tear in the meniscus
C. Ligamentous laxity
D. Bone spurs
Answer: A
Rationale: The bulge sign is used to detect small amounts of fluid (effusion) in the knee
joint.
