NR 305 Health Assessment Exam 6 Practice 2026 |Chamberlain
College
1. When assessing the cranial nerves, the nurse asks the patient to smile, frown,
and puff out their cheeks. Which cranial nerve is being tested?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve XII (Hypoglossal)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve VII (Facial)
Answer: D
Rationale: Cranial nerve VII (Facial nerve) controls facial expressions and symmetry
including smiling and puffing cheeks.
2. A nurse is performing a musculoskeletal assessment and notes an
exaggerated lumbar curve. This is documented as:
A. Kyphosis
B. Lordosis
C. Scoliosis
D. Ankylosis
Answer: B
Rationale: Lordosis is an inward curvature of the lumbar spine, often seen in pregnancy or
obesity.
,3. What does a 20/40 vision result on a Snellen chart indicate?
A. The patient can see at 40 feet what a normal person sees at 20 feet.
B. The patient has better than normal vision.
C. The patient’s peripheral vision is limited to 40 degrees.
D. The patient can see at 20 feet what a normal person sees at 40 feet.
Answer: D
Rationale: In Snellen results, the first number is the distance from the chart (20ft), and the
second is the distance a normal eye could read that line.
4. The nurse performs the Romberg test by asking the patient to stand with feet
together and eyes closed. A positive Romberg test is indicated by:
A. The patient maintaining balance.
B. Rapid rhythmic eye movements.
C. The patient being unable to feel vibrations.
D. The patient swaying or losing balance.
Answer: D
Rationale: A positive Romberg sign is the loss of balance that occurs when closing the eyes,
indicating ataxia or vestibular issues.
5. Which assessment technique is used to check for a large amount of fluid
around the patella?
A. Ballottement of the patella
B. Bulge sign
C. Phalen’s test
D. McMurray’s test
Answer: A
Rationale: Ballottement is used for larger amounts of fluid in the knee, whereas the bulge
sign is for smaller amounts.
, 6. A nurse observes a ‘pearly gray’ color during an otoscopic exam. This is a
normal finding for which structure?
A. The tympanic membrane
B. The turbinates
C. The external ear canal
D. The uvula
Answer: A
Rationale: The normal tympanic membrane (eardrum) should be translucent and pearly
gray in color.
7. When testing deep tendon reflexes, a score of 4+ would be interpreted as:
A. Normal or average
B. Diminished or low normal
C. Brisker than average
D. Very brisk, hyperactive with clonus
Answer: D
Rationale: A 4+ reflex is hyperactive and often associated with upper motor neuron
disease.
8. The nurse asks the patient to identify a common object, like a key, placed in
their hand while their eyes are closed. This tests:
A. Stereognosis
B. Graphesthesia
C. Extinction
D. Point localization
Answer: A
Rationale: Stereognosis is the ability to recognize an object by touch and manipulation
without visual input.
College
1. When assessing the cranial nerves, the nurse asks the patient to smile, frown,
and puff out their cheeks. Which cranial nerve is being tested?
A. Cranial Nerve V (Trigeminal)
B. Cranial Nerve XII (Hypoglossal)
C. Cranial Nerve X (Vagus)
D. Cranial Nerve VII (Facial)
Answer: D
Rationale: Cranial nerve VII (Facial nerve) controls facial expressions and symmetry
including smiling and puffing cheeks.
2. A nurse is performing a musculoskeletal assessment and notes an
exaggerated lumbar curve. This is documented as:
A. Kyphosis
B. Lordosis
C. Scoliosis
D. Ankylosis
Answer: B
Rationale: Lordosis is an inward curvature of the lumbar spine, often seen in pregnancy or
obesity.
,3. What does a 20/40 vision result on a Snellen chart indicate?
A. The patient can see at 40 feet what a normal person sees at 20 feet.
B. The patient has better than normal vision.
C. The patient’s peripheral vision is limited to 40 degrees.
D. The patient can see at 20 feet what a normal person sees at 40 feet.
Answer: D
Rationale: In Snellen results, the first number is the distance from the chart (20ft), and the
second is the distance a normal eye could read that line.
4. The nurse performs the Romberg test by asking the patient to stand with feet
together and eyes closed. A positive Romberg test is indicated by:
A. The patient maintaining balance.
B. Rapid rhythmic eye movements.
C. The patient being unable to feel vibrations.
D. The patient swaying or losing balance.
Answer: D
Rationale: A positive Romberg sign is the loss of balance that occurs when closing the eyes,
indicating ataxia or vestibular issues.
5. Which assessment technique is used to check for a large amount of fluid
around the patella?
A. Ballottement of the patella
B. Bulge sign
C. Phalen’s test
D. McMurray’s test
Answer: A
Rationale: Ballottement is used for larger amounts of fluid in the knee, whereas the bulge
sign is for smaller amounts.
, 6. A nurse observes a ‘pearly gray’ color during an otoscopic exam. This is a
normal finding for which structure?
A. The tympanic membrane
B. The turbinates
C. The external ear canal
D. The uvula
Answer: A
Rationale: The normal tympanic membrane (eardrum) should be translucent and pearly
gray in color.
7. When testing deep tendon reflexes, a score of 4+ would be interpreted as:
A. Normal or average
B. Diminished or low normal
C. Brisker than average
D. Very brisk, hyperactive with clonus
Answer: D
Rationale: A 4+ reflex is hyperactive and often associated with upper motor neuron
disease.
8. The nurse asks the patient to identify a common object, like a key, placed in
their hand while their eyes are closed. This tests:
A. Stereognosis
B. Graphesthesia
C. Extinction
D. Point localization
Answer: A
Rationale: Stereognosis is the ability to recognize an object by touch and manipulation
without visual input.
