NURS 612 Advanced Health Assessment - Week 9 Quiz 2026
|Maryville
1. During a neurological examination, the nurse practitioner asks the patient to
identify a familiar object, such as a key, placed in their hand while their eyes are
closed. This tests which of the following?
A. Graphesthesia
B. Proprioception
C. Stereognosis
D. Two-point discrimination
Answer: C
Rationale: Stereognosis is the ability to perceive and recognize the form of an object in the
absence of visual and auditory information, by using tactile cues from the hands.
2. When assessing deep tendon reflexes (DTRs), a score of 3+ is documented as:
A. Average or normal
B. Diminished or low normal
C. Very brisk, hyperactive, with clonus
D. Brisker than average, possibly but not necessarily indicative of disease
Answer: D
Rationale: In the standard 0-4 scale for reflexes, 2+ is normal, 3+ is brisker than average,
and 4+ is very brisk/hyperactive with clonus.
,3. The Phalen test is used to assess for which of the following conditions?
A. De Quervain tenosynovitis
B. Carpal tunnel syndrome
C. Ulnar nerve palsy
D. Radial tunnel syndrome
Answer: B
Rationale: The Phalen test involves acute flexion of the wrists for 60 seconds; numbness or
tingling in the distribution of the median nerve suggests carpal tunnel syndrome.
4. A patient presents with a ‘shuffling gait’ and ‘pill-rolling’ tremor. Which area
of the brain is likely affected?
A. Cerebellum
B. Occipital lobe
C. Frontal lobe
D. Basal ganglia
Answer: D
Rationale: The basal ganglia are responsible for refining motor movements. Dysfunction
here, as seen in Parkinson’s disease, leads to tremors and gait abnormalities.
5. Which cranial nerve is being tested when the nurse practitioner asks the
patient to shrug their shoulders against resistance?
A. CN IX (Glossopharyngeal)
B. CN XI (Spinal Accessory)
C. CN X (Vagus)
D. CN XII (Hypoglossal)
Answer: B
Rationale: CN XI innervates the trapezius and sternocleidomastoid muscles; shoulder
shrugging tests its motor function.
, 6. To evaluate the ACL (Anterior Cruciate Ligament) for stability, which
orthopedic maneuver is considered most sensitive?
A. McMurray test
B. Bulge sign
C. Lachman test
D. Apley grind test
Answer: C
Rationale: The Lachman test is widely considered the most sensitive clinical test for
detecting an ACL tear.
7. While performing a musculoskeletal exam, you note Heberden nodes. These
are characteristic findings of:
A. Osteoarthritis
B. Gouty arthritis
C. Rheumatoid arthritis
D. Psoriatic arthritis
Answer: A
Rationale: Heberden nodes are bony overgrowths at the distal interphalangeal (DIP)
joints, characteristic of osteoarthritis.
8. The nurse practitioner asks the patient to stand with feet together and eyes
closed. The patient begins to sway significantly and loses balance. This is a
positive:
A. Babinski sign
B. Romberg test
C. Kernig sign
D. Brudzinski sign
Answer: B
|Maryville
1. During a neurological examination, the nurse practitioner asks the patient to
identify a familiar object, such as a key, placed in their hand while their eyes are
closed. This tests which of the following?
A. Graphesthesia
B. Proprioception
C. Stereognosis
D. Two-point discrimination
Answer: C
Rationale: Stereognosis is the ability to perceive and recognize the form of an object in the
absence of visual and auditory information, by using tactile cues from the hands.
2. When assessing deep tendon reflexes (DTRs), a score of 3+ is documented as:
A. Average or normal
B. Diminished or low normal
C. Very brisk, hyperactive, with clonus
D. Brisker than average, possibly but not necessarily indicative of disease
Answer: D
Rationale: In the standard 0-4 scale for reflexes, 2+ is normal, 3+ is brisker than average,
and 4+ is very brisk/hyperactive with clonus.
,3. The Phalen test is used to assess for which of the following conditions?
A. De Quervain tenosynovitis
B. Carpal tunnel syndrome
C. Ulnar nerve palsy
D. Radial tunnel syndrome
Answer: B
Rationale: The Phalen test involves acute flexion of the wrists for 60 seconds; numbness or
tingling in the distribution of the median nerve suggests carpal tunnel syndrome.
4. A patient presents with a ‘shuffling gait’ and ‘pill-rolling’ tremor. Which area
of the brain is likely affected?
A. Cerebellum
B. Occipital lobe
C. Frontal lobe
D. Basal ganglia
Answer: D
Rationale: The basal ganglia are responsible for refining motor movements. Dysfunction
here, as seen in Parkinson’s disease, leads to tremors and gait abnormalities.
5. Which cranial nerve is being tested when the nurse practitioner asks the
patient to shrug their shoulders against resistance?
A. CN IX (Glossopharyngeal)
B. CN XI (Spinal Accessory)
C. CN X (Vagus)
D. CN XII (Hypoglossal)
Answer: B
Rationale: CN XI innervates the trapezius and sternocleidomastoid muscles; shoulder
shrugging tests its motor function.
, 6. To evaluate the ACL (Anterior Cruciate Ligament) for stability, which
orthopedic maneuver is considered most sensitive?
A. McMurray test
B. Bulge sign
C. Lachman test
D. Apley grind test
Answer: C
Rationale: The Lachman test is widely considered the most sensitive clinical test for
detecting an ACL tear.
7. While performing a musculoskeletal exam, you note Heberden nodes. These
are characteristic findings of:
A. Osteoarthritis
B. Gouty arthritis
C. Rheumatoid arthritis
D. Psoriatic arthritis
Answer: A
Rationale: Heberden nodes are bony overgrowths at the distal interphalangeal (DIP)
joints, characteristic of osteoarthritis.
8. The nurse practitioner asks the patient to stand with feet together and eyes
closed. The patient begins to sway significantly and loses balance. This is a
positive:
A. Babinski sign
B. Romberg test
C. Kernig sign
D. Brudzinski sign
Answer: B
