PHYSICAL ASSESSMENT MEDULE 8 QUIZ
1. A client complains of inability to move tongue. what is the most appropriate action for
the nurse to take?
a. evaluate function of the facial nerve.
b. test for sensory function.
c. test the hypoglossal nerve.
d. prepare the client for a ct scan
2.when assessing muscle tone, the nurse will passively move the client s limbs into
different positions. what is the expected normal response?
a. stiffness with resistance to movement
b. flaccid limbs.
c. slight resistance as action performed.
d. pain on movement.
3.the nurse is performing the romberg test, the client starts to sway and moves their feet
farther apart. how would this be documented?
a. normal.
b. lack of coordination
c. positive romberg sign
d. negative homan's sign
4.during examination of a client with a brain tumor, the nurse finds that the client is unable to
identify a number ''3'' drawn in the palm of their hand. what test has the nurse been performing?
a. stereognosis
b. extinction
c. graphesthesia
d. point location
, 5.what are the routine components included in a neurological recheck exam. select all that apply.
a. vital signs
b. cranial nerves
c. motor function
d. rinne test
e. pupillary response.
f. level of consciousness.
6.what components are tested with Glasgow coma scale.
a. motor, eye opening, verbal response
b. memory, motor, eye opening
c. eye opening, motor, sensory
d. verbal response, eye opening, orientation
7.the nurse documents the bilateral patellar or quadriceps reflexes on a client to be 3+. what does
that indicate?
a. average, normal
b. brisker than average
c. diminished, low normal
d. very brisk, hyperactive with clonus
8.the nurse is assessing cranial nerve XI (spinal accessory), what should the nurse instruct the
client to do.
a. stick out your tongue and move it from side to side
b. shrug your shoulders as I push down on them
c. taste these foods and tell me which is sweet and which is sour
d. smell these items and identify what they are
1. A client complains of inability to move tongue. what is the most appropriate action for
the nurse to take?
a. evaluate function of the facial nerve.
b. test for sensory function.
c. test the hypoglossal nerve.
d. prepare the client for a ct scan
2.when assessing muscle tone, the nurse will passively move the client s limbs into
different positions. what is the expected normal response?
a. stiffness with resistance to movement
b. flaccid limbs.
c. slight resistance as action performed.
d. pain on movement.
3.the nurse is performing the romberg test, the client starts to sway and moves their feet
farther apart. how would this be documented?
a. normal.
b. lack of coordination
c. positive romberg sign
d. negative homan's sign
4.during examination of a client with a brain tumor, the nurse finds that the client is unable to
identify a number ''3'' drawn in the palm of their hand. what test has the nurse been performing?
a. stereognosis
b. extinction
c. graphesthesia
d. point location
, 5.what are the routine components included in a neurological recheck exam. select all that apply.
a. vital signs
b. cranial nerves
c. motor function
d. rinne test
e. pupillary response.
f. level of consciousness.
6.what components are tested with Glasgow coma scale.
a. motor, eye opening, verbal response
b. memory, motor, eye opening
c. eye opening, motor, sensory
d. verbal response, eye opening, orientation
7.the nurse documents the bilateral patellar or quadriceps reflexes on a client to be 3+. what does
that indicate?
a. average, normal
b. brisker than average
c. diminished, low normal
d. very brisk, hyperactive with clonus
8.the nurse is assessing cranial nerve XI (spinal accessory), what should the nurse instruct the
client to do.
a. stick out your tongue and move it from side to side
b. shrug your shoulders as I push down on them
c. taste these foods and tell me which is sweet and which is sour
d. smell these items and identify what they are
