HEALTH ASSESSMENT EXAM 3 TEST
BANK QUESTIONS WITH COMPLETE
SOLUTIONS
When explaining how the nurse would test graphesthesia, which of the following
would the nurse include?
A) Client will close the eyes and identify what number the nurse writes in the palm of
the client's hand with a blunt-ended object
B) The client is to identify the numbers of points felt when the nurse touches the
client with the ends of two applicators at the same time.
C) The nurse will simultaneously touch the client in the same area on both sides of
the body and the client will identify where the touch occurred.
D) The nurse will briefly touch the client and the client will need to identify where the
touch occurred. - Answer-a
When documenting the findings of a neurologic assessment, which of the following
would be most important?
A) Verify the data before documenting.
B) Describe the client's response.
C) Label the client's behavior.
D) Record objective data primarily. - Answer-b
During the Romberg test, a client is unable to stand with the feet together and
demonstrates a wide-based, staggering, unsteady gait. The nurse would identify this
as which of the following?
A) Spastic hemiparesis
B) Parkinsonian gait
C) Scissors gait
D) Cerebellar ataxia - Answer-d
When assessing a client's deep tendon reflexes, which technique would be most
appropriate for the nurse to use?
A) Use the blunt end of the reflex hammer to strike a smaller area.
B) Strike the area slowly and methodically.
C) Hold the reflex hammer between the thumb and index finger.
D) Percuss the area of the tendon to be struck for the reflex. - Answer-c
When preparing to test a client for meningeal irritation, which of the following would
be most important for the nurse to do first?
A) Check for evidence of fever and chills
B) Ensure no injury to the cervical spine
C) Position the client prone
D) Check for a Babinski reflex - Answer-b
During the health history a client reports a decrease in his ability to smell. During the
physical assessment, the nurse would make sure to assess which cranial nerve?
A) CN I
, B) CN II
C) CN VII
D) CN IX - Answer-a
When evaluating a client's risk for cerebrovascular accident, which client would the
nurse identify as being at highest risk?
A) 42-year-old Caucasian woman who smokes
B) 68-year-old African American with hypertension
C) 55-year-old Caucasian male who has a two beers a week
D) 35-year-old African American who has sleep apnea - Answer-b
After teaching a group of students about the brain and spinal cord, the instructor
determines that the students demonstrate the need for additional teaching when they
identify which of the following as being controlled by the brainstem?
A) Respiratory function
B) Heart rate
C) Equilibrium
D) Reflex actions - Answer-c
A nurse is preparing to assess the cranial nerves of a client. The nurse is about to
test CN I. Which of the following would the nurse do?
A) Use a Snellen chart to test visual acuity.
B) Ask a client to identify scents.
C) Test extraocular eye movements.
D) Perform the Weber test. - Answer-b
When reviewing the neural pathways, a group of students identify which of the
following as sensations that travel via the spinothalamic tract. Select all that apply.
A) Pain
B) Temperature
C) Position
D) Vibration
E) Light touch - Answer-a b e
When a nursing instructor is describing the peripheral nervous system to a group of
students, the instructor would explain that there are how many pairs of spinal
nerves?
A) 8
B) 11
C) 24
D) 31 - Answer-d
A nurse is testing a client's deep tendon reflex. The nurse taps the tendon above the
olecranon process. The nurse is assessing which reflex?
A) Brachioradialis
B) Triceps
C) Biceps
D) Achilles - Answer-b
Which of the following would lead the nurse to suspect meningeal irritation?
BANK QUESTIONS WITH COMPLETE
SOLUTIONS
When explaining how the nurse would test graphesthesia, which of the following
would the nurse include?
A) Client will close the eyes and identify what number the nurse writes in the palm of
the client's hand with a blunt-ended object
B) The client is to identify the numbers of points felt when the nurse touches the
client with the ends of two applicators at the same time.
C) The nurse will simultaneously touch the client in the same area on both sides of
the body and the client will identify where the touch occurred.
D) The nurse will briefly touch the client and the client will need to identify where the
touch occurred. - Answer-a
When documenting the findings of a neurologic assessment, which of the following
would be most important?
A) Verify the data before documenting.
B) Describe the client's response.
C) Label the client's behavior.
D) Record objective data primarily. - Answer-b
During the Romberg test, a client is unable to stand with the feet together and
demonstrates a wide-based, staggering, unsteady gait. The nurse would identify this
as which of the following?
A) Spastic hemiparesis
B) Parkinsonian gait
C) Scissors gait
D) Cerebellar ataxia - Answer-d
When assessing a client's deep tendon reflexes, which technique would be most
appropriate for the nurse to use?
A) Use the blunt end of the reflex hammer to strike a smaller area.
B) Strike the area slowly and methodically.
C) Hold the reflex hammer between the thumb and index finger.
D) Percuss the area of the tendon to be struck for the reflex. - Answer-c
When preparing to test a client for meningeal irritation, which of the following would
be most important for the nurse to do first?
A) Check for evidence of fever and chills
B) Ensure no injury to the cervical spine
C) Position the client prone
D) Check for a Babinski reflex - Answer-b
During the health history a client reports a decrease in his ability to smell. During the
physical assessment, the nurse would make sure to assess which cranial nerve?
A) CN I
, B) CN II
C) CN VII
D) CN IX - Answer-a
When evaluating a client's risk for cerebrovascular accident, which client would the
nurse identify as being at highest risk?
A) 42-year-old Caucasian woman who smokes
B) 68-year-old African American with hypertension
C) 55-year-old Caucasian male who has a two beers a week
D) 35-year-old African American who has sleep apnea - Answer-b
After teaching a group of students about the brain and spinal cord, the instructor
determines that the students demonstrate the need for additional teaching when they
identify which of the following as being controlled by the brainstem?
A) Respiratory function
B) Heart rate
C) Equilibrium
D) Reflex actions - Answer-c
A nurse is preparing to assess the cranial nerves of a client. The nurse is about to
test CN I. Which of the following would the nurse do?
A) Use a Snellen chart to test visual acuity.
B) Ask a client to identify scents.
C) Test extraocular eye movements.
D) Perform the Weber test. - Answer-b
When reviewing the neural pathways, a group of students identify which of the
following as sensations that travel via the spinothalamic tract. Select all that apply.
A) Pain
B) Temperature
C) Position
D) Vibration
E) Light touch - Answer-a b e
When a nursing instructor is describing the peripheral nervous system to a group of
students, the instructor would explain that there are how many pairs of spinal
nerves?
A) 8
B) 11
C) 24
D) 31 - Answer-d
A nurse is testing a client's deep tendon reflex. The nurse taps the tendon above the
olecranon process. The nurse is assessing which reflex?
A) Brachioradialis
B) Triceps
C) Biceps
D) Achilles - Answer-b
Which of the following would lead the nurse to suspect meningeal irritation?
