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NUR 210 Final Exam | Nursing Fundamentals,
Health Assessment, Physical Examination, Vital
Signs, Documentation | Multiple Choice &
Select-All-That-Apply Q&A with Rationales
Exam Structure:
Subject: Nursing Fundamentals / Health Assessment / Physical Examination
Source: NUR 210 – Final Exam – 2026
Format: Multiple-choice and select-all-that-apply questions with Correct Answers and
rationales
1. What is the normal response to the accommodation test?
A. Convergence of the axis of the eyes and constriction of the pupils
B. A direct light reflex and consensual light reflex
C. Conjugate movement of the eyes in all 6 cardinal positions of gaze
D. Symmetrical dilation of bilateral pupils
Correct Answer: A. Convergence of the axis of the eyes and constriction
of the pupils
Rationale:
1. The accommodation test assesses the eyes' ability to focus on a near object.
2. Normal response includes convergence (eyes moving inward) and pupillary
constriction.
3. The direct and consensual light reflexes test cranial nerve II and III
function, not accommodation.
2. How will the nurse assess the peripheral vision of an adult patient
who was admitted to the hospital with a possible stroke?
A. Perform the Snellen alphabet test
B. Perform the diagnostic positions test
C. Perform the corneal light reflex test
D. Perform the confrontation test
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Correct Answer: D. Perform the confrontation test
Rationale:
1. The confrontation test compares the patient's peripheral vision to the
examiner's.
2. It is a quick screening test for visual field deficits, which may occur with
stroke.
3. The Snellen test assesses visual acuity; the diagnostic positions test assesses
extraocular movements.
3. Which cranial nerves are being tested when the nurse has a patient
perform the diagnostic positions test?
A. Cranial nerves III, IV and VI
B. Cranial nerves II, III and IV
C. Cranial nerves IV, V and VI
D. Cranial nerves III, IV and V
Correct Answer: A. Cranial nerves III, IV and VI
Rationale:
1. Cranial nerve III (oculomotor) controls most extraocular movements and
pupil constriction.
2. Cranial nerve IV (trochlear) controls the superior oblique muscle
(downward and inward gaze).
3. Cranial nerve VI (abducens) controls lateral rectus muscle (abduction of
the eye).
4. What is the best nursing response when asymmetric corneal light
reflex is observed in a 3-year-old child?
A. Look for other signs of Bell's palsy
B. Refer the patient to the appropriate specialist due to strabismus
C. No action is needed, because this is a normal finding in children under
the age of 6
D. Notify the physician of cranial nerve II dysfunction
Correct Answer: B. Refer the patient to the appropriate specialist due
to strabismus
Rationale:
1. Asymmetric corneal light reflex indicates misalignment of the eyes
(strabismus).
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2. Early referral is important to prevent amblyopia (lazy eye).
3. This finding is not normal at age 3 and requires evaluation.
5. What is the nursing priority for an African-American patient with
small brown macules on the sclera?
A. Refer the patient to an ophthalmologist for further testing.
B. Notify the patient that he may have liver disease and should have it
checked.
C. Proceed with the examination as planned because this is a normal
finding.
D. Instruct the patient to wear sunglasses when outdoors to prevent further
macule formation.
Correct Answer: C. Proceed with the examination as planned because
this is a normal finding.
Rationale:
1. Small brown macules on the sclera (pigmentation) are a normal finding
in dark-skinned individuals.
2. They are not associated with liver disease or other pathology.
3. No further action is required.
6. How will the nurse document assessment of the eyes in an adult
patient that has drooping of the left eyelid with a smaller distance
between the upper and lower lids on the left?
A. Exophthalmos of the right eye
B. Ptosis of the left eyelid
C. Anisocoria of the left eyelid
D. Nystagmus of the left eye
Correct Answer: B. Ptosis of the left eyelid
Rationale:
1. Ptosis is drooping of the upper eyelid.
2. It may be caused by cranial nerve III palsy, Horner syndrome, or
myasthenia gravis.
3. Exophthalmos is protrusion of the eye; anisocoria is unequal pupils;
nystagmus is involuntary eye movement.
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7. What is the priority nursing intervention when the nurse observes
that an elderly patient cannot move the eyes past the midline to the
left when performing the diagnostic positions test?
A. Perform the Snellen eye test and pupillary light reflex to further test
cranial nerve II.
B. Document dysfunction of cranial nerves II and III and proceed with the
assessment.
C. Continue the assessment, because this is a normal finding in elderly
patients.
D. Refer patient for further testing due to possible dysfunction of
cranial nerves III, IV and VI.
Correct Answer: D. Refer patient for further testing due to possible
dysfunction of cranial nerves III, IV and VI.
Rationale:
1. Inability to move the eyes past the midline indicates dysfunction of
extraocular muscles or their innervation.
2. Cranial nerves III, IV, and VI control eye movements.
3. This finding is not normal in elderly patients and requires further
evaluation.
8. What type of vision loss does the nurse expect in a patient that has
experienced an infarct involving the left cerebral optic tract (left
hemispheric stroke)?
A. Visual field loss in the right temporal and left nasal fields
B. Visual field loss in the right nasal and left nasal fields
C. Visual field loss in the right temporal and left temporal fields
D. Visual field loss in right nasal and left temporal fields
Correct Answer: A. Visual field loss in the right temporal and left nasal
fields
Rationale:
1. The optic tract carries fibers from the ipsilateral temporal retina and
contralateral nasal retina.
2. A left optic tract lesion causes right homonymous hemianopia (loss of right
visual field in both eyes).
3. This corresponds to loss of the right temporal and left nasal fields.
NUR 210 Final Exam | Nursing Fundamentals,
Health Assessment, Physical Examination, Vital
Signs, Documentation | Multiple Choice &
Select-All-That-Apply Q&A with Rationales
Exam Structure:
Subject: Nursing Fundamentals / Health Assessment / Physical Examination
Source: NUR 210 – Final Exam – 2026
Format: Multiple-choice and select-all-that-apply questions with Correct Answers and
rationales
1. What is the normal response to the accommodation test?
A. Convergence of the axis of the eyes and constriction of the pupils
B. A direct light reflex and consensual light reflex
C. Conjugate movement of the eyes in all 6 cardinal positions of gaze
D. Symmetrical dilation of bilateral pupils
Correct Answer: A. Convergence of the axis of the eyes and constriction
of the pupils
Rationale:
1. The accommodation test assesses the eyes' ability to focus on a near object.
2. Normal response includes convergence (eyes moving inward) and pupillary
constriction.
3. The direct and consensual light reflexes test cranial nerve II and III
function, not accommodation.
2. How will the nurse assess the peripheral vision of an adult patient
who was admitted to the hospital with a possible stroke?
A. Perform the Snellen alphabet test
B. Perform the diagnostic positions test
C. Perform the corneal light reflex test
D. Perform the confrontation test
, 2|Page
Correct Answer: D. Perform the confrontation test
Rationale:
1. The confrontation test compares the patient's peripheral vision to the
examiner's.
2. It is a quick screening test for visual field deficits, which may occur with
stroke.
3. The Snellen test assesses visual acuity; the diagnostic positions test assesses
extraocular movements.
3. Which cranial nerves are being tested when the nurse has a patient
perform the diagnostic positions test?
A. Cranial nerves III, IV and VI
B. Cranial nerves II, III and IV
C. Cranial nerves IV, V and VI
D. Cranial nerves III, IV and V
Correct Answer: A. Cranial nerves III, IV and VI
Rationale:
1. Cranial nerve III (oculomotor) controls most extraocular movements and
pupil constriction.
2. Cranial nerve IV (trochlear) controls the superior oblique muscle
(downward and inward gaze).
3. Cranial nerve VI (abducens) controls lateral rectus muscle (abduction of
the eye).
4. What is the best nursing response when asymmetric corneal light
reflex is observed in a 3-year-old child?
A. Look for other signs of Bell's palsy
B. Refer the patient to the appropriate specialist due to strabismus
C. No action is needed, because this is a normal finding in children under
the age of 6
D. Notify the physician of cranial nerve II dysfunction
Correct Answer: B. Refer the patient to the appropriate specialist due
to strabismus
Rationale:
1. Asymmetric corneal light reflex indicates misalignment of the eyes
(strabismus).
, 3|Page
2. Early referral is important to prevent amblyopia (lazy eye).
3. This finding is not normal at age 3 and requires evaluation.
5. What is the nursing priority for an African-American patient with
small brown macules on the sclera?
A. Refer the patient to an ophthalmologist for further testing.
B. Notify the patient that he may have liver disease and should have it
checked.
C. Proceed with the examination as planned because this is a normal
finding.
D. Instruct the patient to wear sunglasses when outdoors to prevent further
macule formation.
Correct Answer: C. Proceed with the examination as planned because
this is a normal finding.
Rationale:
1. Small brown macules on the sclera (pigmentation) are a normal finding
in dark-skinned individuals.
2. They are not associated with liver disease or other pathology.
3. No further action is required.
6. How will the nurse document assessment of the eyes in an adult
patient that has drooping of the left eyelid with a smaller distance
between the upper and lower lids on the left?
A. Exophthalmos of the right eye
B. Ptosis of the left eyelid
C. Anisocoria of the left eyelid
D. Nystagmus of the left eye
Correct Answer: B. Ptosis of the left eyelid
Rationale:
1. Ptosis is drooping of the upper eyelid.
2. It may be caused by cranial nerve III palsy, Horner syndrome, or
myasthenia gravis.
3. Exophthalmos is protrusion of the eye; anisocoria is unequal pupils;
nystagmus is involuntary eye movement.
, 4|Page
7. What is the priority nursing intervention when the nurse observes
that an elderly patient cannot move the eyes past the midline to the
left when performing the diagnostic positions test?
A. Perform the Snellen eye test and pupillary light reflex to further test
cranial nerve II.
B. Document dysfunction of cranial nerves II and III and proceed with the
assessment.
C. Continue the assessment, because this is a normal finding in elderly
patients.
D. Refer patient for further testing due to possible dysfunction of
cranial nerves III, IV and VI.
Correct Answer: D. Refer patient for further testing due to possible
dysfunction of cranial nerves III, IV and VI.
Rationale:
1. Inability to move the eyes past the midline indicates dysfunction of
extraocular muscles or their innervation.
2. Cranial nerves III, IV, and VI control eye movements.
3. This finding is not normal in elderly patients and requires further
evaluation.
8. What type of vision loss does the nurse expect in a patient that has
experienced an infarct involving the left cerebral optic tract (left
hemispheric stroke)?
A. Visual field loss in the right temporal and left nasal fields
B. Visual field loss in the right nasal and left nasal fields
C. Visual field loss in the right temporal and left temporal fields
D. Visual field loss in right nasal and left temporal fields
Correct Answer: A. Visual field loss in the right temporal and left nasal
fields
Rationale:
1. The optic tract carries fibers from the ipsilateral temporal retina and
contralateral nasal retina.
2. A left optic tract lesion causes right homonymous hemianopia (loss of right
visual field in both eyes).
3. This corresponds to loss of the right temporal and left nasal fields.
