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NURS 5220 Exam 2 Health Assessment
2025 – Latest Questions And Answers
(Correctly Answered) Graded A
What part of the brain is responsible for a patients mental status? A. Limbic System B. Cerebrum C. Reticular Activating System B. Cerebrum The cerebrum is primarily responsible for the pateints mentals status, its divided into 4 lobes, each playing a significant role. Which of the following controls behavioral patterns essential for survival such as emotions and motivation? A. Limbic System B. Cerebrum C. Reticular Activating System A. Limbic System
Which of the following regulates the levels of wakefulness or arousal? A. Limbic System B. Cerebrum C. Reticular Activating System C. Reticular Activating System What is Aphasia? Loss of ability to understand or express speech, caused by brain damage. Expressive Aphasia (Broca's Aphasia) Difficulty producing language Receptive Aphasia (Wernicke's Aphasia) Difficulty understanding language What are the three things the Glasgow Coma Scale (GCS) assesses?
What is the age range for the Ages and Stages Questionnaire (ASQ)? 4 to 60 months 4 months to 5 years What does the Ages and Stages Questionnaire for Social and Emotional Skills (ASE- SE) screen for? Focused on social and emotional development What is the age range for the Pediatric Evaluation of Development Status (PEDS)? Ages: 0 to 8 years What does the Pediatric Symptoms Checklist (PSC), ages 0-7, screen for? Screens for psychosocial problems in children What questionnaire is used to evaluate adolescent depression? Patient Health Questionnaire (PHQ-9)
Which one of the following phrases can be used to test Abstract Reasoning? A. What is your name and date of birth? B. What are the three words I just said to you 5 minutes ago? C. What did you eat for dinner last night? D. What does "A stitch in time saves nine" mean? D. What does "A stitch in time saves nine" mean? What is Visual Agnosia? Lack of ability to recognize common objects and demonstrate their use in an activity Swaying during the Romberg Test is a positive or negative Romberg sign? Positive Romberg Sign Infants ability to suck and swallow is due to function of what part of the brain? Cerebellum
This reflex develops muscle tone and vestibular stimulation. At what age does Asymmetric Tonic Neck Reflex (ATNR) appear? (Age range) 2 - 3 months Which locations on the body are Two-Point Discrimination done? Upper extremities Lower extremities Torso When doing Two-Point Discrimination the patient feels the two points as one point, this can indicate a lesion in what part of the brain? Sensory Cortex (Parietal Lobe) An NP has the patient close their eyes, they place a paperclip in the patients hand and have them identify the object, what test is this? Stereognosis
If a patient is testing Stereogenosis and they are unable to identify the object in their hand, this can indicate a lesion in what part of the brain? Parietal Lobe How does one demonstrate the Extinction Phenomenon? Touch two areas of the body simultaneously. The patient should be able to feel both sensations. Inability to feel both sensations during the Extinction Phenomenon can indicate a lesion in what part of the brain? Parietal lobe A patient is to hold their hand out while the NP draws a figure 8 in the canter of their palm. What is this testing? Graphesthesia Explain how to test Point Location?
What spinal segment is associated with the Biceps Reflex? C5-C How is the Brachioradialis Reflex Tested? Strike the brachioradialis tendon about 1-2 inches above the wrist, near the radius. Which spinal segments are associated with Brachioradialis Reflex? C5-C How is the Tricep Reflex Tested? With the patients arm hanging freely at 90 degrees angle, strike the triceps tendon just above the elbow What spinal segment is associated to the Tricep Reflex? C6, C7, C
How do you test the Patellar Reflex? Patient sits with legs dangling or upper leg lifted and supported by examiner; tap below patella, knee should extend What spinal segment is associated with the Patellar Reflex? L2-L How do you test the Achilles Reflex? Position person with knee flexed; hold foot in dorsiflexion and strike Achilles tendon directly What spinal segment is associate with the Achilles Reflex? S1-S A man is unable to recognize everyday objects and faces, what part of his brain is affected? Occipital Lobe
What part of the brain is affected in Expressive Aphasia? Inferior posterior frontal lobe A patient says that he is unable to understand written words on a poster, what type of Aphasia is this? Visual Receptive Aphasia What is affected area of the brain that occurs in Visual Receptive Aphasia? Parietal and Occipital Lobes The patient understands what I am saying to them, when asked to write "the cat in the hat" in a piece of paper, they are only able to draw scribbles. What is the affected area of the brain? Posterior Frontal Lobe A patient is unable to identify their right from their left eye, which of the following is this?
A. Agnosia B. Apraxia C. Aphasia A. Agnosia Inability to recognize familar objects or sounds despite having the sensory ability to do so. Patient is unable to perform the task of brushing their teeth for the NP evaluating. Which of the follow is this? A. Agnosia B. Apraxia C. Aphasia B. Apraxia This is the inability to perform learned motor tasks, even through the desire and physical capacity to perform the movement are present.
The NP asks the patient to smile, frown, puff out cheeks, raise eyebrows, and close eyes tightly. What cranial nerve is being tested? Facial Nerve (CN VII) How would you test Cranial Nerve XI? Spinal Accessory Nerve Ask the patient to shrug their shoulders and turn their head against resistance to evaluate the strength of the trapezius and sternocleidomastoid muscles How do you test Cranial Nerve VIII? Acoustic (Vestibulocochlear) Nerve Hearing: perform a whisper test by whispering words behind the patient and having them repeat the words Balance: Test with the Romberg Test
What is the function of the Vagus Nerve? Control of the muscles for voice and swallowing, sensory input from the thoracic and abdominal organs The NP is checking for the gag reflex. The NP instructs the patient to say "ah" while checking for symmetry in addition to asking them to swallow. What Cranial Nerve are they testing? Glassopharyngeal Nerve (CN IX) How do you test Cranial Nerve XII? Hypoglossal Nerve Ask the patient to stick out their tongue and move it side to side. Look for symmetry, tremors, and strength by asking the patient to push the tongue against their cheek CN I - sensory, motor, or both? sensory, smell
Facial (both) CN VIII - sensory, motor, or both? Vestibulocochlear (sensory) CN IX - sensory, motor, or both? Glossopharyngeal (both) CN X - sensory, motor, or both? Vagus (both) CN XI - sensory, motor, or both? accessory nerve (motor) CN XII - sensory, motor, or both? Hypoglossal (motor)
When evaluating coordination and fine motor skills, how does one test Rapid Alternating Movements (RAM)? Have the patient rapidly touch each finger to their thumb in sequence They can also turn their hands up and down on their thighs rhythmically Which three tests can be used for Accuracy of Movement? Finger to nose Heel to shin Finger to Finger What test can be done to assess Gait? Heel-to-toe walking What is the Romberg test? What does it Evaluate? The Romberg Test is when you ask the patient to stand with their feet together and eyes closed. Swaying indicates balance issues
