NSG121
NSG121/ NSG 121 E XAM 4:(NEW
2025/ 2026 UPDATE) HEALTH
ASSESSMENT REVIEW| QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTION)
What would you do differently for a routine and focused neuro assessment? - ANS
✓Routine: LOC, attention, inspect pupillary response, walk, balance, muscle tone
Focused: DTR, position sense (finger up or down), 2-point discrimination
What cranial nerves assess oculomotor? What tests would you do? - ANS ✓3, 4, 6
Whisker test, PERRLA, convergence, accommodation
What cranial nerve assesses olfactory? What tests would you do? - ANS ✓1
Have them smell a common scent (cinnamon, peppermint)
What cranial nerve assesses optic? What tests would you do? - ANS ✓2
Snellen chart
What cranial nerve assesses trigeminal? What tests would you do? - ANS ✓5
Chewing, TMJ, temples, cotton on face
What cranial nerve assesses facial? What tests would you do? - ANS ✓7
Squint eyes, smile, show teeth
What cranial nerve assesses acoustic/vestibulocochlear? What tests would you do?
- ANS ✓8
Hearing, whisper test
What cranial nerve assesses glossopharyngeal? What tests would you do? - ANS
✓9
Gag reflex
What cranial nerve assesses vagus? What tests would you do? - ANS ✓10
Say "ahhh," inspect uvula for movement
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What cranial nerve assesses spinal/accessory? What tests would you do? - ANS
✓11
Shrug shoulders
What cranial nerve assesses hypoglossal? What tests would you do? - ANS ✓12
Stick out tongue, should be midline
What does a grade 3 muscle strength look like? - ANS ✓Active movement against
gravity
What is stereognosis? - ANS ✓Place something in the patient's hand and they
should identify it
What is graphesthesia? - ANS ✓Draw on number or letter on patient's palm and they
should be able to identify it
Normal Babinski sign in adult - ANS ✓Toes curl, big toe dorsiflex
T/F: An urgent situation when reviewing the hospitalized patient would be a new
seizure, a change in the pupillary response, and the urine output less than 50 mL in
4 hours - ANS ✓True
T/F: Common complications in hospitalized patients include placement of chest tube
- ANS ✓False
What is included in a general shift assessment? - ANS ✓Vital signs, pain
assessment, neuro, general survey, abd, resp, lines, tubes, bed alarms
Lab value that tells you if a patient is pregnant - ANS ✓hCG
T/F: Nausea is normal in 2nd trimester - ANS ✓False, normal in 1st trimester
T/F: SOB w/o exertion is normal in 2nd trimester - ANS ✓False
During 1st trimester, where is woman likely to feel abdominal pain - ANS ✓Round
ligaments
What causes linea nigra? - ANS ✓Increased melanin
What causes melasma (mask of pregnancy)? - ANS ✓Increased melanin
What causes hyperreflexia in a 3rd trimester patient? - ANS ✓Pre-eclampsia
T/F: A child should triple their weight by 2 years old - ANS ✓False, by 1 year old
should be triple
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