NSG316 NSG 316 Exam 2

NSG316 / NSG 316 Exam 2 Health Assessment Grand Canyon University Actual Questions and Answers 100% Guarantee Pass

This Exam contains:

 100% Guarantee Pass. Multiple-Choice (A–D). Each Question Includes The Correct Answer  Each rationale is tailored for depth and clinical reasoning.

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A.C.ranil.Niei.N.vV(lrT.Tg.iNm.)V(BITF.cBITF.XmrNuite" and observes that the words are slurred. Which cranial nerve is most likely affected?

• Cranial Nerve V (Trigeminal)
• Cranial Nerve VII (Facial)
• Cranial Nerve X (Vagus)
• Cranial Nerve XII (Hypoglossal)

Correct Answer: D. Cranial Nerve XII (Hypoglossal)

b-,lnT.GNcgrNVlt The hypoglossal nerve innervates the muscles of the tongue. Slurred ar$cula$on when producing lingual sounds such as "light, $ght, dynamite" indicates a deficit in tongue movement and strength, which is directly tested by assessing cranial nerve XII.

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• A nurse is performing a neurological assessment on a client. When

the nurse asks the client to close their eyes and iXlrcxm.N.xNu(V(Nn.object placed in their hand, which assessment is being performed?

• Graphesthesia
• Stereognosis
• Ex$nc$on
• Two-point discrimina$on

Correct Answer: B. Stereognosis 2 / 4

b-,lnT.GNcgrNVlt Stereognosis evaluates the parietal lobe’s ability to process and recognize objects by touch without visual input. It is a cri$cal component of sensory func$on during neurological assessment.

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• During a cranial nerve assessment, the nurse aski.TIl.,NclrT.Tg.

iu(VlF.xngHrF.vVgil.TIl(n.lmli.cBITVmF.NrX.,ap.gaT.their cheeks. Which cranial nerve is the nurse assessing?

• Cranial Nerve V (Trigeminal)
• Cranial Nerve VII (Facial)
• Cranial Nerve IX (Glossopharyngeal)
• Cranial Nerve XII (Hypoglossal)

Correct Answer: B. Cranial Nerve VII (Facial)

b-,lnT.GNcgrNVlt Cranial nerve VII controls the muscles of facial expression. These ac$ons evaluate the strength and symmetry of facial movements, which are specifically innervated by the facial nerve.

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• The nurse performs the Romberg test on a client. The client sways

and begins to fall when asked to stand with feet together and eyes closed. How should the nurse interpret this finding? 3 / 4

• Posi$ve Romberg sign indica$ng sensory ataxia
• Nega$ve Romberg sign indica$ng normal balance
• Posi$ve Romberg sign indica$ng cerebellar dysfunc$on
• Nega$ve Romberg sign indica$ng ves$bular deficit

Correct Answer:.CA.3gi(cDl.GguslnB.i(Br.(rX(vNcrB.ilrignm.NTN-(N

b-,lnT.GNcgrNVlt A posi$ve Romberg sign—loss of balance with eyes closed—indicates sensory (propriocep$ve or ves$bular) deficits rather than cerebellar dysfunc$on, as cerebellar ataxia presents with unsteadiness even with eyes open.

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• The nurse is assessing deep tendon reflexes and elicits a very brisk

response with clonus. How should the nurse document this finding?

• 1+
• 2+
• 3+
• 4+

Correct Answer: D. 4+

b-,lnT.GNcgrNVlt The grading of deep tendon reflexes iden$fies 4+ as a very brisk response accompanied by clonus. This finding is abnormal and typically indicates hyperexcitability of the lower motor neurons or upper motor neuron lesions.

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