NR 329 PRACTICE EXAM TESTED QUESTIONS AND
SOLUTIONS RATED A+
✔✔sequence of eye assessment - ✔✔Inspect the eye.
Assess visual acuity.
Assess for color blindness.
Assess central vision
Assess peripheral vision.
Assess ocular motility.
Assess for accommodation.
Assess pupil size and consensual response.
✔✔Central Visual Acuity - ✔✔Optic Nerve II
Snellen eye chart
assesses myopia (near sighted)
20/200 = legally blind
✔✔Colorblindness assessment - ✔✔Ishihara plate
✔✔Central Vision Assessment - ✔✔Amsler grid
(Macular Degeneration)
✔✔Peripheral Vision Assessment - ✔✔confrontation testing
(glaucoma)
✔✔Ocular Motility - ✔✔6 cardinal positions: up/down, left/right, up and right, down and
left, up and left, down and right,
CN III (oculomotor)
CN IV (trochlear):
Down and In (towards the nose)
CN VI (abducens) :
Lateral/Out
✔✔Corneal Light Reflex (Hirschberg Test) - ✔✔reflection of the light on the corneas,
should be in the exactly same spot on each eye
assymetry indicates deviation in alignment from eye muscle weakness or paralysis
✔✔external eye structures assessment - ✔✔- position and alignment
- eyelids
- palpebral fissure
- eyelashes
- conjunctivas
- sclera
- cornea
- pupils
, ✔✔Convergence and accommodation - ✔✔When an individual shifts their view from a
far object to a nearby object, the eyes converge to keep the image focused.
✔✔Pupil size - ✔✔constricts to light (both eyes; consensual response)
round and black
diameter 2 to 8 mm
✔✔PERRLA - ✔✔pupils equal, round, reactive to light and accommodation
✔✔Middle ear - ✔✔conducts sound vibration
protects inner ear
eustachian tub allows equalization of air pressure
✔✔Inner ear - ✔✔holds sensory organs (hearing/equilibrium)
not accessible by direct exam. (functions can be assessed)
✔✔Cranial Nerve VIII - ✔✔Vestibulocochlear (hearing and balance)
✔✔audiometric testing - ✔✔measurement of hearing, usually with an instrument called
an audiometer. the graphic representation of the results is called an audiogram
✔✔tympanometry - ✔✔the use of air pressure in the ear canal to test for disorders of
the middle ear
✔✔ear inspection/palpation - ✔✔Size and Shape
Skin Condition
Tenderness (palpation of tragus)
External Auditory Meatus
Symmetry
Angle of Attachment
✔✔angle of attachment - ✔✔Draw an imaginary line from the top of the helix to the
external canthus of the eye, then draw a line perpendicular to the ear and note angle of
attachment
✔✔hearing acuity - ✔✔ability to hear and discriminate sound
✔✔whisper test - ✔✔A hearing test in which the examiner stands 28-24 inches from one
of the patient's ears, has the person block sound in one ear and whispers a random set
of 3 numbers and letters (or three non-related words) into the other ear, asking the
person to repeat what was heard.
SOLUTIONS RATED A+
✔✔sequence of eye assessment - ✔✔Inspect the eye.
Assess visual acuity.
Assess for color blindness.
Assess central vision
Assess peripheral vision.
Assess ocular motility.
Assess for accommodation.
Assess pupil size and consensual response.
✔✔Central Visual Acuity - ✔✔Optic Nerve II
Snellen eye chart
assesses myopia (near sighted)
20/200 = legally blind
✔✔Colorblindness assessment - ✔✔Ishihara plate
✔✔Central Vision Assessment - ✔✔Amsler grid
(Macular Degeneration)
✔✔Peripheral Vision Assessment - ✔✔confrontation testing
(glaucoma)
✔✔Ocular Motility - ✔✔6 cardinal positions: up/down, left/right, up and right, down and
left, up and left, down and right,
CN III (oculomotor)
CN IV (trochlear):
Down and In (towards the nose)
CN VI (abducens) :
Lateral/Out
✔✔Corneal Light Reflex (Hirschberg Test) - ✔✔reflection of the light on the corneas,
should be in the exactly same spot on each eye
assymetry indicates deviation in alignment from eye muscle weakness or paralysis
✔✔external eye structures assessment - ✔✔- position and alignment
- eyelids
- palpebral fissure
- eyelashes
- conjunctivas
- sclera
- cornea
- pupils
, ✔✔Convergence and accommodation - ✔✔When an individual shifts their view from a
far object to a nearby object, the eyes converge to keep the image focused.
✔✔Pupil size - ✔✔constricts to light (both eyes; consensual response)
round and black
diameter 2 to 8 mm
✔✔PERRLA - ✔✔pupils equal, round, reactive to light and accommodation
✔✔Middle ear - ✔✔conducts sound vibration
protects inner ear
eustachian tub allows equalization of air pressure
✔✔Inner ear - ✔✔holds sensory organs (hearing/equilibrium)
not accessible by direct exam. (functions can be assessed)
✔✔Cranial Nerve VIII - ✔✔Vestibulocochlear (hearing and balance)
✔✔audiometric testing - ✔✔measurement of hearing, usually with an instrument called
an audiometer. the graphic representation of the results is called an audiogram
✔✔tympanometry - ✔✔the use of air pressure in the ear canal to test for disorders of
the middle ear
✔✔ear inspection/palpation - ✔✔Size and Shape
Skin Condition
Tenderness (palpation of tragus)
External Auditory Meatus
Symmetry
Angle of Attachment
✔✔angle of attachment - ✔✔Draw an imaginary line from the top of the helix to the
external canthus of the eye, then draw a line perpendicular to the ear and note angle of
attachment
✔✔hearing acuity - ✔✔ability to hear and discriminate sound
✔✔whisper test - ✔✔A hearing test in which the examiner stands 28-24 inches from one
of the patient's ears, has the person block sound in one ear and whispers a random set
of 3 numbers and letters (or three non-related words) into the other ear, asking the
person to repeat what was heard.
