PCHA exam 2025 Version 2, patient care health
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The patient comes to the clinic for a routine well patient
yearly physical exam. The patient has no complaints at
this visit, and no history of any chronic illnesses. Upon
examining the nasal cavity, the nasal septum is
symmetrical with scant amount of clear drainage; no
masses or lesions are noted. No other symptoms are
noted. These findings are: - ANSWER-normal findings
The size of the normal pupil is determined by: - ANSWER-
all of the above
- amount of light entering the eye
- closeness of the object being visualized
- function of cranial nerves II (optic) and III (oculomotor)
The patient comes to the clinic complaining of blurred
vision when reading the newspaper. After testing the
patient's near vision, the nurse explains to the patient that
he has impaired near vision and discusses a possible
reason for the condition. The nurse determines the patient
has understood the teaching when the patient states
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presbyopia is usually due to: - ANSWER-decreased ability
of the lens to accommodate
Which of the following best describes the test performed to
assess the function of cranial nerve XII (hypoglossal)? -
ANSWER-Ask the patient to stick out his tongue and
observe for midline position.
Which of the following is true regarding assessment of the
thyroid gland? - ANSWER-The physical characteristics of
the thyroid gland tell you little about thyroid function.
The patient has come to the clinic with a chief complaint of
a "lump under my chin". In the history, you note that the
patient smokes and uses smokeless tobacco (tobacco
placed under the tongue). Upon physical exam, the
practitioner notes enlarged, nontender (2cm) submental
lymph nodes. In an effort to identify the cause of the node
enlargement, you would assess the: - ANSWER-inner
aspect of the lips and cheeks
With palpation of the sinus areas, what would be a normal
finding? - ANSWER-The patient would feel firm pressure
with your palpation but no pain.
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A patient is unable to differentiate between sharp and dull
stimulation to both sides of the face. The nurse suspects: -
ANSWER-damage to the trigeminal nerve (CN V)
When assessing visual acuity using the Snellen chart, the
practitioner should: - ANSWER-Assess with and without
correction (reading glasses should not be worn).
The nurse documents PERRLA following assessment of a
patient's eyes. One finding that supports this data is: -
ANSWER-constriction of the pupils when an object is
brought closer to the eye.
The nurse has just completed a lymph node assessment
on a 60-year-old healthy patient. The nurse knows that
most lymph nodes in healthy adults are normally: -
ANSWER-not palpable
Which of the following is an expected normal finding when
examining the function of the extraocular eye muscles? -
ANSWER-parallel movement of both eyes
The patient is at the clinic for an eye examination. The
nurse suspects that the patient has a ptosis of one eye.
How would the nurse check for this? - ANSWER-Observe