362 Final Exam 2 Questions and All
Correct Answers.
The nurse can best palpate the superficial cervical nodes, the deep cervical chain, and the
supraclavicular nodes by first locating which muscle? - Answer Sternomastoid
Which vessel is the nurse assessing if the major artery of the neck is being examined? - Answer
Carotid artery
The nurse is preparing to test a client's eyes for accommodation. The nurse would have the
client focus on an object in which sequence for this test? - Answer Far, then near
The nurse is preparing to assess a client's visual fields to evaluate her gross peripheral vision.
Which test would the nurse perform? - Answer Confrontation test
Where is the temporal artery palpated? - Answer Above the cheek bone near the scalp line
Which type of vessels filter pathogens from the body and drain the fluid that has moved outside
of the circulation back into the vessels? - Answer Lymphatic
The thin mucous membrane that lines the inner eyelid and covers the sclera is known as what? -
Answer Conjuctiva
A comprehensive physical examination of the eye includes tests for which of the following? -
Answer Internal ocular structures, the external eye, eye muscle function, visual acuity
When testing the near reaction, an expected finding includes which of the following? - Answer
Pupils constrict on near gaze & dilate on distant gaze
A nurse is performing a head and neck assessment on a client. Which area should the nurse
inspect for facial symmetry? - Answer Nasolabial folds
The nurse has completed a focused assessment of a client's mouth, nose, and throat. Which
finding would the nurse interpret as being normal? - Answer Pinkish spongy softy palate,
uvula midline, absence of nasal deviation/deformities, no lesions or masses
The nurse assesses the frontal sinus where? - Answer Above the eyes
, What membrane lines the cheeks? - Answer Buccal mucosa
The rood of the oral cavity of the mouth is formed by the anterior hard palate and the? -
Answer Soft palate
An extension of the soft palate of the mouth, which hangs in the posterior midline of the
oropharynx is the? - Answer Uvula
A nurse shines a light into the eye during an ocular exam and the pupil of the other eye
constricts. The nurse interprets this as which of the following? - Answer Consensual
response
The nurse is discharging an adult client who received 18 staples for a head laceration received
while mountain biking. What can the nurse focus on while doing discharge teaching? - Answer
Encourage the use of safety equipment
What eye function is the nurse preparing to assess when the client is asked to stand 20 feet
from a specific chart that is mounted on the examination room wall? - Answer Distant vision
The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain
injuries. What should be included in these instructions? - Answer Always use seatbelts
The nurse feels a small mass in the neck of a client. It is mobile in both the up-down and side-
to-side directions. What is the nurse most likely feeling? - Answer Lymph node
A nurse is assessing a client who was stung in the face by a bee. Which finding about the lips
supports the diagnosis of local allergic reaction? - Answer Swelling
A nurse is examining a client's nose. Which characteristics of the nasal mucosa should the nurse
expect to find if the client is health? - Answer Dark pink, moist, free of discharge
Which characteristic of the gums should a nurse expect to assess in a client who is healthy? -
Answer Pink, moist, firm
A client performs the test for distant visual acuity and scores 20/50. How should the nurse most
accurately interpret this finding? - Answer At 20 feet from the chart, the client see what a
person with good vision can see at 50 feet from the chart.
Correct Answers.
The nurse can best palpate the superficial cervical nodes, the deep cervical chain, and the
supraclavicular nodes by first locating which muscle? - Answer Sternomastoid
Which vessel is the nurse assessing if the major artery of the neck is being examined? - Answer
Carotid artery
The nurse is preparing to test a client's eyes for accommodation. The nurse would have the
client focus on an object in which sequence for this test? - Answer Far, then near
The nurse is preparing to assess a client's visual fields to evaluate her gross peripheral vision.
Which test would the nurse perform? - Answer Confrontation test
Where is the temporal artery palpated? - Answer Above the cheek bone near the scalp line
Which type of vessels filter pathogens from the body and drain the fluid that has moved outside
of the circulation back into the vessels? - Answer Lymphatic
The thin mucous membrane that lines the inner eyelid and covers the sclera is known as what? -
Answer Conjuctiva
A comprehensive physical examination of the eye includes tests for which of the following? -
Answer Internal ocular structures, the external eye, eye muscle function, visual acuity
When testing the near reaction, an expected finding includes which of the following? - Answer
Pupils constrict on near gaze & dilate on distant gaze
A nurse is performing a head and neck assessment on a client. Which area should the nurse
inspect for facial symmetry? - Answer Nasolabial folds
The nurse has completed a focused assessment of a client's mouth, nose, and throat. Which
finding would the nurse interpret as being normal? - Answer Pinkish spongy softy palate,
uvula midline, absence of nasal deviation/deformities, no lesions or masses
The nurse assesses the frontal sinus where? - Answer Above the eyes
, What membrane lines the cheeks? - Answer Buccal mucosa
The rood of the oral cavity of the mouth is formed by the anterior hard palate and the? -
Answer Soft palate
An extension of the soft palate of the mouth, which hangs in the posterior midline of the
oropharynx is the? - Answer Uvula
A nurse shines a light into the eye during an ocular exam and the pupil of the other eye
constricts. The nurse interprets this as which of the following? - Answer Consensual
response
The nurse is discharging an adult client who received 18 staples for a head laceration received
while mountain biking. What can the nurse focus on while doing discharge teaching? - Answer
Encourage the use of safety equipment
What eye function is the nurse preparing to assess when the client is asked to stand 20 feet
from a specific chart that is mounted on the examination room wall? - Answer Distant vision
The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain
injuries. What should be included in these instructions? - Answer Always use seatbelts
The nurse feels a small mass in the neck of a client. It is mobile in both the up-down and side-
to-side directions. What is the nurse most likely feeling? - Answer Lymph node
A nurse is assessing a client who was stung in the face by a bee. Which finding about the lips
supports the diagnosis of local allergic reaction? - Answer Swelling
A nurse is examining a client's nose. Which characteristics of the nasal mucosa should the nurse
expect to find if the client is health? - Answer Dark pink, moist, free of discharge
Which characteristic of the gums should a nurse expect to assess in a client who is healthy? -
Answer Pink, moist, firm
A client performs the test for distant visual acuity and scores 20/50. How should the nurse most
accurately interpret this finding? - Answer At 20 feet from the chart, the client see what a
person with good vision can see at 50 feet from the chart.
