NR 302 Health Assessment Final Exam Test Bank -
Based on Health Assessment in Nursing, 7th Edition
by Janet R. Weber & Jane H. Kelley.
The retinal structures viewed through the ophthalmoscope are: -
ANSWER-optic disc, vessels, macula, background
"Positive consensual light reflex" means... - ANSWER-simultaneous
constriction
The thickening and yellowing of the lens due to aging is described as: -
ANSWER-cataract
Eye emergency - ANSWER-sudden change in vision
Visual acuity is assessed with: - ANSWER-Snellen eye chart
The cover test is used to assess for: - ANSWER-muscle weakness
When using the ophthalmoscope, you would: - ANSWER-remove your
own glasses and approach the patient's left eye with your left eye
The 6 eye muscles that control eye movement are innervated by cranial
nerves: - ANSWER-III, IV, VI
Conjunctivitis - ANSWER-redness of the conjunctiva
normal peripheral vision would see finger at - ANSWER-90 degrees
,2|Page
patient blind in left eye, what happens when light in right - ANSWER-
both constrict
interruption of red reflex happens when - ANSWER-there is opacity of
cornea or lens
One cause of visual impairment in aging adults is: - ANSWER-
glaucoma
PERRLA - ANSWER-pupils equal, round, reactive to light and
accommodation
cause of red reflex - ANSWER-light reflecting from the retina
color of tympanic membrane - ANSWER-pearly gray
sensioneural hearing loss - ANSWER-related to gradual nerve
degeneration
Before ear exam, palate - ANSWER-pinna, tragus, and mastoid process
Ear exam of 3 year old - ANSWER-pull pinna down
ear exam of adult - ANSWER-pull pinna up and back
darwin tubercle - ANSWER-a congenital, painless nodule at the helix
when assessing patients ear - ANSWER-tilt head away from examiner
The hearing receptors are located in the - ANSWER-cochlea
The sensation of vertigo may indicate: - ANSWER-pathology in the
semicircular canals
,3|Page
common cause of conductive hearing loss - ANSWER-impacted
cerumen
Signs of ear infection - ANSWER-absent light reflex, red and bulging
drum
Reducing risk of ear infection - ANSWER-dont smoke in house or car
assessing hearing in babies - ANSWER-watch for head turn when you
call their name
patient w head injury has clear watery drainage from ear - ANSWER-
consider possible basal skull fracture, refer immediately
common site of nose bleeds - ANSWER-kiesselbach plexus
Which sinuses can you assess through examination? - ANSWER-frontal
and maxillary
the frenulum is the - ANSWER-midline fold of tissue that connects the
tongue to the floor of the mouth
The largest salivary gland is located: - ANSWER-within the cheeks in
front of the ear
old woman with dry mouth - ANSWER-medication
find a deviated septum, what next - ANSWER-document in case it needs
suction
Oral malignancies are most likely to develop: - ANSWER-in the
mucosal "gutter" under the tongue
tonsils 3+ - ANSWER-tonsils touch the uvula
, 4|Page
function of nasal turbinates - ANSWER-warm the inhaled air
Opening of adult's parotid gland is opposite what? - ANSWER-upper
2nd molar
A nasal polyp is distinguished from the nasal turbinates by 3 things -
ANSWER-moveable, pale/gray, nontender
The examiner notes small, round, white, shiny papules on the hard palate
and gums of a 2-month-old infant. What is the significance of this
finding? - ANSWER-epstein pearls, normal
when assessing tongue - ANSWER-palpate u shaped area under tongue
expected finding of 75 year old oral cavity - ANSWER-decreased ability
to identify odors
african american with flat, 3cm, nontender, gray/white lesion on bucal
mucosa - ANSWER-leukodema, normal
The manubriosternal angle is - ANSWER-the articulation of the
manubrium and the body of the sternum
description of left lung - ANSWER-narrower than the right lung with
two lobes
Documentation of cough - ANSWER-productive cough for at least 3
months throughout the year, happens last two years
Confirm symmetric chest expansion - ANSWER--Place hands on
posterior chest wall thumbs at T9 or T10 slide medially pinch up skin
between thumbs