NR509 Head to Toe
Assessment Exam questin
With Verified answers 1005
Guaranteed pass
lesions & symmetry
Ear: Inspection (Otoscope) - correct answer Pull ear up & back
*Auditory canal* -- clear, no redness, swelling, drainage, or cerumen
*Tympanic membrane* -- pearly gray, no effusion in middle ear
Do same for other ear -- no redness, swelling, drainage, or cerumen,
tympanic membrane is pearly gray, no fluid in external auditory canal
Ear: Palpation - correct answer Palpate pinnae and tragus for nodules &
tenderness
CN 8 - correct answer *Acoustic nerve* (hearing)
Whisper test - whisper words out of patient's sight & patient repeats
words back.
Test one ear at a time.
"one, two, three" and "four, five, six"
--Hearing intact bilaterally
Eyes: Inspection - correct answer *Conjunctiva* -- pink, clear, no
drainage or lesions
*Sclera* - white & clear
CN 2 - correct answer *Optic nerve*
*Central vision*
*Snellen pocket eye chart
, 6 ft away, cover one eye...read lowest line possible...repeat other eye ---
20/20 left eye, right eye, both eyes
*Peripheral vision*
Stand up at eye level, look straight ahead, do not move head.
--Hands forward from back
--Hands down from above
--Hands come from below
Check *pupillary response to light* (PERRL)
--Ophthalmoscope light
--Stare at nose
--Come from side....pupil constricts...check other eye
----Pupils 2-3mm, respond to light equally
Extraocular muscles - correct answer CN3, 4, 6: *3 - Oculomotor*, *4 -
Trochlear*, *6 - Abducens*
Check extra ocular muscles of eye
--H or star pattern
--Follow finger with eyes only
--extraocular muscles are intact equally
Nose: Inspection - correct answer Inspect nose
--Midline & straight
--No obstruction
--No notable fracture
--No swelling
Assess nasal turbinates and septum (using light source)
--Insert speculum of otoscope into nose
--Tip nose up with thumb
--Look inside left turbinates --pink, moist, septum midline, no swelling
.......Angle anteriorly
--Septum straight, no deviation
........Cover right side
--Straight septum
--Turbinates pink, moist, no swelling
.....Angle anteriorly
--Septum straight, no deviation
Nose: Palpation - correct answer Palpate frontal & maxillary sinuses
Throat & Mouth: Inspection - correct answer Inspect...
Assessment Exam questin
With Verified answers 1005
Guaranteed pass
lesions & symmetry
Ear: Inspection (Otoscope) - correct answer Pull ear up & back
*Auditory canal* -- clear, no redness, swelling, drainage, or cerumen
*Tympanic membrane* -- pearly gray, no effusion in middle ear
Do same for other ear -- no redness, swelling, drainage, or cerumen,
tympanic membrane is pearly gray, no fluid in external auditory canal
Ear: Palpation - correct answer Palpate pinnae and tragus for nodules &
tenderness
CN 8 - correct answer *Acoustic nerve* (hearing)
Whisper test - whisper words out of patient's sight & patient repeats
words back.
Test one ear at a time.
"one, two, three" and "four, five, six"
--Hearing intact bilaterally
Eyes: Inspection - correct answer *Conjunctiva* -- pink, clear, no
drainage or lesions
*Sclera* - white & clear
CN 2 - correct answer *Optic nerve*
*Central vision*
*Snellen pocket eye chart
, 6 ft away, cover one eye...read lowest line possible...repeat other eye ---
20/20 left eye, right eye, both eyes
*Peripheral vision*
Stand up at eye level, look straight ahead, do not move head.
--Hands forward from back
--Hands down from above
--Hands come from below
Check *pupillary response to light* (PERRL)
--Ophthalmoscope light
--Stare at nose
--Come from side....pupil constricts...check other eye
----Pupils 2-3mm, respond to light equally
Extraocular muscles - correct answer CN3, 4, 6: *3 - Oculomotor*, *4 -
Trochlear*, *6 - Abducens*
Check extra ocular muscles of eye
--H or star pattern
--Follow finger with eyes only
--extraocular muscles are intact equally
Nose: Inspection - correct answer Inspect nose
--Midline & straight
--No obstruction
--No notable fracture
--No swelling
Assess nasal turbinates and septum (using light source)
--Insert speculum of otoscope into nose
--Tip nose up with thumb
--Look inside left turbinates --pink, moist, septum midline, no swelling
.......Angle anteriorly
--Septum straight, no deviation
........Cover right side
--Straight septum
--Turbinates pink, moist, no swelling
.....Angle anteriorly
--Septum straight, no deviation
Nose: Palpation - correct answer Palpate frontal & maxillary sinuses
Throat & Mouth: Inspection - correct answer Inspect...
