Health Assessment exam 3 Questions and
Answers (100% Correct Answers)
A patient is admitted with edema of the occipital lobe following a head injury. The
nurse correlates which finding with damage to this area?
a. Ipsilateral ptosis
b. Impaired vision
c. Pupillary constriction
d. Increased intraocular pressure
p. 138
Ans: B
The nurse is taking a health history on a patient who reports frequent stabbing
headaches occurring once a day lasting about an hour. Which statement by the
patient is most indicative of cluster headaches?
a. "I usually have nausea and vomiting with my headaches."
b. "My whole head is constantly throbbing."
c. "It feels like my head is in a vice."
d. "The pain is on the left side over my eye, forehead, and cheek."
p. 144
Ans: D
A patient reports having migraine headaches on one side of the head that often start
with an aura and last 1 to 3 days. As a part of the symptom analysis, the patient
reports which associated symptoms of migraine headaches?
a. Nausea, vomiting, or visual disturbances
b. Nasal stuffiness or discharge
c. Ringing in the ears or dizziness
d. Red, watery eyes or drooping eyelids
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p. 144
Ans: A
The nurse is taking a health history on a patient who reports frequent headaches
with pain in the front of the head, but sometimes felt in the back of the head. Which
statement by the patient is most indicative of tension headaches?
a. "I usually have nausea and vomiting with my headaches."
b. "My whole head is constantly throbbing."
c. "It feels like my head is in a vice."
d. "The pain is on the left side over my eye, forehead, and cheek."
p. 144
Ans: C
During symptom analysis, the nurse helps the patient distinguish between dizziness
and vertigo. Which description by the patient indicates vertigo?
a. "I felt faint, like I was going to pass out."
b. "I just could not keep my balance when I sat up."
c. "It seemed that the room was spinning around."
d. "I was afraid that I was going to lose consciousness."
p. 144
Ans: C
During symptom analysis, the nurse helps the patient distinguish between dizziness
and vertigo. Which description by the patient indicates dizziness?
a. "I felt faint, like I was going to pass out."
b. "It felt like I was on a merry-go-round."
c. "The room seemed to be spinning around."
d. "My body felt like it was revolving and could not stop."
p. 144-145
Ans: A
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Which patient in the eye clinic should the nurse assess first?
a. The patient who reports a gradual clouding of vision
b. The patient who complains of sudden loss of vision
c. The patient who complains of double vision
d. The patient who complains of poor night vision
p. 144-145
Ans: B
A patient complains of right ear pain. What findings does the nurse anticipate on
inspecting the patient's ears?
a. Redness and edema of the pinna of the right ear
b. Report of pain when the nurse manipulates the right ear
c. Bulging and red tympanic membrane in the right ear
d. Increased cerumen in the right ear canal
p. 184-185
Ans: C
During the history, a patient reports watery nasal drainage from allergies. Based on
this information, what does the nurse expect to find on inspection of the nares?
a. Enlarged and pale turbinates
b. Polyps within the nares
c. High vascularity of the turbinates
d. Dry and dull turbinates
p. 186
Ans: A
A patient complains of nasal drainage and sinus headache. The nurse suspects a
nasal infection and anticipates observing which finding during examination?
a. Foul-smelling drainage
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b. Purulent green-yellow drainage
c. Bloody drainage
d. Watery drainage
P. 145
Ans: B
A patient complains of itching, swelling, and drainage from the eyes with a postnasal
drip and sneezing. What type of nasal drainage does the nurse anticipate seeing
during inspection of this patient's nares?
a. Clear
b. Malodorous
c. Yellow
d. Green
P. 145
Ans: A
A patient reports a history of snorting cocaine and is concerned about his bloody
nasal drainage. What does the nurse expect to see on inspection of his nose?
a. Deviated septum
b. Pale turbinates
c. Perforated nasal septum
d. Localized erythema and edema
P. 170 FIG 10-41
Ans: C
While taking a history, the nurse observes that the patient's facial cranial nerves (CN
VII) are intact based on which behaviors of the patient?
a. The patient's eyes move to the left, right, up, down, and obliquely during
conversation.
b. The patient moistens the lips with the tongue.