NSG 200 Final Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Stimulus - CORRECT ANSWER something that triggers or stimulates a nerve receptor
Receptor - CORRECT ANSWER nerve cell receiving impulse which conducts
informant to brain
Perception - CORRECT ANSWER awareness and interpretation by brain of stimuli
affected by level of consciousness
Sensory systems to be evaluated? - CORRECT ANSWER head and neck
Mouth and throat
Nose
Ears
Eyes
What are subjective questions to ask? - CORRECT ANSWER trauma/injuries
Pain or tenderness
Itching or scaling of scalp
Headaches
Dizziness, seizures, loc
What are you inspecting on head? - CORRECT ANSWER size
Symmetry
Shape
What should you palpate on head? - CORRECT ANSWER scalp --normally smooth
and symmetrical, no tenderness
,Feel for masses, lesions, edema
Abnormalities: asymmetry, increased prominence of nose and forehead, longer mandible
(growth hormone excess)
Lifespan considerations of head (newborn) - CORRECT ANSWER during vaginal
delivery --elongated head
Fontanels: posterior closes around 8 weeks, anterior closes around 18 months
What does a sunken fontanelle indicate? - CORRECT ANSWER dehydration
What are you inspecting and palpating on the neck? - CORRECT ANSWER symmetry
Head erect and straight
Feel for masses or swelling
Lymph nodes are usually not enlarged
Rom
Trachea
Thyroid
Lymph nodes r/t head/neck? - CORRECT ANSWER occipital
Pre-auricular
Post-auricular
Tonsillar
Submandibular
Submental
What kind of ROM tests should be done for neck? - CORRECT ANSWER chin to
chest
Look up/down
Ear to each shoulder
, Turn right/left
What is different about newborn trachea's? - CORRECT ANSWER they are harder to
palpate due to a shorter neck
Is trachea deviation is found, this could mean? - CORRECT ANSWER a tumor or
thyroid enlargement
When assessing the thyroid, what are you inspecting and palpating for? - CORRECT
ANSWER enlargement, consistency, symmetry and nodules
If you find an enlarged thyroid, what should you do? - CORRECT
ANSWER auscultate it for bruits
When doing a thyroid assessment on children, what is important to remember? - CORRECT
ANSWER only palpate isthmus
Normal to feel small, contender, mobile nodules
When doing a thyroid assessment on geriatric pt, what is important to remember? -
CORRECT ANSWER thyroid may be nodular and irregular due to fibrotic changes
Gland may be palpated lower in neck
What are modifiable risk factors for eye injuries? - CORRECT ANSWER smoking
Uv light exposure
Medication
Stress
Isolation
Injuries
What should you inspect with eyes? - CORRECT ANSWER eyes/blinking
QUESTIONS AND CORRECT ANSWERS
Stimulus - CORRECT ANSWER something that triggers or stimulates a nerve receptor
Receptor - CORRECT ANSWER nerve cell receiving impulse which conducts
informant to brain
Perception - CORRECT ANSWER awareness and interpretation by brain of stimuli
affected by level of consciousness
Sensory systems to be evaluated? - CORRECT ANSWER head and neck
Mouth and throat
Nose
Ears
Eyes
What are subjective questions to ask? - CORRECT ANSWER trauma/injuries
Pain or tenderness
Itching or scaling of scalp
Headaches
Dizziness, seizures, loc
What are you inspecting on head? - CORRECT ANSWER size
Symmetry
Shape
What should you palpate on head? - CORRECT ANSWER scalp --normally smooth
and symmetrical, no tenderness
,Feel for masses, lesions, edema
Abnormalities: asymmetry, increased prominence of nose and forehead, longer mandible
(growth hormone excess)
Lifespan considerations of head (newborn) - CORRECT ANSWER during vaginal
delivery --elongated head
Fontanels: posterior closes around 8 weeks, anterior closes around 18 months
What does a sunken fontanelle indicate? - CORRECT ANSWER dehydration
What are you inspecting and palpating on the neck? - CORRECT ANSWER symmetry
Head erect and straight
Feel for masses or swelling
Lymph nodes are usually not enlarged
Rom
Trachea
Thyroid
Lymph nodes r/t head/neck? - CORRECT ANSWER occipital
Pre-auricular
Post-auricular
Tonsillar
Submandibular
Submental
What kind of ROM tests should be done for neck? - CORRECT ANSWER chin to
chest
Look up/down
Ear to each shoulder
, Turn right/left
What is different about newborn trachea's? - CORRECT ANSWER they are harder to
palpate due to a shorter neck
Is trachea deviation is found, this could mean? - CORRECT ANSWER a tumor or
thyroid enlargement
When assessing the thyroid, what are you inspecting and palpating for? - CORRECT
ANSWER enlargement, consistency, symmetry and nodules
If you find an enlarged thyroid, what should you do? - CORRECT
ANSWER auscultate it for bruits
When doing a thyroid assessment on children, what is important to remember? - CORRECT
ANSWER only palpate isthmus
Normal to feel small, contender, mobile nodules
When doing a thyroid assessment on geriatric pt, what is important to remember? -
CORRECT ANSWER thyroid may be nodular and irregular due to fibrotic changes
Gland may be palpated lower in neck
What are modifiable risk factors for eye injuries? - CORRECT ANSWER smoking
Uv light exposure
Medication
Stress
Isolation
Injuries
What should you inspect with eyes? - CORRECT ANSWER eyes/blinking
