NUR 7580 HEENT Exam
What level of visual acuity constitutes legal blindness?
Visual acuity of 20/200 or worse in the better eye with corrected lens.
An NP is evaluating a patient with a history of primary open-angle glaucoma. Along with
changes in the color and size of the optic disc, which of the following best describes the
most common subjective change reported by patients with this condition?
A gradual loss of peripheral vision
An NP is assessing a pediatric patient with hearing loss. Which of the following is a
significant risk factor for conductive hearing loss in children?
Otitis media with effusion (OME)
An NP is evaluating an adult patient with a lesion on the helix of the ear that is
suspicious for squamous cell carcinoma (SCC). Which of the following is the most
significant risk factor for SCC?
Cumulative ultraviolet (UV) light exposure and age
An adult patient reports difficulty reading small print in books and on their phone that
improves when they hold it farther away. How should an NP document this visual
finding in the patient's record?
Presbyopia
An NP is assessing an adult patient with purulent nasal discharge and facial pain.
Which of the following assessment techniques is the most appropriate to evaluate the
sinuses?
Palpate the frontal sinuses for tenderness under the bony brows.
Examination of the nose and paranasal sinuses reveal local tenderness, pain, and
rhinorrhea in a febrile patient. Which of the following findings are suggestive?
Acute sinusitis of the frontal and maxillary sinuses
An NP is assessing a patient who presents with an area of dryness on the lower lip, and
the NP suspects actinic cheilitis. Which of the following is the most common risk factor
for this condition?
Exposure to solar radiation
An NP is assessing an adult patient with severe deep left eye pain. Upon physical
examination, there is a dilated and fixed left pupil, and the cornea is cloudy. Which of
the following conditions is most often associated with these assessment findings?
Acute angle closure glaucoma
, An NP is assessing a patient who has a history of AIDS and is being assessed for
Kaposi's sarcoma. Which of the following findings would best support this differential
diagnosis?
A non-tender deep purple lesion on the roof of their mouth
The sudden onset of painless unilateral vision loss is most likely related to which of the
following etiologies?
Retinal detachment
Examination of the nasal lacrimal duct reveals a mucopurulent discharge from the
puncta. Which of the following conditions is most likely to cause this abnormal exam
finding?
Canaliculitis
An NP is assessing a patient with a scotoma. Which of the following visual impairments
is most often associated with this condition?
Fixed specks or defects
An NP is evaluating a toddler and suspects acute otitis media (AOM). Which of the
following assessment findings would best support this diagnosis?
Distorted tympanic membrane (TM) landmarks
An NP is assessing an adult patient who presents with angular cheilitis related to ill-
fitting dentures. Which of the following subjective reports would further support this
differential diagnosis?
Erythematous fissures at the corners of the mouth
An NP is assessing an adult patient's salivary glands. In order to evaluate the opening
of the Stenson's duct, the NP should examine which of the following findings?
Buccal mucosa opposite the second molar
A person who has been blind since birth presents for a physical exam. Which of the
following are expected findings of the pupillary reaction when light is shown?
It can vary
Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular
red spots embedded in the retina. Which of the following are these findings consistent
with?
Deep retinal hemorrhages
An NP is performing an otoscopic examination on a toddler who presents with ear pain.
Which of the following examination techniques is recommended to get the best view of
the tympanic membrane?
Pull the auricle up and backward.
What level of visual acuity constitutes legal blindness?
Visual acuity of 20/200 or worse in the better eye with corrected lens.
An NP is evaluating a patient with a history of primary open-angle glaucoma. Along with
changes in the color and size of the optic disc, which of the following best describes the
most common subjective change reported by patients with this condition?
A gradual loss of peripheral vision
An NP is assessing a pediatric patient with hearing loss. Which of the following is a
significant risk factor for conductive hearing loss in children?
Otitis media with effusion (OME)
An NP is evaluating an adult patient with a lesion on the helix of the ear that is
suspicious for squamous cell carcinoma (SCC). Which of the following is the most
significant risk factor for SCC?
Cumulative ultraviolet (UV) light exposure and age
An adult patient reports difficulty reading small print in books and on their phone that
improves when they hold it farther away. How should an NP document this visual
finding in the patient's record?
Presbyopia
An NP is assessing an adult patient with purulent nasal discharge and facial pain.
Which of the following assessment techniques is the most appropriate to evaluate the
sinuses?
Palpate the frontal sinuses for tenderness under the bony brows.
Examination of the nose and paranasal sinuses reveal local tenderness, pain, and
rhinorrhea in a febrile patient. Which of the following findings are suggestive?
Acute sinusitis of the frontal and maxillary sinuses
An NP is assessing a patient who presents with an area of dryness on the lower lip, and
the NP suspects actinic cheilitis. Which of the following is the most common risk factor
for this condition?
Exposure to solar radiation
An NP is assessing an adult patient with severe deep left eye pain. Upon physical
examination, there is a dilated and fixed left pupil, and the cornea is cloudy. Which of
the following conditions is most often associated with these assessment findings?
Acute angle closure glaucoma
, An NP is assessing a patient who has a history of AIDS and is being assessed for
Kaposi's sarcoma. Which of the following findings would best support this differential
diagnosis?
A non-tender deep purple lesion on the roof of their mouth
The sudden onset of painless unilateral vision loss is most likely related to which of the
following etiologies?
Retinal detachment
Examination of the nasal lacrimal duct reveals a mucopurulent discharge from the
puncta. Which of the following conditions is most likely to cause this abnormal exam
finding?
Canaliculitis
An NP is assessing a patient with a scotoma. Which of the following visual impairments
is most often associated with this condition?
Fixed specks or defects
An NP is evaluating a toddler and suspects acute otitis media (AOM). Which of the
following assessment findings would best support this diagnosis?
Distorted tympanic membrane (TM) landmarks
An NP is assessing an adult patient who presents with angular cheilitis related to ill-
fitting dentures. Which of the following subjective reports would further support this
differential diagnosis?
Erythematous fissures at the corners of the mouth
An NP is assessing an adult patient's salivary glands. In order to evaluate the opening
of the Stenson's duct, the NP should examine which of the following findings?
Buccal mucosa opposite the second molar
A person who has been blind since birth presents for a physical exam. Which of the
following are expected findings of the pupillary reaction when light is shown?
It can vary
Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular
red spots embedded in the retina. Which of the following are these findings consistent
with?
Deep retinal hemorrhages
An NP is performing an otoscopic examination on a toddler who presents with ear pain.
Which of the following examination techniques is recommended to get the best view of
the tympanic membrane?
Pull the auricle up and backward.
