EXAM 3 - HEENT, Mouth, Face, & Neck UPDATED ACTUAL
Questions and CORRECT Answers
subjective data headache, head injury, dizziness, neck pain, lumps/swelling, & history of surgery
headaches onset, precipitating factors, gradual or sudden, frequency, location, character,
severity, course & duration, associated factors, illnesses & medications,
aggravating & alleviating factors
head injury onset & setting, precipitating factors, loss of consciousness/syncope, history of
illness, location, associated symptoms, & treatment efforts
dizziness ask for description
lumps & swelling new lumps often suggest acute infection, persistent ones may suggest
malignancy
inspect size & shape of skull, face shape & symmetry of features, facial expression &
mood/behavior, skin & hair color, position & symmetry of neck, neck ROM, &
external eye
palpate hair texture & scalp, temporal artery, temporomandibular joint, sinuses, salivary
glands (parotid & submandibular), lymph nodes, & thyroid
common headache types sinus, tension, migrane, & cluster
temporomandibular joint dysfunction headache, facial pain when opening/closing jaw, earache, tinnitus, clicking, or
crepitus, limited ROM, associated with arthritis, injury, or clenching/grinding
teeth
priority urgent assessments acute head & neck injuries & neurological changes: stabilization of head, neck &
trauma assessments, neck pain: muscle tension or spasm - beware of fever +
headache, possible cardiac MI, lymphatics = > 1cm, irregular, hard or rubbery
require emergency investigation for cancer
ophthalmoscope instrument used to examine the interior of the eye
Snellen Eye Chart eye chart used by eye care professionals and others to measure visual acuity
While assessing a patient, the nurse finds a palpable recognize that it is not common to palpate lymph nodes in this region & that
lymph node in the left supraclavicular region. Which of they must be carefully evaluated
the following should be the next action? 3 multiple choice options
Which of the following score for vision indicates the 20/100
patient with the poorest vision? 3 multiple choice options
, priority urgent eye assessment eye trauma, injuries, rapid assessment of the eye: foreign bodies, lacerations,
hyphema, testing ocular movements: examining optic disc, acute glaucoma
acute glaucoma medical emergency = blockage of fluid between iris & cornea, can result in
permanent vision loss if untreated
external ear auricle/pinna, external auditory canal, tympanic membrane (eardrum)
middle ear malleus, incus, stapes, & eustachian tubes
inner ear vestibule, semicircular canals, & cochlea
external ear structure & function funnel sound waves into ear & secretion of cerumen to lubricate & protect the
ear
middle ear structure & function conduct sound vibrations, equalize air pressure, protect inner ear
inner ear structure & function hearing & balance
conductive hearing loss mechanical dysfunction of the external or middle ear
sensorineural hearing loss pathology of the inner ear, cranial nerve VII, or auditory areas of cerebral
cortex
mixed hearing loss conductive + sensorineural loss in the same ear
ears in infants & children eustachian tube is shorter, wider, & more horizontal that adults
ears in adolescents & young adults recreational exposure to loud noises, otosclerosis
otosclerosis hardening of the bony tissue of the middle ear
ears in aging adults presbycusis - age related hearing loss
otitis media lower socioeconomic status > incidence, environmental factors
hearing loss highest incidence in caucasian men over 70
cerumen wet, honey-brown wax vs flaky white wax (dry cerumen)
ear exam subjective data earache, infection, discharge, hearing loss, environmental, tinnitus, & vertigo
otalgia earache
otorrhea discharge
ear exam objective data physical assessment - have patient sit upright & ensure external canal is clear of
cerumen
external ear exam inspect - size/shape, condition of skin, external auditory meatus, & piercings,
palpate tenderness of pinna
Questions and CORRECT Answers
subjective data headache, head injury, dizziness, neck pain, lumps/swelling, & history of surgery
headaches onset, precipitating factors, gradual or sudden, frequency, location, character,
severity, course & duration, associated factors, illnesses & medications,
aggravating & alleviating factors
head injury onset & setting, precipitating factors, loss of consciousness/syncope, history of
illness, location, associated symptoms, & treatment efforts
dizziness ask for description
lumps & swelling new lumps often suggest acute infection, persistent ones may suggest
malignancy
inspect size & shape of skull, face shape & symmetry of features, facial expression &
mood/behavior, skin & hair color, position & symmetry of neck, neck ROM, &
external eye
palpate hair texture & scalp, temporal artery, temporomandibular joint, sinuses, salivary
glands (parotid & submandibular), lymph nodes, & thyroid
common headache types sinus, tension, migrane, & cluster
temporomandibular joint dysfunction headache, facial pain when opening/closing jaw, earache, tinnitus, clicking, or
crepitus, limited ROM, associated with arthritis, injury, or clenching/grinding
teeth
priority urgent assessments acute head & neck injuries & neurological changes: stabilization of head, neck &
trauma assessments, neck pain: muscle tension or spasm - beware of fever +
headache, possible cardiac MI, lymphatics = > 1cm, irregular, hard or rubbery
require emergency investigation for cancer
ophthalmoscope instrument used to examine the interior of the eye
Snellen Eye Chart eye chart used by eye care professionals and others to measure visual acuity
While assessing a patient, the nurse finds a palpable recognize that it is not common to palpate lymph nodes in this region & that
lymph node in the left supraclavicular region. Which of they must be carefully evaluated
the following should be the next action? 3 multiple choice options
Which of the following score for vision indicates the 20/100
patient with the poorest vision? 3 multiple choice options
, priority urgent eye assessment eye trauma, injuries, rapid assessment of the eye: foreign bodies, lacerations,
hyphema, testing ocular movements: examining optic disc, acute glaucoma
acute glaucoma medical emergency = blockage of fluid between iris & cornea, can result in
permanent vision loss if untreated
external ear auricle/pinna, external auditory canal, tympanic membrane (eardrum)
middle ear malleus, incus, stapes, & eustachian tubes
inner ear vestibule, semicircular canals, & cochlea
external ear structure & function funnel sound waves into ear & secretion of cerumen to lubricate & protect the
ear
middle ear structure & function conduct sound vibrations, equalize air pressure, protect inner ear
inner ear structure & function hearing & balance
conductive hearing loss mechanical dysfunction of the external or middle ear
sensorineural hearing loss pathology of the inner ear, cranial nerve VII, or auditory areas of cerebral
cortex
mixed hearing loss conductive + sensorineural loss in the same ear
ears in infants & children eustachian tube is shorter, wider, & more horizontal that adults
ears in adolescents & young adults recreational exposure to loud noises, otosclerosis
otosclerosis hardening of the bony tissue of the middle ear
ears in aging adults presbycusis - age related hearing loss
otitis media lower socioeconomic status > incidence, environmental factors
hearing loss highest incidence in caucasian men over 70
cerumen wet, honey-brown wax vs flaky white wax (dry cerumen)
ear exam subjective data earache, infection, discharge, hearing loss, environmental, tinnitus, & vertigo
otalgia earache
otorrhea discharge
ear exam objective data physical assessment - have patient sit upright & ensure external canal is clear of
cerumen
external ear exam inspect - size/shape, condition of skin, external auditory meatus, & piercings,
palpate tenderness of pinna
