NR 302 HEALTH ASSESSMENT FINAL EXAM WITH ACTUAL
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
Cafe au lait spots - ANS... -large round or oval patch of light brown usually present
at birth
Cutis marmorata - ANS... -transient mottling on trunk and extremities
Which facial bones articulate at a joint instead of a suture? - ANS... -mandible
Identify the blood vessel that runs diagonally across the sternomastoid muscle. -
ANS... -external jugular vein
The isthmus of the thyroid gland lies just below the - ANS... -cricoid cartilage
Which is true regarding cluster headaches? - ANS... -they may be precipitated by
alcohol and daytime napping
Which is the least likely to indicate a possible malignancy? - ANS... -marked
tenderness
Providing resistance while the patient shrugs his or her shoulders is a test of which
cranial nerve? - ANS... -XI
On exam, newborn fontanel should feel: - ANS... -firm, slightly concave, well
defined
If the thyroid gland were enlarged bilaterally, which maneuver would be
appropriate for you to assess? - ANS... -listen for bruit over thyroid lobes
It is normal to palpate a few lymph nodes in the neck of a healthy person. What are
the characteristics of these nodes? - ANS... -mobile, soft, nontender
Cephalhematoma is associated with - ANS... -subperiosteal hemorrhage
Normal cervical nodes are - ANS... -smaller than 1 cm
,A throbbing, unilateral pain associated with nausea, vomiting, and photophobia is
characteristic of:
A. cluster headache
B. subarachnoid hemorrhage
C. migraine headache
D. tension headache - ANS... -migraine headache
Bell palsy is characterized by - ANS... -unilateral paralysis of half of the face
You suspect an infant's head is of abnormal size and can use which procedure to
verify these findings? - ANS... -measuring tape
preauricular nodes - ANS... -in front of the ear
posterior auricular node - ANS... -superficial to the mastoid process
occipital node - ANS... -base of skull
Submental node - ANS... -behind the tip of the mandible
Submandibular node - ANS... -halfway between the angle and the tip of the
mandible
jugulodigastric node - ANS... -under the angle of the mandible
Superficial cervical node - ANS... -overlying the sternomastoid muscle
Deep cervical node - ANS... -under the sternomastoid muscle
Posterior cervical node - ANS... -in the posterior triangle along the edge of the
trapezius muscle
Supraclavicular node - ANS... -above and behind the clavicle
The palpebral fissure is the: - ANS... -open space between eyelids
Sequence of complete adult health exam - ANS... -patient walks in room, sits:
examiner facing patient, patient in street clothes
,The Health History: adult - ANS... -Biographical data Past health, Family history,
Review of systems, ADLs, Perception of Health
General Appearance: adult - ANS... --Appears stated age -Level of consciousness -
Skin color -Nutritional status -Posture and position comfortably erect -Obvious
physical deformities
-Mobility (Gait, assistive devices, ROM, No involuntary movement, Able to rise
easily from a seated position)
-Facial expression
-Mood and affect
-Speech: articulation, pattern, content appropriate, native language
-Hearing
-Personal hygiene
The retinal structures viewed through the ophthalmoscope are: - ANS... -optic disc,
vessels, macula, background
"Positive consensual light reflex" means... - ANS... -simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - ANS... -
cataract
Eye emergency - ANS... -sudden change in vision
Visual acuity is assessed with: - ANS... -Snellen eye chart
The cover test is used to assess for: - ANS... -muscle weakness
When using the ophthalmoscope, you would: - ANS... -remove your own glasses
and approach the patient's left eye with your left eye
The 6 eye muscles that control eye movement are innervated by cranial nerves: -
ANS... -III, IV, VI
Conjunctivitis - ANS... -redness of the conjunctiva
normal peripheral vision would see finger at - ANS... -90 degrees
patient blind in left eye, what happens when light in right - ANS... -both constrict
, interruption of red reflex happens when - ANS... -there is opacity of cornea or lens
One cause of visual impairment in aging adults is: - ANS... -glaucoma
PERRLA - ANS... -pupils equal, round, reactive to light and accommodation
cause of red reflex - ANS... -light reflecting from the retina
color of tympanic membrane - ANS... -pearly gray
sensioneural hearing loss - ANS... -related to gradual nerve degeneration
Before ear exam, palate - ANS... -pinna, tragus, and mastoid process
Ear exam of 3 year old - ANS... -pull pinna down
ear exam of adult - ANS... -pull pinna up and back
darwin tubercle - ANS... -a congenital, painless nodule at the helix
when assessing patients ear - ANS... -tilt head away from examiner
The hearing receptors are located in the - ANS... -cochlea
The sensation of vertigo may indicate: - ANS... -pathology in the semicircular
canals
common cause of conductive hearing loss - ANS... -impacted cerumen
Signs of ear infection - ANS... -absent light reflex, red and bulging drum
Reducing risk of ear infection - ANS... -dont smoke in house or car
assessing hearing in babies - ANS... -watch for head turn when you call their name
patient w head injury has clear watery drainage from ear - ANS... -consider
possible basal skull fracture, refer immediately
common site of nose bleeds - ANS... -kiesselbach plexus
QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+
Cafe au lait spots - ANS... -large round or oval patch of light brown usually present
at birth
Cutis marmorata - ANS... -transient mottling on trunk and extremities
Which facial bones articulate at a joint instead of a suture? - ANS... -mandible
Identify the blood vessel that runs diagonally across the sternomastoid muscle. -
ANS... -external jugular vein
The isthmus of the thyroid gland lies just below the - ANS... -cricoid cartilage
Which is true regarding cluster headaches? - ANS... -they may be precipitated by
alcohol and daytime napping
Which is the least likely to indicate a possible malignancy? - ANS... -marked
tenderness
Providing resistance while the patient shrugs his or her shoulders is a test of which
cranial nerve? - ANS... -XI
On exam, newborn fontanel should feel: - ANS... -firm, slightly concave, well
defined
If the thyroid gland were enlarged bilaterally, which maneuver would be
appropriate for you to assess? - ANS... -listen for bruit over thyroid lobes
It is normal to palpate a few lymph nodes in the neck of a healthy person. What are
the characteristics of these nodes? - ANS... -mobile, soft, nontender
Cephalhematoma is associated with - ANS... -subperiosteal hemorrhage
Normal cervical nodes are - ANS... -smaller than 1 cm
,A throbbing, unilateral pain associated with nausea, vomiting, and photophobia is
characteristic of:
A. cluster headache
B. subarachnoid hemorrhage
C. migraine headache
D. tension headache - ANS... -migraine headache
Bell palsy is characterized by - ANS... -unilateral paralysis of half of the face
You suspect an infant's head is of abnormal size and can use which procedure to
verify these findings? - ANS... -measuring tape
preauricular nodes - ANS... -in front of the ear
posterior auricular node - ANS... -superficial to the mastoid process
occipital node - ANS... -base of skull
Submental node - ANS... -behind the tip of the mandible
Submandibular node - ANS... -halfway between the angle and the tip of the
mandible
jugulodigastric node - ANS... -under the angle of the mandible
Superficial cervical node - ANS... -overlying the sternomastoid muscle
Deep cervical node - ANS... -under the sternomastoid muscle
Posterior cervical node - ANS... -in the posterior triangle along the edge of the
trapezius muscle
Supraclavicular node - ANS... -above and behind the clavicle
The palpebral fissure is the: - ANS... -open space between eyelids
Sequence of complete adult health exam - ANS... -patient walks in room, sits:
examiner facing patient, patient in street clothes
,The Health History: adult - ANS... -Biographical data Past health, Family history,
Review of systems, ADLs, Perception of Health
General Appearance: adult - ANS... --Appears stated age -Level of consciousness -
Skin color -Nutritional status -Posture and position comfortably erect -Obvious
physical deformities
-Mobility (Gait, assistive devices, ROM, No involuntary movement, Able to rise
easily from a seated position)
-Facial expression
-Mood and affect
-Speech: articulation, pattern, content appropriate, native language
-Hearing
-Personal hygiene
The retinal structures viewed through the ophthalmoscope are: - ANS... -optic disc,
vessels, macula, background
"Positive consensual light reflex" means... - ANS... -simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - ANS... -
cataract
Eye emergency - ANS... -sudden change in vision
Visual acuity is assessed with: - ANS... -Snellen eye chart
The cover test is used to assess for: - ANS... -muscle weakness
When using the ophthalmoscope, you would: - ANS... -remove your own glasses
and approach the patient's left eye with your left eye
The 6 eye muscles that control eye movement are innervated by cranial nerves: -
ANS... -III, IV, VI
Conjunctivitis - ANS... -redness of the conjunctiva
normal peripheral vision would see finger at - ANS... -90 degrees
patient blind in left eye, what happens when light in right - ANS... -both constrict
, interruption of red reflex happens when - ANS... -there is opacity of cornea or lens
One cause of visual impairment in aging adults is: - ANS... -glaucoma
PERRLA - ANS... -pupils equal, round, reactive to light and accommodation
cause of red reflex - ANS... -light reflecting from the retina
color of tympanic membrane - ANS... -pearly gray
sensioneural hearing loss - ANS... -related to gradual nerve degeneration
Before ear exam, palate - ANS... -pinna, tragus, and mastoid process
Ear exam of 3 year old - ANS... -pull pinna down
ear exam of adult - ANS... -pull pinna up and back
darwin tubercle - ANS... -a congenital, painless nodule at the helix
when assessing patients ear - ANS... -tilt head away from examiner
The hearing receptors are located in the - ANS... -cochlea
The sensation of vertigo may indicate: - ANS... -pathology in the semicircular
canals
common cause of conductive hearing loss - ANS... -impacted cerumen
Signs of ear infection - ANS... -absent light reflex, red and bulging drum
Reducing risk of ear infection - ANS... -dont smoke in house or car
assessing hearing in babies - ANS... -watch for head turn when you call their name
patient w head injury has clear watery drainage from ear - ANS... -consider
possible basal skull fracture, refer immediately
common site of nose bleeds - ANS... -kiesselbach plexus
