NURS 142 Exam with Complete Solutions
1. What are you looking for when inspecting the head? - ANSWER -size,
shape, symmetry, deformities, facial symmetry, facial expression, skin color, erect,
proportional to body size. look at hair for color and hygiene
2. What are you looking for when palpating the head? - ANSWER -texture of
hair, infesta- tions, masses, lesions, and mobility
3. What are you looking for when inspecting the neck? - ANSWER -trachea
(midline), le- sions, fullness of neck, swelling, erythema, and ROM when laterally
turning head
4. What are you looking for when palpating the neck? - ANSWER -the ROM
in shoulders when shrugging against resistance
5. What are you looking for when inspecting the lymph nodes? - ANSWER -
redness and swelling
6. What is the expected finding when palpating the lymph nodes? - ANSWER -
non palpable and no tenderness
7. What is the unexpected finding when palpating lymph nodes and what
would you assess? - ANSWER -palpable - ANSWER -size, shape, symmetry,
temperature, mobility, char- acter, consistency, and tenderness
8. What are the lymph nodes of the head? - ANSWER -pre auricular, post
auricular, occipital, tonsiller, submandibular, submental, anterior cervical chain,
posterior cervical chain, and supraclavicular
9. Where is the pre auricular lymph node? - ANSWER -in front of the ear
10. Where is the post auricular lymph node? - ANSWER -behind the ear
11. Where is the occipital lymph node? - ANSWER -base of the skull
12. Where is the tonsillar lymph node? - ANSWER -by tonsils, the angle of the
mandible
13. Where is the submandibular lymph node? - ANSWER -under the mandible
14. Where is the sub mental lymph node? - ANSWER -under the chin
15. Where are the anterior cervical chain lymph nodes? - ANSWER -in the
front of the side of the neck
16. Where are the posterior cervical chain lymph nodes? - ANSWER -in the
back of the side of the neck
17. Where are the supra-clavicular lymph nodes? - ANSWER -just above the
clavicle (shrug shoulders to reach them)
18. What are you looking for when inspecting the nose? - ANSWER -if its
midline, symmet- rical, skin smooth, no swelling, no lesions, color consistent with
facial complexion, nares patent, and no drainage
19. What are you looking for when inspecting the external part of the mouth?-
- ANSWER -symmetry, lip color, moisture, lesions, and oral competency
20. What are you looking for when inspecting the internal part of the mouth?-
, NURS 142 Exam with Complete Solutions
- ANSWER -color and moisture of buccal mucosa, floor of mouth, and gums
general appearance of the teeth - ANSWER -how many, alignment, dental work,
color, signs of
, NURS 142 Exam with Complete Solutions
decay, dentures and fit, and abnormal odor
color and intactness of hard and soft palate
uvula lift, midline and symmetry of uvula and tongue
general salivary flow
21. What is the scale for grading tonsils? - ANSWER -+1 pillar
+2 beyond pillar
+3 see them
+4 touching
22. What is halitosis? - ANSWER -bad breath
23. What is anosmia? - ANSWER -loss of smell
24. How can anosmia affect the elderly? - ANSWER -can happen with
dementia. decreases appetite and overall food intake
25. What are you looking for when inspecting the eyes? - ANSWER -
symmetry, alignment of outer canthus with pinna of ears, obvious deformities, eye
shape and symmetry, clarity of cornea, color of sclera, clarity of conjunctiva, color
and symmetry of iris, fullness and symmetry of eyelashes and eyebrows, ability to
close eyelids all the way while blinking and symmetry, and drooping
26. What is ptosis? - ANSWER -eyelid drooping
27. What are you looking for when palpating the eyes? - ANSWER -if the
orbits are tender and if the lacrimal apparatus is tender or swollen
28. What chart is used to measure distance vision? - ANSWER -snellen chart
29. What chart is used to measure near vision? - ANSWER -jaeger chart
30. How can color blindness be tested? - ANSWER -on the snellen chart
31. What does the corneal light reflex test test for? - ANSWER -strabismus
32. What are you looking for when performing the corneal light reflex test? -
ANSWER --
symmetry of reflection of light on the cornea
33. What test would you perform if the patient was strabismus positive? -
ANSWER -cov- er/uncover test
34. What is strabismus? - ANSWER -lazy eye
35. What are you looking for when performing the six cardinal fields of gaze?-
- ANSWER -symmetry and smoothness of the eye and no nystagmus
36. What is nystagmus? - ANSWER -involuntary shakiness of eyes
37. What are you looking for when performing the pupillary reflex test? -
ANSWER -size, shape, symmetry, direct pupillary constriction and
accommodation, PERRLA
38. What is the expected finding after performing the pupillary reflex test? -
ANSWER --
consensual response
39. What does PERRLA stand for? - ANSWER -pupils equal, round, reactive
, NURS 142 Exam with Complete Solutions
to light, and accommodation
40. What does a dead retina indicate? - ANSWER -blindness
1. What are you looking for when inspecting the head? - ANSWER -size,
shape, symmetry, deformities, facial symmetry, facial expression, skin color, erect,
proportional to body size. look at hair for color and hygiene
2. What are you looking for when palpating the head? - ANSWER -texture of
hair, infesta- tions, masses, lesions, and mobility
3. What are you looking for when inspecting the neck? - ANSWER -trachea
(midline), le- sions, fullness of neck, swelling, erythema, and ROM when laterally
turning head
4. What are you looking for when palpating the neck? - ANSWER -the ROM
in shoulders when shrugging against resistance
5. What are you looking for when inspecting the lymph nodes? - ANSWER -
redness and swelling
6. What is the expected finding when palpating the lymph nodes? - ANSWER -
non palpable and no tenderness
7. What is the unexpected finding when palpating lymph nodes and what
would you assess? - ANSWER -palpable - ANSWER -size, shape, symmetry,
temperature, mobility, char- acter, consistency, and tenderness
8. What are the lymph nodes of the head? - ANSWER -pre auricular, post
auricular, occipital, tonsiller, submandibular, submental, anterior cervical chain,
posterior cervical chain, and supraclavicular
9. Where is the pre auricular lymph node? - ANSWER -in front of the ear
10. Where is the post auricular lymph node? - ANSWER -behind the ear
11. Where is the occipital lymph node? - ANSWER -base of the skull
12. Where is the tonsillar lymph node? - ANSWER -by tonsils, the angle of the
mandible
13. Where is the submandibular lymph node? - ANSWER -under the mandible
14. Where is the sub mental lymph node? - ANSWER -under the chin
15. Where are the anterior cervical chain lymph nodes? - ANSWER -in the
front of the side of the neck
16. Where are the posterior cervical chain lymph nodes? - ANSWER -in the
back of the side of the neck
17. Where are the supra-clavicular lymph nodes? - ANSWER -just above the
clavicle (shrug shoulders to reach them)
18. What are you looking for when inspecting the nose? - ANSWER -if its
midline, symmet- rical, skin smooth, no swelling, no lesions, color consistent with
facial complexion, nares patent, and no drainage
19. What are you looking for when inspecting the external part of the mouth?-
- ANSWER -symmetry, lip color, moisture, lesions, and oral competency
20. What are you looking for when inspecting the internal part of the mouth?-
, NURS 142 Exam with Complete Solutions
- ANSWER -color and moisture of buccal mucosa, floor of mouth, and gums
general appearance of the teeth - ANSWER -how many, alignment, dental work,
color, signs of
, NURS 142 Exam with Complete Solutions
decay, dentures and fit, and abnormal odor
color and intactness of hard and soft palate
uvula lift, midline and symmetry of uvula and tongue
general salivary flow
21. What is the scale for grading tonsils? - ANSWER -+1 pillar
+2 beyond pillar
+3 see them
+4 touching
22. What is halitosis? - ANSWER -bad breath
23. What is anosmia? - ANSWER -loss of smell
24. How can anosmia affect the elderly? - ANSWER -can happen with
dementia. decreases appetite and overall food intake
25. What are you looking for when inspecting the eyes? - ANSWER -
symmetry, alignment of outer canthus with pinna of ears, obvious deformities, eye
shape and symmetry, clarity of cornea, color of sclera, clarity of conjunctiva, color
and symmetry of iris, fullness and symmetry of eyelashes and eyebrows, ability to
close eyelids all the way while blinking and symmetry, and drooping
26. What is ptosis? - ANSWER -eyelid drooping
27. What are you looking for when palpating the eyes? - ANSWER -if the
orbits are tender and if the lacrimal apparatus is tender or swollen
28. What chart is used to measure distance vision? - ANSWER -snellen chart
29. What chart is used to measure near vision? - ANSWER -jaeger chart
30. How can color blindness be tested? - ANSWER -on the snellen chart
31. What does the corneal light reflex test test for? - ANSWER -strabismus
32. What are you looking for when performing the corneal light reflex test? -
ANSWER --
symmetry of reflection of light on the cornea
33. What test would you perform if the patient was strabismus positive? -
ANSWER -cov- er/uncover test
34. What is strabismus? - ANSWER -lazy eye
35. What are you looking for when performing the six cardinal fields of gaze?-
- ANSWER -symmetry and smoothness of the eye and no nystagmus
36. What is nystagmus? - ANSWER -involuntary shakiness of eyes
37. What are you looking for when performing the pupillary reflex test? -
ANSWER -size, shape, symmetry, direct pupillary constriction and
accommodation, PERRLA
38. What is the expected finding after performing the pupillary reflex test? -
ANSWER --
consensual response
39. What does PERRLA stand for? - ANSWER -pupils equal, round, reactive
, NURS 142 Exam with Complete Solutions
to light, and accommodation
40. What does a dead retina indicate? - ANSWER -blindness
