PCHA STUDY EXAMS GUIDE QUESTIONS AND ANSWERS
SURE A+
✔✔The patient is at the clinic for an eye examination. The nurse suspects that the
patient has a ptosis of one eye. How would the nurse check for this? - ✔✔Observe the
distance between the upper and lower eyelid (palpebral fissure).
✔✔When performing the whisper test to assess hearing, which of the following would
be appropriate? - ✔✔Whisper words or numbers 1 -2 feet behind the client and ask the
client to repeat them.
✔✔The patient comes to the clinic with a suspected lesion of cranial nerve XI (spinal
accessory). How would the nurse assess for this? - ✔✔Ask the client to shrug his
shoulders against resistance and turn his head side-to-side against resistance.
✔✔Which of the following best describes the test the nurse should use to assess the
function of cranial nerve X? - ✔✔Ask the patient to say "ahhh" and watch for movement
of the soft palate and uvula.
✔✔The practitioner shines a light straight toward the bridge of the nose of the client. A
bright dot of light appears at the 3 o'clock position in the left eye and 10 o'clock position
in the right eye. This finding is known as a/an: - ✔✔abnormal corneal light reflex
✔✔Which of the following is needed by a primary care clinician (for example a physician
or nurse practitioner) to conduct a thorough oral exam? - ✔✔all of the above
- exam light to illuminate key features in the mouth
- tongue depressors to lift the lip and retract the cheek
- gauze pads to grasp the tongue
✔✔What can the primary care clinician (for example a physician or nurse practitioner)
do to promote oral health? - ✔✔Collaborate with dental and other health professionals
✔✔What is the suggested pathway linking chronic periodontitis and conditions such as
diabetes, coronary artery disease and adverse pregnancy outcomes? - ✔✔Inflammation
✔✔Oral cancer is most common in which area of the mouth? - ✔✔Posterolateral tongue
✔✔During an abdominal assessment, the nurse would consider which of these findings
as normal? - ✔✔Tympanic percussion note in the umbilical region
✔✔While examining a thin patient, the nurse observes abdominal pulsations between
the xiphoid and umbilicus. The nurse would suspect that these are: - ✔✔normal
abdominal aortic pulsations.
, ✔✔The nurse is watching a new graduate nurse perform auscultation of a patient's
abdomen. Which statement by the new graduate shows a correct understanding of the
reason auscultation precedes percussion and palpation of the abdomen? -
✔✔"Auscultation prevents distortion of bowel sounds that might occur after percussion
and palpation."
✔✔A patient is complaining of a sharp pain along the costovertebral angles. The nurse
knows that this symptom is most often indicative of: - ✔✔kidney inflammation
✔✔The best position to conduct an abdominal exam is: - ✔✔Supine with knees bent or
pillow under knees
✔✔When the nurse is performing a genital examination on a male patient, the patient
has an erection. The nurse's most appropriate action or response is to: - ✔✔reassure
the patient that this is a normal response and continue with the examination
✔✔The nurse is aware that which of the following statements is true regarding testicular
cancer? - ✔✔all of the above
- About half of all testicular cancers are found in males ages 20 - 34 years old.
- For asymptomatic adolescents and adult males, the U.S. Preventive Health Services
Task Force does not recommend routine screening (self-screening or clinical screening)
for testicular cancer.
- Men with a history of undescended testes are at risk for development of testicular
cancer.
✔✔Which of the following statements made by the patient regarding testicular self-exam
would indicate a need for further education? - ✔✔"I should examine the testicles when I
take a cool or cold shower."
✔✔Mrs. L., a 25 - year- old female, comes to your clinic for a routine physical exam.
While performing her breast exam, she tells you she has never had anyone teach her
how to properly examine her breasts and asks that you educate her on the breast self
exam. Which of the following is true regarding assessment of the breasts? - ✔✔A & D
- To perform a breast self-exam, press the three middle fingers in a circular motion and
follow an up and down method.
- The best time to perform the breast self exam is right after the menstrual period.
✔✔During a discussion for a men's health group, the nurse relates that the group with
the highest incidence of prostate cancer is: - ✔✔African-American
✔✔The nurse is collecting subjective data prior to the female genitourinary exam. The
patient describes pain and cramping before and during her menstrual period. How
would the nurse document this finding? - ✔✔dysmenorrhea
SURE A+
✔✔The patient is at the clinic for an eye examination. The nurse suspects that the
patient has a ptosis of one eye. How would the nurse check for this? - ✔✔Observe the
distance between the upper and lower eyelid (palpebral fissure).
✔✔When performing the whisper test to assess hearing, which of the following would
be appropriate? - ✔✔Whisper words or numbers 1 -2 feet behind the client and ask the
client to repeat them.
✔✔The patient comes to the clinic with a suspected lesion of cranial nerve XI (spinal
accessory). How would the nurse assess for this? - ✔✔Ask the client to shrug his
shoulders against resistance and turn his head side-to-side against resistance.
✔✔Which of the following best describes the test the nurse should use to assess the
function of cranial nerve X? - ✔✔Ask the patient to say "ahhh" and watch for movement
of the soft palate and uvula.
✔✔The practitioner shines a light straight toward the bridge of the nose of the client. A
bright dot of light appears at the 3 o'clock position in the left eye and 10 o'clock position
in the right eye. This finding is known as a/an: - ✔✔abnormal corneal light reflex
✔✔Which of the following is needed by a primary care clinician (for example a physician
or nurse practitioner) to conduct a thorough oral exam? - ✔✔all of the above
- exam light to illuminate key features in the mouth
- tongue depressors to lift the lip and retract the cheek
- gauze pads to grasp the tongue
✔✔What can the primary care clinician (for example a physician or nurse practitioner)
do to promote oral health? - ✔✔Collaborate with dental and other health professionals
✔✔What is the suggested pathway linking chronic periodontitis and conditions such as
diabetes, coronary artery disease and adverse pregnancy outcomes? - ✔✔Inflammation
✔✔Oral cancer is most common in which area of the mouth? - ✔✔Posterolateral tongue
✔✔During an abdominal assessment, the nurse would consider which of these findings
as normal? - ✔✔Tympanic percussion note in the umbilical region
✔✔While examining a thin patient, the nurse observes abdominal pulsations between
the xiphoid and umbilicus. The nurse would suspect that these are: - ✔✔normal
abdominal aortic pulsations.
, ✔✔The nurse is watching a new graduate nurse perform auscultation of a patient's
abdomen. Which statement by the new graduate shows a correct understanding of the
reason auscultation precedes percussion and palpation of the abdomen? -
✔✔"Auscultation prevents distortion of bowel sounds that might occur after percussion
and palpation."
✔✔A patient is complaining of a sharp pain along the costovertebral angles. The nurse
knows that this symptom is most often indicative of: - ✔✔kidney inflammation
✔✔The best position to conduct an abdominal exam is: - ✔✔Supine with knees bent or
pillow under knees
✔✔When the nurse is performing a genital examination on a male patient, the patient
has an erection. The nurse's most appropriate action or response is to: - ✔✔reassure
the patient that this is a normal response and continue with the examination
✔✔The nurse is aware that which of the following statements is true regarding testicular
cancer? - ✔✔all of the above
- About half of all testicular cancers are found in males ages 20 - 34 years old.
- For asymptomatic adolescents and adult males, the U.S. Preventive Health Services
Task Force does not recommend routine screening (self-screening or clinical screening)
for testicular cancer.
- Men with a history of undescended testes are at risk for development of testicular
cancer.
✔✔Which of the following statements made by the patient regarding testicular self-exam
would indicate a need for further education? - ✔✔"I should examine the testicles when I
take a cool or cold shower."
✔✔Mrs. L., a 25 - year- old female, comes to your clinic for a routine physical exam.
While performing her breast exam, she tells you she has never had anyone teach her
how to properly examine her breasts and asks that you educate her on the breast self
exam. Which of the following is true regarding assessment of the breasts? - ✔✔A & D
- To perform a breast self-exam, press the three middle fingers in a circular motion and
follow an up and down method.
- The best time to perform the breast self exam is right after the menstrual period.
✔✔During a discussion for a men's health group, the nurse relates that the group with
the highest incidence of prostate cancer is: - ✔✔African-American
✔✔The nurse is collecting subjective data prior to the female genitourinary exam. The
patient describes pain and cramping before and during her menstrual period. How
would the nurse document this finding? - ✔✔dysmenorrhea
