HEENT assessment questions and answers all correct

HEENT assessment questions and answers all correct What are some examples of subjective data you can gather related to the head? Correct Answer: HAs, head injuries, dizziness, dysphagia, surgical hx, neck pain When does the ANTERIOR fontanel of an infant close? Correct Answer: 9mo to 2yrs When does the POSTERIOR fontanel of an infant close? Correct Answer: 1-2mo What causes hydrocephalus? Correct Answer: increased CSF in the brain What condition is caused by excessive GH from the pituitary gland? Correct Answer: acromegaly What are the distinguishing features of a child with FAS? Correct Answer: short palpebral fissures, flat midface, short nose, epicanthal folds What are the distinguishing features of Down's syndrome? Correct Answer: lowset ears, upslanting eyes, thicker tongue, palmar crease What is drooling, flat face, expressionless a sign of? Correct Answer: Parkinson's What is significant of Bell's Palsy? Correct Answer: unilateral complete facial paralysis What is significant of a stroke? Correct Answer: unilateral lower facial paralysis What does CN 5 control? (trigeminal) Correct Answer: facial sensation What does CN 7 control? Correct Answer: facial expression The nurse is assessing a patient's face and neck bilaterally for nerve damage. The patient is UNABLE TO FEEL any of these sensations. The nurse suspects damage to: A. CN 4 C. CN 7 B. CN 5 D. CN 11 Correct Answer: B. CN 5: trigeminal What is difference between caput succadeum and cephalahematoma? Correct Answer: CS crosses the suture lines and CH is one hemi only What does CN 2 control? Correct Answer: vision What do CN 3,4, 6 control? Correct Answer: eye movements What are some subjective data to gather relating to the eyes? Correct Answer: vision problems, pain, diplopia (double vision), watering, discharge, glasses/contact use What is macula degeneration? Correct Answer: breakdown of retinal cells, loss of CENTRAL vision What does the Hirschberg Test check for? Correct Answer: corneal light reflex -- parallel alignment How do pupils react to light? Correct Answer: constrict When a patient is focused on a distant object, how do pupils respond? When focused on a near object? Correct Answer: distant = pupils dilate near = pupils constrict How is estropia identified? Correct Answer: inward turning of eye How is extropia identified? Correct Answer: outward turning of eye What is the condition characterized by forward displacement of eyes and widened palpebral fissures? Correct Answer: exophthalmous How is ptosis characterized? Correct Answer: drooping upper eyelid What condition is characterized by rubbing of lashes that may irritate the cornea? Correct Answer: entropion How is ectropion characterized? Correct Answer: lower eyelid is loose and rolling out, excess tearing, eyes dry and itchy When using an otoscope for an adult, how do you position the pinna and otoscope? For a child? Correct Answer: adult = pinna is up and back, oto is up child = pinna is down and back, oto is down What is the cone of light in the ear? Correct Answer: the reflection of light from the otoscope When would you assess the ears of a child who has a chief complaint of an ear problem? Correct Answer: assess ears last What is some subjective data to gather relating to the nose? Correct Answer: rhinorrhea (discharge), frequent colds?, sinus pain, trauma, epistaxis (nosebleeds), allergies The nurse is assessing a patient for sinus tenderness. How should the nurse perform the exam? A. palpate behind the ears and along side of the throat and clavicles, noting edema B. Press firmly around the orbit of the eyes and palpate the nose, noting pain C. Tap above the eyes and nose noting tenderness and pain D. Auscultate the neck bilaterally with the bell of the stethoscope Correct Answer: C. Tap above the eyes and nose noting tenderness and pain What are some types of subjective data relating to the mouth and throat? Correct Answer: sores, ST, bleeding gums, dysphagia, smoking, dentures? When using the tongue blade, it elicits the gag reflex. Which cranial nerves does this test? Correct Answer: CN 9 and 10