NR 302 Health Assessment Final Exam| 332 QUESTIONS|
WITH COMPLETE SOLUTIONS
The retinal structures viewed through the ophthalmoscope are: Correct Answer: optic disc,
vessels, macula, background
"Positive consensual light reflex" means... Correct Answer: simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: Correct Answer: cataract
Eye emergency Correct Answer: sudden change in vision
Visual acuity is assessed with: Correct Answer: Snellen eye chart
The cover test is used to assess for: Correct Answer: muscle weakness
When using the ophthalmoscope, you would: Correct Answer: 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: Correct Answer:
III, IV, VI
Conjunctivitis Correct Answer: redness of the conjunctiva
normal peripheral vision would see finger at Correct Answer: 90 degrees
patient blind in left eye, what happens when light in right Correct Answer: both constrict
interruption of red reflex happens when Correct Answer: there is opacity of cornea or lens
One cause of visual impairment in aging adults is: Correct Answer: glaucoma
PERRLA Correct Answer: pupils equal, round, reactive to light and accommodation
cause of red reflex Correct Answer: light reflecting from the retina
color of tympanic membrane Correct Answer: pearly gray
sensioneural hearing loss Correct Answer: related to gradual nerve degeneration
Before ear exam, palate Correct Answer: pinna, tragus, and mastoid process
Ear exam of 3 year old Correct Answer: pull pinna down
ear exam of adult Correct Answer: pull pinna up and back
,darwin tubercle Correct Answer: a congenital, painless nodule at the helix
when assessing patients ear Correct Answer: tilt head away from examiner
The hearing receptors are located in the Correct Answer: cochlea
The sensation of vertigo may indicate: Correct Answer: pathology in the semicircular canals
common cause of conductive hearing loss Correct Answer: impacted cerumen
Signs of ear infection Correct Answer: absent light reflex, red and bulging drum
Reducing risk of ear infection Correct Answer: dont smoke in house or car
assessing hearing in babies Correct Answer: watch for head turn when you call their name
patient w head injury has clear watery drainage from ear Correct Answer: consider possible
basal skull fracture, refer immediately
common site of nose bleeds Correct Answer: kiesselbach plexus
Which sinuses can you assess through examination? Correct Answer: frontal and maxillary
the frenulum is the Correct Answer: midline fold of tissue that connects the tongue to the floor
of the mouth
The largest salivary gland is located: Correct Answer: within the cheeks in front of the ear
old woman with dry mouth Correct Answer: medication
find a deviated septum, what next Correct Answer: document in case it needs suction
Oral malignancies are most likely to develop: Correct Answer: in the mucosal "gutter" under the
tongue
tonsils 3+ Correct Answer: tonsils touch the uvula
function of nasal turbinates Correct Answer: warm the inhaled air
Opening of adult's parotid gland is opposite what? Correct Answer: upper 2nd molar
A nasal polyp is distinguished from the nasal turbinates by 3 things Correct Answer: moveable,
pale/gray, nontender
, The examiner notes small, round, white, shiny papules on the hard palate and gums of a 2-
month-old infant. What is the significance of this finding? Correct Answer: epstein pearls,
normal
when assessing tongue Correct Answer: palpate u shaped area under tongue
expected finding of 75 year old oral cavity Correct Answer: decreased ability to identify odors
african american with flat, 3cm, nontender, gray/white lesion on bucal mucosa Correct Answer:
leukodema, normal
The manubriosternal angle is Correct Answer: the articulation of the manubrium and the body of
the sternum
description of left lung Correct Answer: narrower than the right lung with two lobes
Documentation of cough Correct Answer: productive cough for at least 3 months throughout the
year, happens last two years
Confirm symmetric chest expansion Correct Answer: -Place hands on posterior chest wall
thumbs at T9 or T10 slide medially pinch up skin between thumbs
Auscultation of breath sounds Correct Answer: Hold the diaphragm of the stethoscope against
the chest wall; listen to one full respiration in each location, being sure to do side to side
comparisons
Bronchiovesicular breath sounds Correct Answer: medium-pitched, moderately loud sounds
heard over the mainstem bronchi; inspiration = expiration
Fever, increased respiratory rate, chest expansion decresed on left side, dull to percussion over
left low lobe, loud breath sounds w crackles on low left lobe Correct Answer: lobar pneumonia
angle of nail is less than 160 and spongy, indicates- Correct Answer: congenital heart disease
and COPD
Coarse and low pitched sound heard on inspiration and expiration and accompanied by pain with
breathing. Correct Answer: Pleural friction rub
egophony test Correct Answer: patient says "eeee" when diaphragm moved
Examine for tactile fremitus Correct Answer: palpate chest symmetrically
pulse oximetry measure Correct Answer: arterial oxygen saturation of hemoglobin
pleural friction rub best detected by Correct Answer: auscultation
WITH COMPLETE SOLUTIONS
The retinal structures viewed through the ophthalmoscope are: Correct Answer: optic disc,
vessels, macula, background
"Positive consensual light reflex" means... Correct Answer: simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: Correct Answer: cataract
Eye emergency Correct Answer: sudden change in vision
Visual acuity is assessed with: Correct Answer: Snellen eye chart
The cover test is used to assess for: Correct Answer: muscle weakness
When using the ophthalmoscope, you would: Correct Answer: 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: Correct Answer:
III, IV, VI
Conjunctivitis Correct Answer: redness of the conjunctiva
normal peripheral vision would see finger at Correct Answer: 90 degrees
patient blind in left eye, what happens when light in right Correct Answer: both constrict
interruption of red reflex happens when Correct Answer: there is opacity of cornea or lens
One cause of visual impairment in aging adults is: Correct Answer: glaucoma
PERRLA Correct Answer: pupils equal, round, reactive to light and accommodation
cause of red reflex Correct Answer: light reflecting from the retina
color of tympanic membrane Correct Answer: pearly gray
sensioneural hearing loss Correct Answer: related to gradual nerve degeneration
Before ear exam, palate Correct Answer: pinna, tragus, and mastoid process
Ear exam of 3 year old Correct Answer: pull pinna down
ear exam of adult Correct Answer: pull pinna up and back
,darwin tubercle Correct Answer: a congenital, painless nodule at the helix
when assessing patients ear Correct Answer: tilt head away from examiner
The hearing receptors are located in the Correct Answer: cochlea
The sensation of vertigo may indicate: Correct Answer: pathology in the semicircular canals
common cause of conductive hearing loss Correct Answer: impacted cerumen
Signs of ear infection Correct Answer: absent light reflex, red and bulging drum
Reducing risk of ear infection Correct Answer: dont smoke in house or car
assessing hearing in babies Correct Answer: watch for head turn when you call their name
patient w head injury has clear watery drainage from ear Correct Answer: consider possible
basal skull fracture, refer immediately
common site of nose bleeds Correct Answer: kiesselbach plexus
Which sinuses can you assess through examination? Correct Answer: frontal and maxillary
the frenulum is the Correct Answer: midline fold of tissue that connects the tongue to the floor
of the mouth
The largest salivary gland is located: Correct Answer: within the cheeks in front of the ear
old woman with dry mouth Correct Answer: medication
find a deviated septum, what next Correct Answer: document in case it needs suction
Oral malignancies are most likely to develop: Correct Answer: in the mucosal "gutter" under the
tongue
tonsils 3+ Correct Answer: tonsils touch the uvula
function of nasal turbinates Correct Answer: warm the inhaled air
Opening of adult's parotid gland is opposite what? Correct Answer: upper 2nd molar
A nasal polyp is distinguished from the nasal turbinates by 3 things Correct Answer: moveable,
pale/gray, nontender
, The examiner notes small, round, white, shiny papules on the hard palate and gums of a 2-
month-old infant. What is the significance of this finding? Correct Answer: epstein pearls,
normal
when assessing tongue Correct Answer: palpate u shaped area under tongue
expected finding of 75 year old oral cavity Correct Answer: decreased ability to identify odors
african american with flat, 3cm, nontender, gray/white lesion on bucal mucosa Correct Answer:
leukodema, normal
The manubriosternal angle is Correct Answer: the articulation of the manubrium and the body of
the sternum
description of left lung Correct Answer: narrower than the right lung with two lobes
Documentation of cough Correct Answer: productive cough for at least 3 months throughout the
year, happens last two years
Confirm symmetric chest expansion Correct Answer: -Place hands on posterior chest wall
thumbs at T9 or T10 slide medially pinch up skin between thumbs
Auscultation of breath sounds Correct Answer: Hold the diaphragm of the stethoscope against
the chest wall; listen to one full respiration in each location, being sure to do side to side
comparisons
Bronchiovesicular breath sounds Correct Answer: medium-pitched, moderately loud sounds
heard over the mainstem bronchi; inspiration = expiration
Fever, increased respiratory rate, chest expansion decresed on left side, dull to percussion over
left low lobe, loud breath sounds w crackles on low left lobe Correct Answer: lobar pneumonia
angle of nail is less than 160 and spongy, indicates- Correct Answer: congenital heart disease
and COPD
Coarse and low pitched sound heard on inspiration and expiration and accompanied by pain with
breathing. Correct Answer: Pleural friction rub
egophony test Correct Answer: patient says "eeee" when diaphragm moved
Examine for tactile fremitus Correct Answer: palpate chest symmetrically
pulse oximetry measure Correct Answer: arterial oxygen saturation of hemoglobin
pleural friction rub best detected by Correct Answer: auscultation
