NR 509 / NR509 Advanced Physical Assessment Childrearing Family Practicum Week 2 Quiz Bank () | Best Rated| Chamberlain

NR 509 / NR509 Advanced Physical Assessment Childrearing Family Practicum Week 2 Quiz Bank () | Best Rated| Chamberlain 1. A 60-year-old man is at the clinic for an eye examination. The nurse suspects that he has ptosis of one eye. How should the nurse check for this? A. Perform the confrontation test B. Assess the individuals near vision C. Observe the distance between the palpebral fissures D. Perform the corneal light test, and look for symmetry of the light reflex - Answer: C. Observe the distance between the palpebral fissures 2. During an examination of the eye, the nurse would expect what normal finding when assessing the lacrimal apparatus? A. Presence of tears along the inner canthus B. Blocked nasolacrimal duct in a newborn infant C. Slight swelling over the upper lid and along the bony orbit if the patient has a cold D. Absence of drainage from the puncta when pressing against the inner orbital rim - Answer: D. Absence of drainage from the puncta when pressing against the inner orbital rim 3. When assessing the pupillary light reflex, the nurse should use which technique? A. Shine a penlight directly in front of the patient and inspect for pupillary constriction B. Ask the patient to follow the penlight in eight directions and observe for bilateral pupil constriction C. Shine a light across the pupil from the side and observe for direct and consensual pupillary constriction D. Ask the patient to focus on a distant object. Then as the patient to follow the penlight to approximately 7 cm from the nose - Answer: C. Shine a light across the pupil from the side and observe for direct and consensual pupillary constriction 4. The nurse is assessing a patient size for accommodation response and would expect to see which normal finding? A. Dilation of the pupils B. Consensual light reflex C. Conjugate movement of the eyes D. Convergence of the axes of the eyes - Answer: D. Convergence of the axes of the eyes 5. In using the ophthalmoscope to assess a patient eyes, the nurse notices a red glow in the patience pupils. On the basis of this finding, the nurse would: A. Suspect that and opacity is present in the lens or cornea B. Check the light source of the ophthalmoscope to verify that it is functioning C. Consider the red glow a normal reflection of the ophthalmoscope light off the inner retina D. Continue with the ophthalmoscopic examination and refer the patient for further examination - Answer: C. Consider the red glow a normal reflection of the ophthalmoscope light off the inner retina 6. The nurses examining a patient's retina with an ophthalmoscope. Which finding is considered normal? A. Optic disc that is a yellow-orange color B. Optic disc margins that are blurred around the edges C. Presence of pigmented crescents in the macular area D. Presence of the macula located on the nasal side of the retina - Answer: A. Optic disc that is a yellow-orange color 7. A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The nurse would: A. Consider this a normal finding B. Assess the pupillary light reflex for possible blindness C. Continue with the examination and assess visual fields D. Expect that a 2-week-old infant should be able to fixate and follow an object - Answer: A. Consider this a normal finding 8. The nurse is assessing color vision of a male child. Which statement is correct? The nurse should: A. Check color vision annually until the age of 18 years B. Ask the child to identify the color of his or her clothing C. Test for color vision once between the ages of 4 and 8 years D. Begin color vision screening at the child's 2 year check up - Answer: C. Test for color vision once between the ages of 4 and 8 years 9. The nurse is performing an eye screening clinic at a daycare center. When examining a 2-year-old child, the nurse suspects that the child has a lazy eye and should: A. Examine the external structures of the eye B. Assessing visual acuity with the Snellen eye chart C. Assess the child's visual fields with the confrontation test D. Test for strabismus by performing be corneal light reflex test - Answer: D. Test for strabismus by performing be corneal light reflex test 10. The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal? A. Decrease in tear production B. Unequal pupillary constriction in response to light C. Presence of arcus senilis observed around the cornea D. Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles - Answer: B. Unequal pupillary constriction in response to light 11. The nurse notices the presence of periorbital edema when performing an eye assessment on a 70-year-old patient. The nurse should; A. Check for the presence of exophthalmos