NURS 142 FINAL EXAM AND MIDTERM STUDY
GUIDE NEWEST 2024 ACTUAL EXAM TEST BANK
300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A
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
What are you looking for when palpating the head? - ANSWER
>>>texture of hair, infestations, masses, lesions, and mobility
What are you looking for when inspecting the neck? - ANSWER
>>>trachea (midline), lesions, fullness of neck, swelling, erythema,
and ROM when laterally turning head
What are you looking for when palpating the neck? - ANSWER >>>the
ROM in shoulders when shrugging against resistance
What are you looking for when inspecting the lymph nodes? -
ANSWER >>>redness and swelling
What is the expected finding when palpating the lymph nodes? -
ANSWER >>>non palpable and no tenderness
What is the unexpected finding when palpating lymph nodes and what
would you assess? - ANSWER >>>palpable: size, shape, symmetry,
temperature, mobility, character, consistency, and tenderness
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
,Where is the pre auricular lymph node? - ANSWER >>>in front of the
ear
Where is the post auricular lymph node? - ANSWER >>>behind the
ear
Where is the occipital lymph node? - ANSWER >>>base of the skull
Where is the tonsillar lymph node? - ANSWER >>>by tonsils, the
angle of the mandible
Where is the submandibular lymph node? - ANSWER >>>under the
mandible
Where is the sub mental lymph node? - ANSWER >>>under the chin
Where are the anterior cervical chain lymph nodes? - ANSWER >>>in
the front of the side of the neck
Where are the posterior cervical chain lymph nodes? - ANSWER
>>>in the back of the side of the neck
Where are the supra-clavicular lymph nodes? - ANSWER >>>just
above the clavicle (shrug shoulders to reach them)
What are you looking for when inspecting the nose? - ANSWER >>>if
its midline, symmetrical, skin smooth, no swelling, no lesions, color
consistent with facial complexion, nares patent, and no drainage
What are you looking for when inspecting the external part of the
mouth? - ANSWER >>>symmetry, lip color, moisture, lesions, and
oral competency
What are you looking for when inspecting the internal part of the
mouth? - ANSWER >>>color and moisture of buccal mucosa, floor of
mouth, and gums
,general appearance of the teeth: how many, alignment, dental work,
color, signs of 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
What is the scale for grading tonsils? - ANSWER >>>+1 pillar
+2 beyond pillar
+3 see them
+4 touching
What is halitosis? - ANSWER >>>bad breath
What is anosmia? - ANSWER >>>loss of smell
How can anosmia affect the elderly? - ANSWER >>>can happen with
dementia. decreases appetite and overall food intake
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
What is ptosis? - ANSWER >>>eyelid drooping
What are you looking for when palpating the eyes? - ANSWER >>>if
the orbits are tender and if the lacrimal apparatus is tender or swollen
What chart is used to measure distance vision? - ANSWER
>>>snellen chart
What chart is used to measure near vision? - ANSWER >>>jaeger
chart
, How can color blindness be tested? - ANSWER >>>on the snellen
chart
What does the corneal light reflex test test for? - ANSWER
>>>strabismus
What are you looking for when performing the corneal light reflex test?
- ANSWER >>>symmetry of reflection of light on the cornea
What test would you perform if the patient was strabismus positive? -
ANSWER >>>cover/uncover test
What is strabismus? - ANSWER >>>lazy eye
What are you looking for when performing the six cardinal fields of
gaze? - ANSWER >>>symmetry and smoothness of the eye and no
nystagmus
What is nystagmus? - ANSWER >>>involuntary shakiness of eyes
What are you looking for when performing the pupillary reflex test? -
ANSWER >>>size, shape, symmetry, direct pupillary constriction and
accommodation, PERRLA
What is the expected finding after performing the pupillary reflex test?
- ANSWER >>>consensual response
What does PERRLA stand for? - ANSWER >>>pupils equal, round,
reactive to light, and accommodation
What does a dead retina indicate? - ANSWER >>>blindness
What does intraocular mean? - ANSWER >>>the lens and back
What does extra ocular mean? - ANSWER >>>in front of the lens
GUIDE NEWEST 2024 ACTUAL EXAM TEST BANK
300 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A
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
What are you looking for when palpating the head? - ANSWER
>>>texture of hair, infestations, masses, lesions, and mobility
What are you looking for when inspecting the neck? - ANSWER
>>>trachea (midline), lesions, fullness of neck, swelling, erythema,
and ROM when laterally turning head
What are you looking for when palpating the neck? - ANSWER >>>the
ROM in shoulders when shrugging against resistance
What are you looking for when inspecting the lymph nodes? -
ANSWER >>>redness and swelling
What is the expected finding when palpating the lymph nodes? -
ANSWER >>>non palpable and no tenderness
What is the unexpected finding when palpating lymph nodes and what
would you assess? - ANSWER >>>palpable: size, shape, symmetry,
temperature, mobility, character, consistency, and tenderness
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
,Where is the pre auricular lymph node? - ANSWER >>>in front of the
ear
Where is the post auricular lymph node? - ANSWER >>>behind the
ear
Where is the occipital lymph node? - ANSWER >>>base of the skull
Where is the tonsillar lymph node? - ANSWER >>>by tonsils, the
angle of the mandible
Where is the submandibular lymph node? - ANSWER >>>under the
mandible
Where is the sub mental lymph node? - ANSWER >>>under the chin
Where are the anterior cervical chain lymph nodes? - ANSWER >>>in
the front of the side of the neck
Where are the posterior cervical chain lymph nodes? - ANSWER
>>>in the back of the side of the neck
Where are the supra-clavicular lymph nodes? - ANSWER >>>just
above the clavicle (shrug shoulders to reach them)
What are you looking for when inspecting the nose? - ANSWER >>>if
its midline, symmetrical, skin smooth, no swelling, no lesions, color
consistent with facial complexion, nares patent, and no drainage
What are you looking for when inspecting the external part of the
mouth? - ANSWER >>>symmetry, lip color, moisture, lesions, and
oral competency
What are you looking for when inspecting the internal part of the
mouth? - ANSWER >>>color and moisture of buccal mucosa, floor of
mouth, and gums
,general appearance of the teeth: how many, alignment, dental work,
color, signs of 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
What is the scale for grading tonsils? - ANSWER >>>+1 pillar
+2 beyond pillar
+3 see them
+4 touching
What is halitosis? - ANSWER >>>bad breath
What is anosmia? - ANSWER >>>loss of smell
How can anosmia affect the elderly? - ANSWER >>>can happen with
dementia. decreases appetite and overall food intake
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
What is ptosis? - ANSWER >>>eyelid drooping
What are you looking for when palpating the eyes? - ANSWER >>>if
the orbits are tender and if the lacrimal apparatus is tender or swollen
What chart is used to measure distance vision? - ANSWER
>>>snellen chart
What chart is used to measure near vision? - ANSWER >>>jaeger
chart
, How can color blindness be tested? - ANSWER >>>on the snellen
chart
What does the corneal light reflex test test for? - ANSWER
>>>strabismus
What are you looking for when performing the corneal light reflex test?
- ANSWER >>>symmetry of reflection of light on the cornea
What test would you perform if the patient was strabismus positive? -
ANSWER >>>cover/uncover test
What is strabismus? - ANSWER >>>lazy eye
What are you looking for when performing the six cardinal fields of
gaze? - ANSWER >>>symmetry and smoothness of the eye and no
nystagmus
What is nystagmus? - ANSWER >>>involuntary shakiness of eyes
What are you looking for when performing the pupillary reflex test? -
ANSWER >>>size, shape, symmetry, direct pupillary constriction and
accommodation, PERRLA
What is the expected finding after performing the pupillary reflex test?
- ANSWER >>>consensual response
What does PERRLA stand for? - ANSWER >>>pupils equal, round,
reactive to light, and accommodation
What does a dead retina indicate? - ANSWER >>>blindness
What does intraocular mean? - ANSWER >>>the lens and back
What does extra ocular mean? - ANSWER >>>in front of the lens
