NURS 6512 ADVANCED HEALTH
ASSESSMENT ACTUAL EXAM 1 WITH
QUESTIONS AND 100% CORRECT
ANSWERS (RECENT 2023-2024
EXAM)
What are the components of a cultural response to a patient? ------- Correct Answers ------
- the response should include modes of communication to include speech, space, and
body language, awareness of the the patients health beliefs, diet and nutritional practice,
and the nature of relationships with their family
How do you measure visual acuity and test CN II ------- Correct Answers -------- by
measuring distance, near vision , and peripheral vision
What is CN II? ------- Correct Answers -------- optic nerve
How do you measure distance vision for visual acuity? ------- Correct Answers -------- by
using a snellen chart and having the patient cover one eye and read the lowest line that
he can see clearly and then alternate eyes
How do you document distance vision? ------- Correct Answers -------- the numerator is 20
and the denominator is the distance at which the average eye can read the line.
How do you measure near vision? ------- Correct Answers -------- by using a rosenbaum
pocket screener and have the patient hold it about 14 inches from eyes and read the
smallest line possible with one eye and then the other
How do you measure peripheral vision? ------- Correct Answers -------- by using the
confrontation test. Have the patient sit directly across from you and look directly at you.
Have them cover their left eye and your cover your right eye. Then test nasal, temporal,
superior, and inferior fields. Have the patient tell you as soon as they see your finger in
each of those fields.
What may be some causes of abnormal results from the confrontation test? -------
Correct Answers -------- stroke, retinal detachment, optic neuropathy, pituitary tumor,
central retinal vascular occlusion
How would you perform an external examination of the eyes? ------- Correct Answers ---
----- Systematically beginning with appendages and move inward
eyebrows orbits/periorbital area eyelids
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, What is being assessed when looking at the patient's eyebrows? ------- Correct Answers
-------- size, extension beyond temporal canthus, texture of hair
If the eyebrows do not extend beyond the temporal canthus or are course what may be
the cause? ------- Correct Answers -------- hypothyroidism
What is being assessed when looking at the patient's orbits/periorbital area? -------
Correct Answers -------- edema, puffiness, sagging tissue below orbit
What can cause periorbital edema? ------- Correct Answers -------- thyroid disease,
allergies, or nephrotic syndrome (children)
What are xanthelasma? ------- Correct Answers -------- yellowish deposits on the
periorbital tissue most often on the nasal side that represents a lipid metabolism
disorder
What is being assessed with looking at the patient's eyelids? ------- Correct Answers -----
--- have the patient close lids lightly to look for tremors
inspect ability of eyelids to close completely and open wide
check for flakiness, crusting, redness, or swelling
check eyelashes to make sure that they curve away from the eye
when eye is open the superior eyelid should cover a portion of the iris but not cover
pupil
What can be a cause of fasciculations of the eyelid when a patient lig htly closes eye? ---
---- Correct Answers -------- hyperthyroidism
What is ptosis? ------- Correct Answers -------- when the upper eyelid covers more than
the top of the iris or pupil and indicates congenital weakness of lev ator muscle or
paresis of a branch of CN III
What is CN III ------- Correct Answers -------- oculomotor nerve
How do you document a finding of ptosis? ------- Correct Answers -------- by reco rding
the difference between the two eyelids in millimeters (the average lid is 2 mm below the
border of the cornea and sclera. average lower lid is at the lower limbus)
What is ectropion? ------- Correct Answers -------- it is when the lower eyelid turns away
from the eye and may result in excessive tearing because the tear c ollecting system
can't collect the secretions
What is entropion? ------- Correct Answers -------- it is when the eyelid turns toward the
globe which can cause corneal and conjunctival irritation and risk for secondary
infection
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ASSESSMENT ACTUAL EXAM 1 WITH
QUESTIONS AND 100% CORRECT
ANSWERS (RECENT 2023-2024
EXAM)
What are the components of a cultural response to a patient? ------- Correct Answers ------
- the response should include modes of communication to include speech, space, and
body language, awareness of the the patients health beliefs, diet and nutritional practice,
and the nature of relationships with their family
How do you measure visual acuity and test CN II ------- Correct Answers -------- by
measuring distance, near vision , and peripheral vision
What is CN II? ------- Correct Answers -------- optic nerve
How do you measure distance vision for visual acuity? ------- Correct Answers -------- by
using a snellen chart and having the patient cover one eye and read the lowest line that
he can see clearly and then alternate eyes
How do you document distance vision? ------- Correct Answers -------- the numerator is 20
and the denominator is the distance at which the average eye can read the line.
How do you measure near vision? ------- Correct Answers -------- by using a rosenbaum
pocket screener and have the patient hold it about 14 inches from eyes and read the
smallest line possible with one eye and then the other
How do you measure peripheral vision? ------- Correct Answers -------- by using the
confrontation test. Have the patient sit directly across from you and look directly at you.
Have them cover their left eye and your cover your right eye. Then test nasal, temporal,
superior, and inferior fields. Have the patient tell you as soon as they see your finger in
each of those fields.
What may be some causes of abnormal results from the confrontation test? -------
Correct Answers -------- stroke, retinal detachment, optic neuropathy, pituitary tumor,
central retinal vascular occlusion
How would you perform an external examination of the eyes? ------- Correct Answers ---
----- Systematically beginning with appendages and move inward
eyebrows orbits/periorbital area eyelids
about:blank 1/24
, What is being assessed when looking at the patient's eyebrows? ------- Correct Answers
-------- size, extension beyond temporal canthus, texture of hair
If the eyebrows do not extend beyond the temporal canthus or are course what may be
the cause? ------- Correct Answers -------- hypothyroidism
What is being assessed when looking at the patient's orbits/periorbital area? -------
Correct Answers -------- edema, puffiness, sagging tissue below orbit
What can cause periorbital edema? ------- Correct Answers -------- thyroid disease,
allergies, or nephrotic syndrome (children)
What are xanthelasma? ------- Correct Answers -------- yellowish deposits on the
periorbital tissue most often on the nasal side that represents a lipid metabolism
disorder
What is being assessed with looking at the patient's eyelids? ------- Correct Answers -----
--- have the patient close lids lightly to look for tremors
inspect ability of eyelids to close completely and open wide
check for flakiness, crusting, redness, or swelling
check eyelashes to make sure that they curve away from the eye
when eye is open the superior eyelid should cover a portion of the iris but not cover
pupil
What can be a cause of fasciculations of the eyelid when a patient lig htly closes eye? ---
---- Correct Answers -------- hyperthyroidism
What is ptosis? ------- Correct Answers -------- when the upper eyelid covers more than
the top of the iris or pupil and indicates congenital weakness of lev ator muscle or
paresis of a branch of CN III
What is CN III ------- Correct Answers -------- oculomotor nerve
How do you document a finding of ptosis? ------- Correct Answers -------- by reco rding
the difference between the two eyelids in millimeters (the average lid is 2 mm below the
border of the cornea and sclera. average lower lid is at the lower limbus)
What is ectropion? ------- Correct Answers -------- it is when the lower eyelid turns away
from the eye and may result in excessive tearing because the tear c ollecting system
can't collect the secretions
What is entropion? ------- Correct Answers -------- it is when the eyelid turns toward the
globe which can cause corneal and conjunctival irritation and risk for secondary
infection
about:blank 2/24
