Advanced Health Assessment Quiz
A patient presents for a pre-operative physical. He has been previously diagnosed
with Macular Degeneration. The practitioner knows what to be the most consistent
visual problem associated with this condition?
Answers:
A. Difficulty with Peripheral vision
B. Blurring of near vision
C. Difficulty with distant vision
D. Loss of the central vision field - ANSWER D. Loss of the central vision field
Mrs. Smith's medical chart documents that her visual acuity is 20/40 in both eyes.
This means that:
Answers:
A. She was standing 40 feet from the eye chart and could read the line that someone
with normal vision would read standing 20 feet from the chart.
B.She was standing 20 feet from the chart and could read the line that someone with
normal vision could read standing 40 feet from the chart.
C. She was able to read 20 of the 40 letter on the chart with both eyes.
D. She has presbyopia. - ANSWER B. She was standing 20 feet from the chart and
could read the line that someone with normal vision could read standing 40 feet from
the chart.
The advanced practice nurse screens for nystagmus by:
Answers:
A. Assessing visual acuity
B. Palpating the glove while the eyelids are closed
C. Inspecting the macula of the eye with an opthalmoscope
D. Inspecting movement of the eyes to the six cardinal fields of gaze - ANSWER D.
Inspecting movement of the eyes to the six cardinal fields of gaze
Which of the following examination findings is cause for concern in an adult?
Answers:
A. The lymph node is not palpable
B. A palpable lymph node is fixed in its setting
C. A palpable lymph is approximately 0.3 cm in size
D. A palpable lymph node moves under the examiner's fingers - ANSWER B. A
palpable lymph node is fixed in its setting
Bulging of the typmpanic membrane without mobility is most often associated with:
Answers:
A. Fluid in the middle ear
B. Impacted cerumen in the ear canal
C. Repeated and prolonged crying cycles
D. Healed typmanic membrane perforation - ANSWER A. Fluid in the middle ear
, Which of the following is a "red flag" regarding patients presenting with headache?
Answers:
A. Unilateral pain
B. Phonophobia and photophobia
C. New onset after age 50 year
D. Pain over sinuses - ANSWER C. New onset after age 50 year
A light is pointed at a patient's pupil which contracts. It is also noted that the other
pupil contracts as well, though it is not exposed to bright light. Which of the following
terms describes this later phenomenon?
Answers:
A. Direct reaction
B. Near reaction
C. Accomodation
D. Consensual reaction - ANSWER D. Consensual reaction
What is a sensitive test for detecting hearing loss?
Answers:
A. Weber test
B. Rinne test
C. Whispered voice test
D. Otoscopic exam - ANSWER C. Whispered voice test
The practitioner is conducting an ophthalmoscopic exam and knows that all the
following steps are correct except:
Answers:
A. Using the practitioner's right eye to examine the patient's right eye
B. Using the round beam of white light
C. Moving in with the ophthalmoscope at a 15 degree angle
D. Starting the examination with the lens disc at 10 diopters - ANSWER D. Starting
the examination with the lens disc at 10 diopters
A college student presents with a sore throat, fever and fatigue for two days. The
practitioner does a careful lymphatic examination and notices some scattered small,
mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally. What
group of nodes are being palpated?
Answers:
A. Submandibular
B. Tonsillar
C. Occipital
D. Posterior cervical - ANSWER D. Posterior cervical
Which would produce a hyperresonant percussion note?
Answers:
a. Empyema
b. Lobar pneumonia
c. Chronic obstructive pulmonary disease (COPD)
d. Pleural effusion - ANSWER c. Chronic obstructive pulmonary disease (COPD)
A patient presents for a pre-operative physical. He has been previously diagnosed
with Macular Degeneration. The practitioner knows what to be the most consistent
visual problem associated with this condition?
Answers:
A. Difficulty with Peripheral vision
B. Blurring of near vision
C. Difficulty with distant vision
D. Loss of the central vision field - ANSWER D. Loss of the central vision field
Mrs. Smith's medical chart documents that her visual acuity is 20/40 in both eyes.
This means that:
Answers:
A. She was standing 40 feet from the eye chart and could read the line that someone
with normal vision would read standing 20 feet from the chart.
B.She was standing 20 feet from the chart and could read the line that someone with
normal vision could read standing 40 feet from the chart.
C. She was able to read 20 of the 40 letter on the chart with both eyes.
D. She has presbyopia. - ANSWER B. She was standing 20 feet from the chart and
could read the line that someone with normal vision could read standing 40 feet from
the chart.
The advanced practice nurse screens for nystagmus by:
Answers:
A. Assessing visual acuity
B. Palpating the glove while the eyelids are closed
C. Inspecting the macula of the eye with an opthalmoscope
D. Inspecting movement of the eyes to the six cardinal fields of gaze - ANSWER D.
Inspecting movement of the eyes to the six cardinal fields of gaze
Which of the following examination findings is cause for concern in an adult?
Answers:
A. The lymph node is not palpable
B. A palpable lymph node is fixed in its setting
C. A palpable lymph is approximately 0.3 cm in size
D. A palpable lymph node moves under the examiner's fingers - ANSWER B. A
palpable lymph node is fixed in its setting
Bulging of the typmpanic membrane without mobility is most often associated with:
Answers:
A. Fluid in the middle ear
B. Impacted cerumen in the ear canal
C. Repeated and prolonged crying cycles
D. Healed typmanic membrane perforation - ANSWER A. Fluid in the middle ear
, Which of the following is a "red flag" regarding patients presenting with headache?
Answers:
A. Unilateral pain
B. Phonophobia and photophobia
C. New onset after age 50 year
D. Pain over sinuses - ANSWER C. New onset after age 50 year
A light is pointed at a patient's pupil which contracts. It is also noted that the other
pupil contracts as well, though it is not exposed to bright light. Which of the following
terms describes this later phenomenon?
Answers:
A. Direct reaction
B. Near reaction
C. Accomodation
D. Consensual reaction - ANSWER D. Consensual reaction
What is a sensitive test for detecting hearing loss?
Answers:
A. Weber test
B. Rinne test
C. Whispered voice test
D. Otoscopic exam - ANSWER C. Whispered voice test
The practitioner is conducting an ophthalmoscopic exam and knows that all the
following steps are correct except:
Answers:
A. Using the practitioner's right eye to examine the patient's right eye
B. Using the round beam of white light
C. Moving in with the ophthalmoscope at a 15 degree angle
D. Starting the examination with the lens disc at 10 diopters - ANSWER D. Starting
the examination with the lens disc at 10 diopters
A college student presents with a sore throat, fever and fatigue for two days. The
practitioner does a careful lymphatic examination and notices some scattered small,
mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally. What
group of nodes are being palpated?
Answers:
A. Submandibular
B. Tonsillar
C. Occipital
D. Posterior cervical - ANSWER D. Posterior cervical
Which would produce a hyperresonant percussion note?
Answers:
a. Empyema
b. Lobar pneumonia
c. Chronic obstructive pulmonary disease (COPD)
d. Pleural effusion - ANSWER c. Chronic obstructive pulmonary disease (COPD)
