HEALTH ASSESSMENT NURS 2730 EXAM
QUESTIONS AND ANSWERS A+ GRADED
Sty (Hordeolum)
A painful, tender red infection in a gland at the margin of the eyelid.
Chalazion
A subacute nontender and usually painless nodule involving a meibomian gland. May
become acutely inflamed but. unlike a sty, usually points inside the lid rather than on the
lid margin. (subcutaneous)
Strabismus
Crossed eyes resulting from a weakness in eye muscles
dysphagia
difficulty swallowing
lymphadoenopathy
disease of lymph nodes (characterized by abnormal enlargement of the lymph nodes
associated with an infection or malignancy)
most common headache located in temporal regiona
tension headache
migraine and tension headaches are both:
episodic and gradual over few hours
clusterheadache
tend to be unilateral and retroorbital
tension headaches are treatable with
NSAIDs, tylenol, OTC
Migraines can be
the most debilitating, unilateral, last up to 72 hrs, prodromal and have an aura
(sensation of feel or smell that precedes a migraine headache
Nurse's concern when taking head ache health history is:
severity of the headache and chronicity of the headach
Red flags of headache
sudden onset, ^BP, accompanied by vomiting, neurological defects (could signify
something else is going on)
Meningitis presents with
headache, high fever, purple rash
subdural hemorrhage pt will say:
"This is the worst headache of my life"
If headache is relieved by vomiting this is a sign of:
Brain Tumor
What cranial nerve is affected in Bell's Palsy?
#7, facial nerve
TIA stands for
transient ischemic attack
When looking at the face, nurses are looking for:
symmetry
, palpebral fissure
the elliptical open space between the eyelids
vermillion border
little crevice between lip and nose
Xanthelasma
soft, raised yellow plaques occurring on the skin at the inner corners of the eyes
myopia and how to correct it
near-sightedness, because of the reflection of the retina is why people cannot see far
away
Eye present health
visual acuity, corrective lens, date/results of last exam; use of drops; pain; secretions;
trauma; change in vision
Hyperopia (farsightedness)
occurs when the image is focused behind the retina,
a refractive error in which light rays entering the eye are focused behind the retina.
(when people need reading glasses)
-ptosis
drooping of the eye- Causes include myasthenia gravis, damage to the oculomotor
nerve, and damage to the sympathetic nerve supply (Horner syndrome). A weakened
muscle, relaxed tissues, and the weight of herniated Fat may cause senile ptosis. Ptosis
may also be congenital.
When expecting globes look for
placement, position, indentation, tenderness-globe of the eye
exophthalmos
abnormal protrusion of the eyeball, bulging, hyperthyroidism
PERRLA (CN II, CN III)
pupils equal, round, reactive to light and accommodation
DCDCC in PERRLA
Direct, consensual, dilation, constriction, convergence
Direct and consensual light reflex
The pupil directly reacts to the light and the other follows (consensual)
constriction of ipsilateral and contralateral
pupil when a light is shone into one eye. It shows the function of CN III and also the
optic pathway. These reflexes may be lost in head trauma etc.
Pupillary dilation due to CNIII palsy may be due to tumors, aneurysms...
hordelium (stye)
margin of the eyelid in subcutaneous tissue
Visual fields by confrontation & what CN?
Tests for peripheral vision and lesions in anterior/posterior visual pathway CN II
-While patient is sitting, stand about a foot in front and tell him/her to look directly at you.
Place your hands about 2 feet apart and lateral to the patient's ears. Wiggle both your
fingers simultaneously and bring them slowly forward, curving inward toward the central
line of vision. At each position, ask the patient to tell you as soon as he or she sees the
finger movement.
if visual fields of confrontation are normal how do you write it?
QUESTIONS AND ANSWERS A+ GRADED
Sty (Hordeolum)
A painful, tender red infection in a gland at the margin of the eyelid.
Chalazion
A subacute nontender and usually painless nodule involving a meibomian gland. May
become acutely inflamed but. unlike a sty, usually points inside the lid rather than on the
lid margin. (subcutaneous)
Strabismus
Crossed eyes resulting from a weakness in eye muscles
dysphagia
difficulty swallowing
lymphadoenopathy
disease of lymph nodes (characterized by abnormal enlargement of the lymph nodes
associated with an infection or malignancy)
most common headache located in temporal regiona
tension headache
migraine and tension headaches are both:
episodic and gradual over few hours
clusterheadache
tend to be unilateral and retroorbital
tension headaches are treatable with
NSAIDs, tylenol, OTC
Migraines can be
the most debilitating, unilateral, last up to 72 hrs, prodromal and have an aura
(sensation of feel or smell that precedes a migraine headache
Nurse's concern when taking head ache health history is:
severity of the headache and chronicity of the headach
Red flags of headache
sudden onset, ^BP, accompanied by vomiting, neurological defects (could signify
something else is going on)
Meningitis presents with
headache, high fever, purple rash
subdural hemorrhage pt will say:
"This is the worst headache of my life"
If headache is relieved by vomiting this is a sign of:
Brain Tumor
What cranial nerve is affected in Bell's Palsy?
#7, facial nerve
TIA stands for
transient ischemic attack
When looking at the face, nurses are looking for:
symmetry
, palpebral fissure
the elliptical open space between the eyelids
vermillion border
little crevice between lip and nose
Xanthelasma
soft, raised yellow plaques occurring on the skin at the inner corners of the eyes
myopia and how to correct it
near-sightedness, because of the reflection of the retina is why people cannot see far
away
Eye present health
visual acuity, corrective lens, date/results of last exam; use of drops; pain; secretions;
trauma; change in vision
Hyperopia (farsightedness)
occurs when the image is focused behind the retina,
a refractive error in which light rays entering the eye are focused behind the retina.
(when people need reading glasses)
-ptosis
drooping of the eye- Causes include myasthenia gravis, damage to the oculomotor
nerve, and damage to the sympathetic nerve supply (Horner syndrome). A weakened
muscle, relaxed tissues, and the weight of herniated Fat may cause senile ptosis. Ptosis
may also be congenital.
When expecting globes look for
placement, position, indentation, tenderness-globe of the eye
exophthalmos
abnormal protrusion of the eyeball, bulging, hyperthyroidism
PERRLA (CN II, CN III)
pupils equal, round, reactive to light and accommodation
DCDCC in PERRLA
Direct, consensual, dilation, constriction, convergence
Direct and consensual light reflex
The pupil directly reacts to the light and the other follows (consensual)
constriction of ipsilateral and contralateral
pupil when a light is shone into one eye. It shows the function of CN III and also the
optic pathway. These reflexes may be lost in head trauma etc.
Pupillary dilation due to CNIII palsy may be due to tumors, aneurysms...
hordelium (stye)
margin of the eyelid in subcutaneous tissue
Visual fields by confrontation & what CN?
Tests for peripheral vision and lesions in anterior/posterior visual pathway CN II
-While patient is sitting, stand about a foot in front and tell him/her to look directly at you.
Place your hands about 2 feet apart and lateral to the patient's ears. Wiggle both your
fingers simultaneously and bring them slowly forward, curving inward toward the central
line of vision. At each position, ask the patient to tell you as soon as he or she sees the
finger movement.
if visual fields of confrontation are normal how do you write it?
