HEENT Health Assessment Exam QUESTIONS with
100% Correct Answers Already Passed
What is the first cranial nerve? - ✔✔- olfactory
- carry info about sense of smell
Evaluating the olfactory cranial nerve (1) - ✔✔- freq. not tested unless client mentions
altered taste
- have client close eyes/mouth
- acclude one nostril when testing the other
- ask client to identify familiar, non irritating substances held under the client's nose (coffee,
toothpaste, orange, cloves, cinnamon, peppermint)
Epistaxis - ✔✔nose bleeds
Rhinits - ✔✔nasal inflammation/congestion
rhinorrhea - ✔✔nasal discharge
sinusitis - ✔✔inflammation of sinuses pain on cheeks, teeth and gums
deviated septum - ✔✔ingrowth of lower nasal septum
nasal polyp - ✔✔non-painful overgrowth of nasal mucosa
Anosmia - ✔✔decrease or loss of smell occurs bilaterally with tobacco smoking, allergic
rhinitis, cocaine use
, eye assessment - ✔✔- subjective: vision changes, floaters, pain, redness, swelling, discharge,
diplopia, strabismus, glaucoma, glasses/contact, photophobia, excessive lacrimation/discharge
- objective: general appearance/alignment, no ptosis (when eyelid is impeding field of vision),
white sclera, iris is round and regular, cornea and lens have no opacities (cataract), corneal light
reflex (point of light reflection should be same in each eye), no ulcerations
What is the second cranial nerve? - ✔✔- optic nerve for visual acuity
How to test the optic nerve (2)? - ✔✔- snellen's chart
- larger the denominator, worse the vision
If a person's vision is 20/70, what does that mean? - ✔✔what a normal person could see at
70 feet, they are seeing at 20 ft
What is the 3rd cranial nerve? - ✔✔- oculomotor nerve
- control pupillary constriction and dilation; extraocular movements
Which 3 cranial nerves are tested together because they provide EYE MOVEMENT? - ✔✔1.
CNIII (oculomotor nerve)
2. CN IV: trochlear nerve
3. CN VI: abducens nerve
Assessing the oculomotor nerve (CNIII) - ✔✔- asses EOM, pupillary constriction &
accommodation, elevation of upper eyelid
- pupils should be equal, round,reactive to light, and demonstrate accommodation (PERRLA)
how do you test the accommodation reflex? - ✔✔- ask the person to focus on a distant
object, which will dilate the pupil
- have them shift their gaze to a near object, such as your finger (8-10cm from nose)
100% Correct Answers Already Passed
What is the first cranial nerve? - ✔✔- olfactory
- carry info about sense of smell
Evaluating the olfactory cranial nerve (1) - ✔✔- freq. not tested unless client mentions
altered taste
- have client close eyes/mouth
- acclude one nostril when testing the other
- ask client to identify familiar, non irritating substances held under the client's nose (coffee,
toothpaste, orange, cloves, cinnamon, peppermint)
Epistaxis - ✔✔nose bleeds
Rhinits - ✔✔nasal inflammation/congestion
rhinorrhea - ✔✔nasal discharge
sinusitis - ✔✔inflammation of sinuses pain on cheeks, teeth and gums
deviated septum - ✔✔ingrowth of lower nasal septum
nasal polyp - ✔✔non-painful overgrowth of nasal mucosa
Anosmia - ✔✔decrease or loss of smell occurs bilaterally with tobacco smoking, allergic
rhinitis, cocaine use
, eye assessment - ✔✔- subjective: vision changes, floaters, pain, redness, swelling, discharge,
diplopia, strabismus, glaucoma, glasses/contact, photophobia, excessive lacrimation/discharge
- objective: general appearance/alignment, no ptosis (when eyelid is impeding field of vision),
white sclera, iris is round and regular, cornea and lens have no opacities (cataract), corneal light
reflex (point of light reflection should be same in each eye), no ulcerations
What is the second cranial nerve? - ✔✔- optic nerve for visual acuity
How to test the optic nerve (2)? - ✔✔- snellen's chart
- larger the denominator, worse the vision
If a person's vision is 20/70, what does that mean? - ✔✔what a normal person could see at
70 feet, they are seeing at 20 ft
What is the 3rd cranial nerve? - ✔✔- oculomotor nerve
- control pupillary constriction and dilation; extraocular movements
Which 3 cranial nerves are tested together because they provide EYE MOVEMENT? - ✔✔1.
CNIII (oculomotor nerve)
2. CN IV: trochlear nerve
3. CN VI: abducens nerve
Assessing the oculomotor nerve (CNIII) - ✔✔- asses EOM, pupillary constriction &
accommodation, elevation of upper eyelid
- pupils should be equal, round,reactive to light, and demonstrate accommodation (PERRLA)
how do you test the accommodation reflex? - ✔✔- ask the person to focus on a distant
object, which will dilate the pupil
- have them shift their gaze to a near object, such as your finger (8-10cm from nose)
