NR 509 Assessment Exam Questions and Answers
100% Pass
First step obtain - ANSWER ✔✔-patient consent to video and assessment
Face most note - ANSWER ✔✔-head is midline and symmetrical
no discoloration or lesions
Palpation of Lymph nodes on face and neck - ANSWER ✔✔-preauricular lymph nodes-at front of ear
postauricular lymph nodes-back of ear
occipital lymph nodes-back of head
tonsillar lymph nodes-move forward under jaw
submandibular lymph nodes-under jaw
submental lymph nodes-under chin
Now palpate the cervical Lymph nodes - ANSWER ✔✔-pre-cervical lymph nodes-run hands down neck
toward collarbone
post-cervical lymph nodes-directly posterior to this
supraclavicular lymph nodes-run hands over clavicle
make sure to note no tenderness, enlargement and they are equal bilaterally
Cranial Nerve V: Trigeminal Nerve
1st component: motor
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2nd component: sensory - ANSWER ✔✔-clench jaw assess masseter muscle
note strength, no distortions, and equal bilaterally
2nd component: close eyes and touch forehead, each cheek, nose, and chin make sure they are able to tell
you where you're touching
Cranial Nerve V11: Facial Nerve
Have client do a series of - ANSWER ✔✔-facial expressions
1. smile note equal and symmetrical
2. frown
3. raise eyebrows
4. puff cheeks-equal bilateral
5. pucker lips-want a nice tight pucker
Note intact: if able to perform and equal and symmetrical bilaterally
Inspect the Ears
1. note the outer ear
2. use an otoscope to look inside for adult pull ear - ANSWER ✔✔-1. equal and symmetrical no nodules
or lesions or discoloration
2. up and back and note external auditory canal is clear, no redness, drainage, effusion (full of fluid)
swelling and absent of cereum and tympanic membrane is bright or pearly grey
do same with other ear
Palpate the ears
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