PN 111 INTEGUMENTARY AND HEENT EXAM
(ACTUAL 2025) QUESTIONS AND VERIFIED
ANSWERRS.
What is jaundice
A yellowing of the skin and eyes
Where does the nurse assess for jaundice
sclera, soles of the hands and bottoms of the feet
Which side of the tongue is rough and has hundreds of
papillae (taste buds) to distinguish sweet, sour, bitter, and
salty tastes.
Dorsal side
,How does the nurse conduct the weber test and what would an
abnormal finding suggest?
§Place the vibrating tuning fork on the top of the head
equidistant from both ears. These vibrations will be conducted
through the skull and reach the cochlea.
§Ask the patient whether it is heard loudest in either one side
or the midline (e.g., "Is the sound louder in your right ear, left
ear, or the middle?")
§Abnormal: test does not demonstrate lateralization (heard
more in one ear than the other) and would suggest hearing
loss. This patent should be referred for further testing
How does the nurse locate the salivary glands of a patient?
1.Parotid glands are anterior to the ears near the mandible
2.Submandibular glands are under mandible
3.Sublingual glands, smallest salivary glands, lie on floor of
mouth
, What is clubbing?
an increase in the angle between the base of the nail and the
fingernail to greater than 160 degrees and is caused from
CHRONIC hypoxia (lack of oxygen) to the tissues
What is dysphagia and how would the nurse assess for this
condition?
Dysphagia is difficulty swallowing. The nurse would ask the
patient to say "ah"...the uvula should move up and stay
midline without deviation. If deviation is noted to one side or
the other this finding would need further evaluation for
dysphagia
What is a macule?
Flat, nonpalpable lesions usually < 10 mm in diameter.
Macules represent a change in color and are not raised or
depressed compared to the skin surface.
Examples include freckles, flat moles, and port-wine stains
(ACTUAL 2025) QUESTIONS AND VERIFIED
ANSWERRS.
What is jaundice
A yellowing of the skin and eyes
Where does the nurse assess for jaundice
sclera, soles of the hands and bottoms of the feet
Which side of the tongue is rough and has hundreds of
papillae (taste buds) to distinguish sweet, sour, bitter, and
salty tastes.
Dorsal side
,How does the nurse conduct the weber test and what would an
abnormal finding suggest?
§Place the vibrating tuning fork on the top of the head
equidistant from both ears. These vibrations will be conducted
through the skull and reach the cochlea.
§Ask the patient whether it is heard loudest in either one side
or the midline (e.g., "Is the sound louder in your right ear, left
ear, or the middle?")
§Abnormal: test does not demonstrate lateralization (heard
more in one ear than the other) and would suggest hearing
loss. This patent should be referred for further testing
How does the nurse locate the salivary glands of a patient?
1.Parotid glands are anterior to the ears near the mandible
2.Submandibular glands are under mandible
3.Sublingual glands, smallest salivary glands, lie on floor of
mouth
, What is clubbing?
an increase in the angle between the base of the nail and the
fingernail to greater than 160 degrees and is caused from
CHRONIC hypoxia (lack of oxygen) to the tissues
What is dysphagia and how would the nurse assess for this
condition?
Dysphagia is difficulty swallowing. The nurse would ask the
patient to say "ah"...the uvula should move up and stay
midline without deviation. If deviation is noted to one side or
the other this finding would need further evaluation for
dysphagia
What is a macule?
Flat, nonpalpable lesions usually < 10 mm in diameter.
Macules represent a change in color and are not raised or
depressed compared to the skin surface.
Examples include freckles, flat moles, and port-wine stains
