HEENT (Health Assessment) WITH
VERIFIED SOLUTIONS AND FREQUENTLY
TESTED.
Why are we slightly moving the lymph nodes?
To see if they are moveable
How do we properly palpate the lymph nodes?
Use your second and third digits (pointer and middle finger) and push those
over lymph nodes in a small circular motion
True to false
If lymph nodes are not movable or fixed, and hard this is a bad sign
True
How do we assess the Supraclavicular lymph node?
Have patient shrug shoulders, slightly lean forward, and the lymph nodes are
hidden behind the clavicle to access them.
True or false
Majority of people in class have their tonsil lymph nodes enlarged. Some
people may have 1 or 2 cervical lymph nodes enlarged and that's not
okay
False
It is okay to have 1 or 2 cervical lymph nodes enlarged
If the Supraclavicular lymph node are swollen what does this indicate?
cancer unless proven otherwise
,If patient has a lot of occipital lymph nodes enlarged what could this
indicate?
often a sign of HIV or other types of cancers, but not always. They can be
enlarged for other reasons
Do we inspect and palpate both he neck and thyroid?
Yes
When we assess the trachea midline what are we looking for?
tracheal shift
Do nurses usually palpate the thyroid glands?
No, there are usually advanced techniques for this
You are inspecting the tonsils and note the following. How do you grade
them?
*See photo on back*
3 + - swollen but not touching
What is exudate?
evidence of infections and often people who have this are positive for strep -
there is a very specific odor you would smell
What is used to inspect the ears, advance practice technique to view the
tympanic membrane.
Otoscope
If someone uses improper technique with the Otoscope, what could
happen?
you could perforate an eardrum and cause permanent hearing loss.
When assessing the EOM (extra-ocular muscles) of a patient the nurse
should stand how far from the patient?
, A. 8 inches
B. 10 inches
C. 12 inches
D. 14 inches
C
Which of the following can be used for Gordon's health perception and
health maintenance?
A. do you have problems financing your healthcare?
B. how much formal education do you have?
C. How would you describe yourself?
D. what principles did you learn as a kid?
A
A patient presents with a history of asthma. A lung sound that the nurse
would expect to hear is:
A. rhonchi
B. stridor
C. wheeze
D. crackles
C
The nurse asks the patient to say "E." The nurse however hears an "A".
This test is called?
A. egophony
B. whispered pectoriloquy
C. bronchophony
D. tactile fremitus
A
The nurse asks the patient to say "99" as they palpate. This is called
VERIFIED SOLUTIONS AND FREQUENTLY
TESTED.
Why are we slightly moving the lymph nodes?
To see if they are moveable
How do we properly palpate the lymph nodes?
Use your second and third digits (pointer and middle finger) and push those
over lymph nodes in a small circular motion
True to false
If lymph nodes are not movable or fixed, and hard this is a bad sign
True
How do we assess the Supraclavicular lymph node?
Have patient shrug shoulders, slightly lean forward, and the lymph nodes are
hidden behind the clavicle to access them.
True or false
Majority of people in class have their tonsil lymph nodes enlarged. Some
people may have 1 or 2 cervical lymph nodes enlarged and that's not
okay
False
It is okay to have 1 or 2 cervical lymph nodes enlarged
If the Supraclavicular lymph node are swollen what does this indicate?
cancer unless proven otherwise
,If patient has a lot of occipital lymph nodes enlarged what could this
indicate?
often a sign of HIV or other types of cancers, but not always. They can be
enlarged for other reasons
Do we inspect and palpate both he neck and thyroid?
Yes
When we assess the trachea midline what are we looking for?
tracheal shift
Do nurses usually palpate the thyroid glands?
No, there are usually advanced techniques for this
You are inspecting the tonsils and note the following. How do you grade
them?
*See photo on back*
3 + - swollen but not touching
What is exudate?
evidence of infections and often people who have this are positive for strep -
there is a very specific odor you would smell
What is used to inspect the ears, advance practice technique to view the
tympanic membrane.
Otoscope
If someone uses improper technique with the Otoscope, what could
happen?
you could perforate an eardrum and cause permanent hearing loss.
When assessing the EOM (extra-ocular muscles) of a patient the nurse
should stand how far from the patient?
, A. 8 inches
B. 10 inches
C. 12 inches
D. 14 inches
C
Which of the following can be used for Gordon's health perception and
health maintenance?
A. do you have problems financing your healthcare?
B. how much formal education do you have?
C. How would you describe yourself?
D. what principles did you learn as a kid?
A
A patient presents with a history of asthma. A lung sound that the nurse
would expect to hear is:
A. rhonchi
B. stridor
C. wheeze
D. crackles
C
The nurse asks the patient to say "E." The nurse however hears an "A".
This test is called?
A. egophony
B. whispered pectoriloquy
C. bronchophony
D. tactile fremitus
A
The nurse asks the patient to say "99" as they palpate. This is called
