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An 85-year-old man has come in for a
physical examination, and the nurse no-
tices that he uses a cane. When docu-
menting general appearance, the nurse
should document this information under
the section that covers: B
a. Posture.
b. Mobility
C. Mood and affect
d. Physical deformity
The nurse is performing vision examina-
tion. Which of these charts is most widely
used for vision examinations?
A
a. Snellen
b. Shetllen
c. Smoollen
d. Schwellon
After the health history has been ob-
tained and before beginning the physical
examination, the nurse should first ask
the patient to:
A
a.. Empty the bladder.
b. Completely disrobe.
c. Lie on the examination table.
d. Walk around the room.
During a complete health assessment,
how would the nurse test the patients
hearing?
a. Observing how the patient participates B
in normal conversation
b. Using the whispered voice test
c. Using the Weber and Rinne tests
d. Testing with an audiometer
, The Complete Health Assessment (Jarvis)
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A patient states, Whenever I open my
mouth real wide, I feel this popping sen-
sation in front of my ears. To further ex-
amine this, the nurse would:
a. Place the stethoscope over the
temporomandibular joint, and listen for
bruits.
D
b. Place the hands over his ears, and
ask him to open his mouth really wide.
c. Place one hand on his forehead and
the other on his jaw, and ask him to try
to open his mouth.
d. Place a finger on his temporomandibu-
lar joint, and ask him to open and close
his mouth.
The nurse has just completed an ex-
amination of a patients extrocular mus-
cles. When documenting the findings,
the nurse should document the assess-
ment of which cranial nerves?
D
a. II, III, and VI
b. II, IV, and V
A.III, IV, and V
d. III, IV, and VI
A patients uvula raises midline when she
says ahh, and she has a positive gag
reflex. The nurse has just tested which
cranial nerves?
A
a. IX and X
b. IX and XII
c. X and XII
d. XI and XII
During an examination, the nurse notices
that a patient is unable to stick out his
tongue. Which cranial nerve is involved