Assessment Exam 2 | 100% Correctly
Answered and Rated A+ | 2025/2026
Guide | Galen
The physician reports that a patient with a neck tumor has a tracheal
shift. The nurse should understand that what is occurring to the patient's
trachea?
A Pulled downward in a rhythmic pattern
B Pushed downward
C Pushed to the unaffected side
D Pulled to the affected side - Correct Answer - C Pushed to the
unaffected side
The nurse is testing a patient's visual accommodation. How is
accommodation assessed?
A Pupillary constriction when looking at a near object
B Pupillary dilation when looking at a distant object
C Changes in peripheral vision in response to bright light
D Involuntary blinking in the presence of bright light - Correct Answer - A
Pupillary constriction when looking at a near object
A patient's vision is recorded as 20/80 in each eye. How does the nurse
interpret this finding?
A Patient has acute vision.
,B Patient has presbyopia.
C Patient has normal vision.
D Patient as poor vision. - Correct Answer - D Patient as poor vision.
The nurse is using an otoscope to assess the nasal cavity. Which of
these techniques is correct?
A Keeping the speculum tip medial to avoid touching the floor of the
nares
B Avoiding touching the nasal septum with the speculum
C Inserting the speculum at least 3 cm into the vestibule
D Gently displacing the nose to the side that is being examined - Correct
Answer - B Avoiding touching the nasal septum with the speculum
During an oral examination of a 4-year-old Indigenous American child,
the nurse notices that her uvula is partially split. Which of these
statements is accurate?
A This condition is a cleft palate and is common in Indigenous American
B This condition is due to an injury and should be reported to the
authorities.
C A bifid uvula may occur in some Indigenous American groups.
D A bifid uvula is torus palatinus, which frequently occurs in Indigenous
American. - Correct Answer - C A bifid uvula may occur in some
Indigenous American groups
,Which of these assessment findings would the nurse expect to see when
examining the eyes of a black patient?
A Dark retinal background
B Increased photosensitivity
C Increased night vision
D Narrowed palpebral fissures - Correct Answer - A Dark retinal
background
In using the ophthalmoscope to assess a patient's eyes, the nurse
notices a red glow in the patient's pupils. Based on this finding, what
should the nurse do?
A Continue with the ophthalmoscopic examination, and refer the patient
for further evaluation.
B Consider the red glow a normal reflection of the ophthalmoscope light
off the inner retina.
C Check the light source of the ophthalmoscope to verify that it is
functioning.
D Suspect that an opacity is present in the lens or cornea. - Correct
Answer - B Consider the red glow a normal reflection of the
ophthalmoscope light off the inner retina.
A patient's vision is recorded as 20/30 when the Snellen eye chart is
used. How should the nurse interpret these results?
, A At 30 feet the patient can read the entire chart.
B The patient can read from 30 feet what a person with normal vision
can read from 20 feet.
C The patient can read at 20 feet what a person with normal vision can
read at 30 feet.
D The patient can read the chart from 20 feet in the O.S. and 30 feet in
the O.D. - Correct Answer - C The patient can read at 20 feet what a
person with normal vision can read at 30 feet.
During an assessment of a 20-year-old Asian patient, the nurse notices
that he has dry, flaky, white cerumen in his canal. What is the
significance of this finding?
A It could be indicative of change in cilia; the nurse should assess for
hearing loss.
B It represents poor hygiene.
C It is a normal finding, and no further follow-up is necessary.
D It is probably the result of lesions from eczema in his ear. - Correct
Answer - C It is a normal finding, and no further follow-up is necessary.
The nurse is performing an external eye examination. Which statement
regarding the outer layer of the eye is true?