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NR302 Exam 2 Study Guide & Review | Health Assessment

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A comprehensive guide and review for NR302 Exam 2, covering key topics in health assessment for nursing students. Focuses on assessment techniques, findings, and documentation for the cardiovascular, peripheral vascular, and respiratory systems.

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EXAM 2 : NR302 / NR 302 (LATEST 2025/ 2026

UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)

HEALTH ASSESSMENT I | QUESTIONS & ANSWERS |

GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -

CHAMBERLAIN

When examining the eye, the nurse notices that the patients

eyelid margins approximate completely. The nurse recognizes

that this assessment finding: .....ANSWER.....Is expected

- The palpebral fissure is the elliptical open space between the

eyelids, and, when closed, the lid margins approximate

completely, which is a normal finding.

During ocular examinations, the nurse keeps in mind that

movement of the extraocular muscles is: .....ANSWER.....Stimulated

by CNs III, IV, and VI

,Page 2 of 95


- Movement of the extraocular muscles is stimulated by three

CNs: III, IV, and VI.

The nurse is performing an external eye examination. Which

statement regarding the outer layer of the eye is true?

.....ANSWER.....The outer layer of the eye is very sensitive to

touch.

- The cornea and the sclera make up the outer layer of the eye.

The cornea is very sensitive to touch. The middle layer, the

choroid, has dark pigmentation to prevent light from reflecting

internally. The trigeminal nerve (CN V) and the facial nerve (CN

VII) are stimulated when the outer surface of the eye is

stimulated. The retina, in the inner layer of the eye, is where light

waves are changed into nerve impulses.

When examining a patients eyes, the nurse recalls that

stimulation of the sympathetic branch of the autonomic nervous

system: .....ANSWER.....Elevates the eyelid and dilates pupil

,Page 3 of 95


The nurse is reviewing causes of increased intraocular pressure.

Which of these factors determines intraocular pressure?

.....ANSWER.....Amount of aqueous produced resistance to its

outflow at the angle of the anterior chamber

The nurse is conducting a visual examination. Which of these

statements regarding visual pathways and visual fields is true?

.....ANSWER.....The image formed on the retina is upside down

and reversed from its actual appearance in the outside world.

The nurse is testing a patients visual accommodation, which refers

to which action? .....ANSWER.....Pupillary constriction when looking

at a near object

A patient has a normal pupillary light reflex. The nurse

recognizes that this reflex indicates that:

.....ANSWER.....Constriction of both pupils occurs in response to

bright light.

, Page 4 of 95


A mother asks when her newborn infants eyesight will be

developed. The nurse should reply: .....ANSWER.....By

approximately 3 months of age, infants develop more

coordinated eye movements and can fixate on an object.

The nurse is reviewing in age-related changes in the eye for a

class. Which of these physiologic changes is responsible for

presbyopia? .....ANSWER.....Loss of lens elasticity

- The lens loses elasticity and decreases its ability to change

shape to accommodate for near vision. This condition is called

presbyopia

Which of these assessment findings would the nurse expect to see

when examining the eyes of a black patient? .....ANSWER.....Dark

retinal background

A 52-year-old patient describes the presence of occasional

floaters or spots moving in front of his eyes. The nurse should:

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