1|Page
NURS 612 EXAM 1 MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT EXAM 1
NEWEST 2024 ACTUAL EXAM 170 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Subjective Findings - .....ANSWER ...✔✔ These are
what the patient reports or complains about.
Objective Findings - .....ANSWER ...✔✔ These are
what you observe and measure during the exam.
PERRLA - .....ANSWER ...✔✔ Pupils equal, round,
reactive to light and accommodation.
Eyes Exam Order - .....ANSWER ...✔✔ The exam
typically starts with less invasive parts before moving
to more uncomfortable or invasive steps.
Usual Sequence of EENT Exam - .....ANSWER ...✔✔ 1.
Eyes, 2. Ears, 3. Nose, 4. Throat (mouth & pharynx).
,2|Page
Changes Based on Age - .....ANSWER ...✔✔ For
infants and young children, the least disturbing part is
done first, and the most upsetting part is preserved for
last.
Changes Based on Presenting Complaint - .....ANSWER
...✔✔ If a specific complaint is present, you might
examine that area last to avoid causing discomfort
early in the exam.
Comfort and Cooperation - .....ANSWER ...✔✔ Start
with the least invasive to build rapport.
Infection Control - .....ANSWER ...✔✔ Avoid moving
from potentially infected/throat areas to more sensitive
structures like eyes.
Efficiency and Thoroughness - .....ANSWER ...✔✔ A
systematic approach ensures steps aren't missed.
Usual Findings in EENT Exam - .....ANSWER ...✔✔
Clear conjunctiva, equal and responsive pupils, normal
ocular movements, no discharge, and no visible lesions.
, 3|Page
Ears Exam Findings - .....ANSWER ...✔✔ Tympanic
membrane intact and translucent, no pus, normal
hearing, and no tenderness.
Nose Exam Findings - .....ANSWER ...✔✔ Septum
midline, mucosa pink and moist, no discharge or polyps.
Eyes Subjective Findings - .....ANSWER ...✔✔ Blurry
vision, eye pain, discharge, redness, itching, floaters,
sensitivity to light.
Ears Subjective Findings - .....ANSWER ...✔✔ Hearing
loss, ear pain, ringing (tinnitus), discharge, feeling of
fullness, dizziness.
Nose Subjective Findings - .....ANSWER ...✔✔
Congestion, runny nose, nosebleeds, loss of smell,
facial pain/pressure.
Throat Subjective Findings - .....ANSWER ...✔✔ Sore
throat, difficulty swallowing, hoarseness, cough,
swollen glands.
Sample Subjective Note - .....ANSWER ...✔✔ Patient
reports a two-day history of sore throat and nasal
NURS 612 EXAM 1 MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT EXAM 1
NEWEST 2024 ACTUAL EXAM 170 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Subjective Findings - .....ANSWER ...✔✔ These are
what the patient reports or complains about.
Objective Findings - .....ANSWER ...✔✔ These are
what you observe and measure during the exam.
PERRLA - .....ANSWER ...✔✔ Pupils equal, round,
reactive to light and accommodation.
Eyes Exam Order - .....ANSWER ...✔✔ The exam
typically starts with less invasive parts before moving
to more uncomfortable or invasive steps.
Usual Sequence of EENT Exam - .....ANSWER ...✔✔ 1.
Eyes, 2. Ears, 3. Nose, 4. Throat (mouth & pharynx).
,2|Page
Changes Based on Age - .....ANSWER ...✔✔ For
infants and young children, the least disturbing part is
done first, and the most upsetting part is preserved for
last.
Changes Based on Presenting Complaint - .....ANSWER
...✔✔ If a specific complaint is present, you might
examine that area last to avoid causing discomfort
early in the exam.
Comfort and Cooperation - .....ANSWER ...✔✔ Start
with the least invasive to build rapport.
Infection Control - .....ANSWER ...✔✔ Avoid moving
from potentially infected/throat areas to more sensitive
structures like eyes.
Efficiency and Thoroughness - .....ANSWER ...✔✔ A
systematic approach ensures steps aren't missed.
Usual Findings in EENT Exam - .....ANSWER ...✔✔
Clear conjunctiva, equal and responsive pupils, normal
ocular movements, no discharge, and no visible lesions.
, 3|Page
Ears Exam Findings - .....ANSWER ...✔✔ Tympanic
membrane intact and translucent, no pus, normal
hearing, and no tenderness.
Nose Exam Findings - .....ANSWER ...✔✔ Septum
midline, mucosa pink and moist, no discharge or polyps.
Eyes Subjective Findings - .....ANSWER ...✔✔ Blurry
vision, eye pain, discharge, redness, itching, floaters,
sensitivity to light.
Ears Subjective Findings - .....ANSWER ...✔✔ Hearing
loss, ear pain, ringing (tinnitus), discharge, feeling of
fullness, dizziness.
Nose Subjective Findings - .....ANSWER ...✔✔
Congestion, runny nose, nosebleeds, loss of smell,
facial pain/pressure.
Throat Subjective Findings - .....ANSWER ...✔✔ Sore
throat, difficulty swallowing, hoarseness, cough,
swollen glands.
Sample Subjective Note - .....ANSWER ...✔✔ Patient
reports a two-day history of sore throat and nasal
