Exam Review
- Patient states that they are having trouble breathing on one side of their nose. As the nurse completing a head and neck assessment, what is one possible diagnosis that you will assess for?A)EpistaxisB)Perforated septumC)Deviated septumD)Ankyloglossia
- Facial drooping can be associated with which two disorders? (Select All that Apply.)(SATA)A)AcromegalyB)Bells PalsyC)CVAD)Parkinson’s
- A patient is complaining of a black large spot in the center of their vision. The nurse determines this manifestation as central vision loss. Which eye disorder below is consistent with this symptom?A)Diabetic retinopathyB)Detached retinaC)Macular degenerationD)Glaucoma
- Which term describes the condition of being able to see objects at a distance more clear than objects near also known as farsightedness?A)hyperopiaB)myopiaC)mydriasisD)miosis
Exam Review
- During an assessment of the eyes, the nurse documents protrusion of both eyeballs. What is the name of this abnormality?A)PterygiumB)PtosisC)ExophthalmosD)Ectropion
- While assessing the mouth of a patient the nurse inspects and documents small, round, white painful lesions on the oral mucosa. Which finding is consistent with this manifestation?A)Oral CandidiasisB)ThrushC)Hepatic DiseaseD)Aphthous Ulcers
- A nurse needs to assess the peripheral vision of a client. What test is appropriate?A)Rosenbaum testB)Consensual constrictionC)Corneal Light ReflexD)Confrontation test
- What type of clinical finding are cotton wool spots in the eye with an ophthalmoscope?A)expected findingB)unexpected findingC)expected variationD)irrelevant
Exam Review
- A nurse is assessing the mouth f a patient and during the inspection notes a black and hairy tongue. What type of infection does the patient have?A)bacterialB)fungalC)parasiteD)viral
- A nurse is performing an eye assessment on a client and while inspecting the eyes the pupils are noted to be fixed and 7 mm in size. How should the nurse document this finding?A)cataractsB)miosisC)astigmatismD)mydriasis
- A nurse is caring for a patient suffering from human immunodeficiency syndrome (HIV) and during the inspection of mouth notes whitish thickening (growths), unable to be scraped off. What is the term for this unexpected finding?A)glossitisB)tonsillitisC)herpes simplexD)leukoplakia
- A nurse is assessing the eyes on a patient and during the inspection the conjunctiva sac is red, Itchy, and white thick sticky drainage. Which finding are these consistent with?A)allergic conjunctivitisB)cataractsC)bacterial conjunctivitisD)viral conjunctivitis
Exam Review
- A nurse palpates the neck using a three finger technique. what is the nurse assessing?A)Trachea is midlineB)Location of the thyroidC)Location of lymphnodesD)Ability for client to swallow
- A nurse is assessing the pupil size in a patient and can expect which one as an expected finding?A)2 mmB)6 mmC)8mmD)4 mm
- A nurse is preforming a focus physical assessment of the head and neck of a 20 year old male client. In assessing the lymph nodes what part of the head and neck should the nurse perform gentle circular motion to assess the occipital lymph nodes?A)At the base of the skullB)In front of the earsC)Under the mandibleD)Above the clavicles
- The nurse is assessing a patient and identifies a defined reddened area of the sclera resulting from leakage of blood outside the blood vessels due to increased pressure within the eye. These findings are most consistent with?A)subconjunctival hemorrhageB)PtosisC)ExopthalarosD)Astigmatism
Exam Review
- A nurse is caring for a patient diagnosed with cataracts. What cue is consistent with this diagnosis during the inspection of the eyes?A)pupil constrictionB)cloudiness in the irisC)redness in the scleraD)cloudiness in the lens
- A nurse is assessing a patient's mouth and identifies the tonsiis as smooth pink and occupying more than 50% but less than 75% of the lateral dimension of the oropharynx. What grade for the tonsils should the nurse document?A)3+B)2+C)1+D)4+
- A nurse is assessing the eyes of a patient and notes the pupils are unequal in size. Which term is appropriate to document?A)ptosisB)strabismusC)exophthalmosD)anisocoria
- A client is being admitted with a working diagnosis of acute otitis media. Upon a middle ear assessment with an otoscope, which finding is Inconsistent (pertinent negative) with this diagnosis?A)pearly gray tympanic membraneB)erythema tympanic membraneC)edema of the tympanic membraneD)bulging of the tympanic membrane
Exam Review
- A nurse is performing a focused eye assessment. Select up to 5 unexpected findings.A)Consensual constriction presentB)Snellen chart finding 20/40C)sting to the upper eyelidD)Pupil size 4 mmE)Jerky eye movements with the 6 Cardinal Fields of GazeF)Pupil size 6 mmG)Erythema to lower eyelid