Nursing exam 2 (Kent state) Practice
Test Questions All Answered Correct.
HEENT - Answer head, eyes, ears, nose, throat
What is assessed in a HEENT assessment? - Answer carotid arteries, jugular vein, lymph
nodes, thyroid gland, and trachea
assessing facial features for symmetry - Answer eyelids, eyebrows, nasolabial folds, and
mouth. Assess for any facial droop
What could facial drooping mean? - Answer Stroke or bells palsy
Ptosis - Answer eyelid drooping
Normocephalic - Answer refers to round symmetric skull that is appropriately related to
body size
hydrocephalus - Answer accumulation of cerebral spinal fluid in the ventricles of the brain
TMJ - Answer temporomandibular joint (Mandible and maxilla)
exophthalmos - Answer bulging eyes
What causes exophthalmos? - Answer over activity of the thyroid gland or hyperthyroidism
strabismus - Answer crossing of the eyes
lacrimal gland function - Answer continuously supply tear fluid that's wiped across the
surface of your eye each time you blink your eyelids
Conjunctivitis - Answer inflammation or infection of the transparent membrane (conjunctiva)
that lines your eyelid and covers the white part of your eyeball
PERRLA - Answer pupils equal, round, reactive to light and accommodation
,How are pupils measured? - Answer In millimeters
Pupils response to light - Answer should constrict directly and with consensual response of
the opposite pupil to light
Cataracts - Answer clouding of the lens in the eye that affects vision
due to aging
Glaucoma - Answer Aqueous humor (the liquid of the eye)is always being made behind the
colored part of the eye (the iris)
Intraocular pressure (IOP) - Answer pressure build up in the eye due to the slowing or
blocking of aqueous humor
macular degeneration - Answer Deterioration of the macula which is the area on the retina
that is responsible for central vision
Age related
Can destroy central vision
risk factors of macular degeneration - Answer smoking, hypertension, and high cholesterol
hyperopia - Answer Farsightedness, can see things better at a distance
Myopia - Answer common vision condition in which you can see objects near to you clearly,
but objects farther away are blurry. Often called nearsightedness
presbyopia - Answer Loss of accommodation, an inability to maintain focus on near object
Caused by age and the eye lens hardening
astigmatism - Answer Curvature of the cornea and lens of the eye
Light is diffuse rather than sharply focused on the retina
retinopathy - Answer Any disorder of the retina
arteriosclerotic, diabetic, hypertensive, solar
Why do we document? - Answer Communication
, Orders
Care planning
Quality improvement
Research
Legal
Reimbursement
Effective documentation - Answer Accurate
Clear
Concise
Consistent
Legible/readable
Thoughtful
Timely
Sequential
Reflect the nursing process
Relevant
Retrievable
documentation guidelines - Answer Avoid words like "good" or "normal"
Note problems in the order which they occur
Always record precautions or preventative measures
Do not use stereotypes or generalizations
Always record when providers were notified
Know your institutions documentation standards
what to chart - Answer Shift assessment
Provider visits
Responses to interventions
Teaching - be specific
Changes in patient status
Transport or discharge
Nursing assessment - Answer Care plan Patient care summary
Critical pathways
Test Questions All Answered Correct.
HEENT - Answer head, eyes, ears, nose, throat
What is assessed in a HEENT assessment? - Answer carotid arteries, jugular vein, lymph
nodes, thyroid gland, and trachea
assessing facial features for symmetry - Answer eyelids, eyebrows, nasolabial folds, and
mouth. Assess for any facial droop
What could facial drooping mean? - Answer Stroke or bells palsy
Ptosis - Answer eyelid drooping
Normocephalic - Answer refers to round symmetric skull that is appropriately related to
body size
hydrocephalus - Answer accumulation of cerebral spinal fluid in the ventricles of the brain
TMJ - Answer temporomandibular joint (Mandible and maxilla)
exophthalmos - Answer bulging eyes
What causes exophthalmos? - Answer over activity of the thyroid gland or hyperthyroidism
strabismus - Answer crossing of the eyes
lacrimal gland function - Answer continuously supply tear fluid that's wiped across the
surface of your eye each time you blink your eyelids
Conjunctivitis - Answer inflammation or infection of the transparent membrane (conjunctiva)
that lines your eyelid and covers the white part of your eyeball
PERRLA - Answer pupils equal, round, reactive to light and accommodation
,How are pupils measured? - Answer In millimeters
Pupils response to light - Answer should constrict directly and with consensual response of
the opposite pupil to light
Cataracts - Answer clouding of the lens in the eye that affects vision
due to aging
Glaucoma - Answer Aqueous humor (the liquid of the eye)is always being made behind the
colored part of the eye (the iris)
Intraocular pressure (IOP) - Answer pressure build up in the eye due to the slowing or
blocking of aqueous humor
macular degeneration - Answer Deterioration of the macula which is the area on the retina
that is responsible for central vision
Age related
Can destroy central vision
risk factors of macular degeneration - Answer smoking, hypertension, and high cholesterol
hyperopia - Answer Farsightedness, can see things better at a distance
Myopia - Answer common vision condition in which you can see objects near to you clearly,
but objects farther away are blurry. Often called nearsightedness
presbyopia - Answer Loss of accommodation, an inability to maintain focus on near object
Caused by age and the eye lens hardening
astigmatism - Answer Curvature of the cornea and lens of the eye
Light is diffuse rather than sharply focused on the retina
retinopathy - Answer Any disorder of the retina
arteriosclerotic, diabetic, hypertensive, solar
Why do we document? - Answer Communication
, Orders
Care planning
Quality improvement
Research
Legal
Reimbursement
Effective documentation - Answer Accurate
Clear
Concise
Consistent
Legible/readable
Thoughtful
Timely
Sequential
Reflect the nursing process
Relevant
Retrievable
documentation guidelines - Answer Avoid words like "good" or "normal"
Note problems in the order which they occur
Always record precautions or preventative measures
Do not use stereotypes or generalizations
Always record when providers were notified
Know your institutions documentation standards
what to chart - Answer Shift assessment
Provider visits
Responses to interventions
Teaching - be specific
Changes in patient status
Transport or discharge
Nursing assessment - Answer Care plan Patient care summary
Critical pathways
