NURSING 251 #3 2026/2027 | NURSING 251 #3 QUESTIONS,
STUDY GUIDE & REVIEW
You are taking a health history for 35 y/o woman who reports having had cluster headache in
the past. Which findings would you expect for cluster headaches? - Correct answer ✔✔
Triggered by alcohol, pain, or perfume
A 22 y/o adult comes to your clinic for an employment physical examination. As you palpate the
cervical lymph nodes, which characteristics would be healthy and expected? - Correct answer
✔✔ Mobile, soft, non tender
A 20 y/o man suffers a blow to his head from another player's leg during a soccer game. You
assess I'm 6 hours later, and he reports a moderate headache and nausea, vomiting one time,
blurred vision while reading his phone screen. No loss of consciousness after injury. No further
assessment abnormalities. What is advice to give this patient? - Correct answer ✔✔ Bed rest 24
hrs, no reading, no screen watching, no brain activity
During history collection, a 78 y/o retired female gardener reports blurry vision existing for
about 5-6 years. Her husband says the woman's pupils look "milky" What are the appropriate
responses: - Correct answer ✔✔ Does your blurry vision affect your daily activities AND
Do objects appear out of focus?
You are testing vision using the Snellen alphabet chart. A 14 y/o girl has a result of 20/40 right
eye and 20/50 left eye. You observe her pausing and hesitant about some of the letters. Your
next best action would be? - Correct answer ✔✔ Alert the girl and her parent for the need to
refer to an eye specialist.
You plan to assess the pupillary light reflex on a hospitalized 20 y/o soccer player suspected of
concussion. Your correct action would be to? - Correct answer ✔✔ Ask the person to stare into
, the distance behind you, use a pupil gauge to assess the findings in millimeters, refer unequal
pupil response to the physician
During a screening examination you inspect the ocular fungus using he ophthalmoscope on a 21
y/o woman who reports no abnormal symptoms during the history collection. Your best action
would be to: - Correct answer ✔✔ Remove your own glasses and approach the woman's left
eye with your left eye
During the ophthalmoscope exam the mechanism causing the red reflex is: - Correct answer
✔✔ Light reflecting from the retina
Which of the following eye disorders prompt urgent referral to an ER - Correct answer ✔✔
Sudden acute loss of vision in one eye
Obvious trauma to eye ball
Diagnosis of Herpes Zoster infection on face
One unequal pupil that is dilated, distorted in shape, with redness around iris.
During history collection the mother of a 5 y/o boy tells you that he has discharge from one ear.
What is the most appropriate response? - Correct answer ✔✔ Does it look like pus? Or is it
bloody?
Any odor or discharge?
You inspect a 45 y/o woman's ear canal using the otoscope. The tympanic membrane is pearly
gray and slightly concave Your next action is to be: - Correct answer ✔✔ Proceed with the exam
as this is an expected finding
You are assessing hearing acuity using the whispered voice test on a 74 y/o woman. She is able
to repeat 2 of the 6 numbers/letters you present. Your next action: - Correct answer ✔✔
Consider a high-tone hearing sensorineural loss and refer for audiology
STUDY GUIDE & REVIEW
You are taking a health history for 35 y/o woman who reports having had cluster headache in
the past. Which findings would you expect for cluster headaches? - Correct answer ✔✔
Triggered by alcohol, pain, or perfume
A 22 y/o adult comes to your clinic for an employment physical examination. As you palpate the
cervical lymph nodes, which characteristics would be healthy and expected? - Correct answer
✔✔ Mobile, soft, non tender
A 20 y/o man suffers a blow to his head from another player's leg during a soccer game. You
assess I'm 6 hours later, and he reports a moderate headache and nausea, vomiting one time,
blurred vision while reading his phone screen. No loss of consciousness after injury. No further
assessment abnormalities. What is advice to give this patient? - Correct answer ✔✔ Bed rest 24
hrs, no reading, no screen watching, no brain activity
During history collection, a 78 y/o retired female gardener reports blurry vision existing for
about 5-6 years. Her husband says the woman's pupils look "milky" What are the appropriate
responses: - Correct answer ✔✔ Does your blurry vision affect your daily activities AND
Do objects appear out of focus?
You are testing vision using the Snellen alphabet chart. A 14 y/o girl has a result of 20/40 right
eye and 20/50 left eye. You observe her pausing and hesitant about some of the letters. Your
next best action would be? - Correct answer ✔✔ Alert the girl and her parent for the need to
refer to an eye specialist.
You plan to assess the pupillary light reflex on a hospitalized 20 y/o soccer player suspected of
concussion. Your correct action would be to? - Correct answer ✔✔ Ask the person to stare into
, the distance behind you, use a pupil gauge to assess the findings in millimeters, refer unequal
pupil response to the physician
During a screening examination you inspect the ocular fungus using he ophthalmoscope on a 21
y/o woman who reports no abnormal symptoms during the history collection. Your best action
would be to: - Correct answer ✔✔ Remove your own glasses and approach the woman's left
eye with your left eye
During the ophthalmoscope exam the mechanism causing the red reflex is: - Correct answer
✔✔ Light reflecting from the retina
Which of the following eye disorders prompt urgent referral to an ER - Correct answer ✔✔
Sudden acute loss of vision in one eye
Obvious trauma to eye ball
Diagnosis of Herpes Zoster infection on face
One unequal pupil that is dilated, distorted in shape, with redness around iris.
During history collection the mother of a 5 y/o boy tells you that he has discharge from one ear.
What is the most appropriate response? - Correct answer ✔✔ Does it look like pus? Or is it
bloody?
Any odor or discharge?
You inspect a 45 y/o woman's ear canal using the otoscope. The tympanic membrane is pearly
gray and slightly concave Your next action is to be: - Correct answer ✔✔ Proceed with the exam
as this is an expected finding
You are assessing hearing acuity using the whispered voice test on a 74 y/o woman. She is able
to repeat 2 of the 6 numbers/letters you present. Your next action: - Correct answer ✔✔
Consider a high-tone hearing sensorineural loss and refer for audiology
