Nr509 Head To Toe Assessment Questions And Correct Verified Answers

NR509 HEAD TO TOE ASSESSMENT
QUESTIONS AND CORRECT VERIFIED
ANSWERS
IntroduceA2yourselfA2&A2patientA2-A2Ans--
Hi,A2myA2nameA2isA2________A2andA2IA2willA2beA2performingA2aA2physicalA2examinationA2f
orA2NR509A2AdvancedA2PhysicalA2AssessmentA2atA2ChamberlainA2University

MyA2nameA2isA2_____A2andA2IA2giveA2permissionA2forA2thisA2videoA2assessmentA2toA2beA2u
ploadedA2toA2ChamberlainA2collegeA2ofA2nursing

FacialA2skinA2-A2Ans--NoA2discolorationA2orA2lesions

HeadA2-A2Ans--Midline,A2symmetrical,A2normalA2inA2size

LymphA2nodeA2palpationA2(9A2locations)A2-A2Ans--*Preauricular*A2-A2inA2frontA2ofA2ear
*PostA2auricular*A2-A2behindA2ear
*Occipital*A2-A2backA2ofA2head
MoveA2forwardA2-A2*tonsillar*
UnderA2jawlineA2-A2*submandibular*,
*Submental*
*AnteriorA2cervical*
*PosteriorA2cervical*
*Supraclavicular*A2-A2aboveA2clavicles

---DoA2notA2feelA2anyA2enlargement,A2equalA2bilaterally

CNA25A2-A2Ans--*TrigeminalA2nerve*

MotorA2componentA2-A2palpateA2overA2theA2masterA2muscleA2asA2patientA2clenchesA2jaw
--NoA2distortions,A2greatA2strength

SensoryA2componentA2--A2closeA2eyes,A2letA2meA2knowA2whereA2youA2feelA2myA2touchA2--
A2forehead,A2cheeks,A2chin,A2nose


CNA27A2-A2Ans--*FacialA2nerve*

InspectA2forA2facialA2symmetryA2with...
-Smile
-Frown
-RaiseA2eyebrows
-PuffA2cheeks
-PuckerA2lips

, ----symmetricalA2bilaterally

OuterA2Ear:A2InspectionA2-A2Ans--
InspectA2outerA2earA2forA2nodules,A2skinA2lesionsA2&A2symmetry

Ear:A2InspectionA2(Otoscope)A2-A2Ans--PullA2earA2upA2&A2back

*AuditoryA2canal*A2--A2clear,A2noA2redness,A2swelling,A2drainage,A2orA2cerumen

*TympanicA2membrane*A2--A2pearlyA2gray,A2noA2effusionA2inA2middleA2ear

DoA2sameA2forA2otherA2earA2--
A2noA2redness,A2swelling,A2drainage,A2orA2cerumen,A2tympanicA2membraneA2isA2pearlyA2gr
ay,A2noA2fluidA2inA2externalA2auditoryA2canal

Ear:A2PalpationA2-A2Ans--PalpateA2pinnaeA2andA2tragusA2forA2nodulesA2&A2tenderness

CNA28A2-A2Ans--*AcousticA2nerve*A2(hearing)

WhisperA2testA2-
A2whisperA2wordsA2outA2ofA2patient'sA2sightA2&A2patientA2repeatsA2wordsA2back.
TestA2oneA2earA2atA2aA2time.

"one,A2two,A2three"A2andA2"four,A2five,A2six"

--HearingA2intactA2bilaterally

Eyes:A2InspectionA2-A2Ans--*Conjunctiva*A2--A2pink,A2clear,A2noA2drainageA2orA2lesions
*Sclera*A2-A2whiteA2&A2clear

CNA22A2-A2Ans--*OpticA2nerve*A2

*CentralA2vision*
*SnellenA2pocketA2eyeA2chart
6A2ftA2away,A2coverA2oneA2eye...readA2lowestA2lineA2possible...repeatA2otherA2eyeA2---
A220/20A2leftA2eye,A2rightA2eye,A2bothA2eyes


*PeripheralA2vision*
StandA2upA2atA2eyeA2level,A2lookA2straightA2ahead,A2doA2notA2moveA2head.
--HandsA2forwardA2fromA2back
--HandsA2downA2fromA2above
--HandsA2comeA2fromA2below

CheckA2*pupillaryA2responseA2toA2light*A2(PERRL)
--OphthalmoscopeA2lightA2
--StareA2atA2nose