Nursing one exam three
Considerations for health assessment - ✔✔ correct answer Lifespan, cultural consideration and
sensitivity, client preparation, environmental preparation
Environmental preparation includes - ✔✔ correct answer Lighting, temperature, door closed
Importance of a health assessment - ✔✔ correct answer Health promotion, disease prevention, client
education
Neurovascular assessment - ✔✔ correct answer Alert and oriented times four
Name, date, place, why you were here
PERRLA - ✔✔ correct answer pupils equal, round, reactive to light and accommodation
Accommodating meaning - ✔✔ correct answer When directed to look away at an object pupils will react
Cranial nerves - ✔✔ correct answer 2,3,4,5
Cranial nerve 2 assessment - ✔✔ correct answer Having one eye covered and following finger
Cranial nerve three assessment - ✔✔ correct answer Open and closing eyes, watching pupil
accommodation
Cranial nerve four assessment - ✔✔ correct answer Following
Fingers with just eyes not head
Cranial nerve five assessment - ✔✔ correct answer Hand on jaw to feel for opening and moving left to
right
testing sensation - ✔✔ correct answer Swabbing face with wet cotton balls, and asking when they feel
the sensation on their face
,Nursing one exam three
eye examination checklist - ✔✔ correct answer Color of sclera (yellow?red?white?)
Discharge?
Bruising?
Deformity?
Snelin chart/E chart
Ptosis definition - ✔✔ correct answer drooping eyelid
Eye interview questions - ✔✔ correct answer Any changes in vision? do you wear glasses? Any blind
spots? Any halos? Eye surgeries? Any trouble seeing at night?
ear examination checklist - ✔✔ correct answer Build up? Redness? Deformities? Swelling? Fluid
drainage? Dry? Pain?
Ear interview questions - ✔✔ correct answer Any hearing changes? Trouble hearing? hearing aids?
surgeries? dizziness? when moving fast does the room spin? tinnitus? buzzing?
Nose examination checklist - ✔✔ correct answer Nasal flaring? Drainage? Obstruction? Septum
deviation?
Using thumbs, push on sinuses gently including forehead sinuses while asking about pain
Nose interview questions - ✔✔ correct answer Any congestion? Bloody noses? Changes and smell or
taste? Injuries in the nose? Difficulty breathing through the nose? Snoring?
Mouth examination checklist - ✔✔ correct answer Sores? Color? dry? Redness of gums? Uvula intact?
Teeth intact? Dentures?
Mouth interview questions - ✔✔ correct answer Any pain? Still have tonsils? Throat infections? Difficulty
swallowing? Difficulty chewing?
, Nursing one exam three
Throat examination checklist - ✔✔ correct answer Goiter?
Palpating thyroid and lymph nodes
Giving a bit of water and watch them swallow
Have them move their head in different directions to assess ROM
Assess TJM (temporal mandibular joint)-listening for prepidous
Prepidous definition - ✔✔ correct answer Fluid in space between temporal mandibular joint
Sounds like pops and crackles
Throat interview questions - ✔✔ correct answer Any injuries? Throat pain? Difficulty moving neck?
tounge examination checklist - ✔✔ correct answer Looking for thrush
Cardiovascular assessment checklist - ✔✔ correct answer Heart sounds
capillary refill
checking for Edema
Listening to the carotid artery
Assessing jugular vein distention
Heart sounds - ✔✔ correct answer Apical
S1
S2
S3
S4
Apical pulse location - ✔✔ correct answer Mid clavicular line, 5th intercostal space
S1 pulse action - ✔✔ correct answer Lub
Considerations for health assessment - ✔✔ correct answer Lifespan, cultural consideration and
sensitivity, client preparation, environmental preparation
Environmental preparation includes - ✔✔ correct answer Lighting, temperature, door closed
Importance of a health assessment - ✔✔ correct answer Health promotion, disease prevention, client
education
Neurovascular assessment - ✔✔ correct answer Alert and oriented times four
Name, date, place, why you were here
PERRLA - ✔✔ correct answer pupils equal, round, reactive to light and accommodation
Accommodating meaning - ✔✔ correct answer When directed to look away at an object pupils will react
Cranial nerves - ✔✔ correct answer 2,3,4,5
Cranial nerve 2 assessment - ✔✔ correct answer Having one eye covered and following finger
Cranial nerve three assessment - ✔✔ correct answer Open and closing eyes, watching pupil
accommodation
Cranial nerve four assessment - ✔✔ correct answer Following
Fingers with just eyes not head
Cranial nerve five assessment - ✔✔ correct answer Hand on jaw to feel for opening and moving left to
right
testing sensation - ✔✔ correct answer Swabbing face with wet cotton balls, and asking when they feel
the sensation on their face
,Nursing one exam three
eye examination checklist - ✔✔ correct answer Color of sclera (yellow?red?white?)
Discharge?
Bruising?
Deformity?
Snelin chart/E chart
Ptosis definition - ✔✔ correct answer drooping eyelid
Eye interview questions - ✔✔ correct answer Any changes in vision? do you wear glasses? Any blind
spots? Any halos? Eye surgeries? Any trouble seeing at night?
ear examination checklist - ✔✔ correct answer Build up? Redness? Deformities? Swelling? Fluid
drainage? Dry? Pain?
Ear interview questions - ✔✔ correct answer Any hearing changes? Trouble hearing? hearing aids?
surgeries? dizziness? when moving fast does the room spin? tinnitus? buzzing?
Nose examination checklist - ✔✔ correct answer Nasal flaring? Drainage? Obstruction? Septum
deviation?
Using thumbs, push on sinuses gently including forehead sinuses while asking about pain
Nose interview questions - ✔✔ correct answer Any congestion? Bloody noses? Changes and smell or
taste? Injuries in the nose? Difficulty breathing through the nose? Snoring?
Mouth examination checklist - ✔✔ correct answer Sores? Color? dry? Redness of gums? Uvula intact?
Teeth intact? Dentures?
Mouth interview questions - ✔✔ correct answer Any pain? Still have tonsils? Throat infections? Difficulty
swallowing? Difficulty chewing?
, Nursing one exam three
Throat examination checklist - ✔✔ correct answer Goiter?
Palpating thyroid and lymph nodes
Giving a bit of water and watch them swallow
Have them move their head in different directions to assess ROM
Assess TJM (temporal mandibular joint)-listening for prepidous
Prepidous definition - ✔✔ correct answer Fluid in space between temporal mandibular joint
Sounds like pops and crackles
Throat interview questions - ✔✔ correct answer Any injuries? Throat pain? Difficulty moving neck?
tounge examination checklist - ✔✔ correct answer Looking for thrush
Cardiovascular assessment checklist - ✔✔ correct answer Heart sounds
capillary refill
checking for Edema
Listening to the carotid artery
Assessing jugular vein distention
Heart sounds - ✔✔ correct answer Apical
S1
S2
S3
S4
Apical pulse location - ✔✔ correct answer Mid clavicular line, 5th intercostal space
S1 pulse action - ✔✔ correct answer Lub
