ADVANCED HEALTH ASSESSMENT EXAM 1 AND
STUDYGUIDE NEW VERSION ACTUAL EXAM WITH
QUESTIONS AND CORRECT VERIFIED ANSWERS
|WELL GRADED A+
What is being assessed with looking at the patient's eyelids? - CORRECT ANSWERS-
have the patient close lids lightly to look for tremors
inspect ability of eyelids to close completely and open wide
check for flakiness, crusting, redness, or swelling
check eyelashes to make sure that they curve away from the eye
when eye is open the superior eyelid should cover a portion of the iris but not cover
pupil
What can be a cause of fasciculations of the eyelid when a patient lightly closes eye? -
CORRECT ANSWERS-hyperthyroidism
What is ptosis? - CORRECT ANSWERS-when the upper eyelid covers more than the
top of the iris or pupil and indicates congenital weakness of levator muscle or paresis of
a branch of CN III
What is CN III - CORRECT ANSWERS-oculomotor nerve
How do you document a finding of ptosis? - CORRECT ANSWERS-by recording the
difference between the two eyelids in millimeters (the average lid is 2 mm below the
border of the cornea and sclera. average lower lid is at the lower limbus)
What is ectropion? - CORRECT ANSWERS-it is when the lower eyelid turns away from
the eye and may result in excessive tearing because the tear collecting system can't
collect the secretions
What is entropion? - CORRECT ANSWERS-it is when the eyelid turns toward the globe
which can cause corneal and conjunctival irritation and risk for secondary infection
What is a hordeolum? - CORRECT ANSWERS-it is an acute suppurative inflammation
of an eyelash follicle which causes an erythematous or yellowish lump
What may be the cause of crusting along eyelashes? - CORRECT ANSWERS-
blepharitis caused by blockage of tiny oil glands or by bacteria, seborrhea, psoriasis,
rosacea, allergic response
What is lagophthalmos? - CORRECT ANSWERS-it is when the eyelids to not meet
completely when closed and can be caused by thyroid disease, bell's palsy, aggressive
ptosis, blepharoplasty
,When you palpate the eyes what are you assessing for? - CORRECT ANSWERS-
eyelids for nodules
orbit for intraocular pressure
If the patient complains of pain when you palpate the orbit what can be the cause? -
CORRECT ANSWERS-scleritis, orbital cellulitis, cavernous sinus thrombosis
If the eye is very firm or resists palpation what does this indicate? - CORRECT
ANSWERS-it can be a sign of severe glaucoma or retrobulbar tumor
How do you inspect the lower conjunctiva? - CORRECT ANSWERS-have the patient
look up while you draw the lower eyelid down and note the translucency and vascular
pattern, erythema, exudate
How do you inspect the upper conjunctiva? - CORRECT ANSWERS-this is only done
when there is a foreign object present. Evert the upper lid one a cotton swab
What can cause erythema or cobblestone appearance to conjunctiva? - CORRECT
ANSWERS-allergic or infections conjunctivitis
What is a subconjunctival hemorrhage? - CORRECT ANSWERS-it is seen as bright red
blood in a sharply defined area that is surrounded by healthy conjunctiva which may
occur spontaneously in pregnancy or labor
What is a pterygium? - CORRECT ANSWERS-it is the abnormal growth of conjunctiva
tissue over the cornea and more common on the nasal side. This is more common in
persons exposed to UV light.
How do you examine the cornea for clarity? - CORRECT ANSWERS-check for clarity
by shining a light tangentially on it. blood vessels should not be present
What is corneal arcus? - CORRECT ANSWERS-it is lipid deposits in the periphery of
the cornea and common after age 60. If they present in persons less than 40 it may
indicate a lipid disorder
How do you check corneal sensitivity (CN V) - CORRECT ANSWERS-by touching a
cotton wisp to the cornea which should make the patient blink. This indicates an intact
CN V and motor fibers of CN VII (facial nerve)
What is CN V? - CORRECT ANSWERS-trochlear nerve
What is decreased corneal sensitivity caused by? - CORRECT ANSWERS-diabetes,
herpes simplex, herpes zoster, after trigeminal neuralgia surgery
How do you inspect the iris? - CORRECT ANSWERS-check it for visibility and uniform
color
, How do you inspect the pupil? - CORRECT ANSWERS-note irregularities in shape of
pupil, they should be round, regular, and equal in size
How do you test the pupil? - CORRECT ANSWERS-check the pupils response to light
and accomodation
What are the concepts of developing a relationship with the patient? - CORRECT
ANSWERS-See the patient as a unique individual
Let them know that you really want to know all that is needed
Be open and flexible
Explain boundaries
Be honest
What is the primary objective when developing a relationship with the patient? -
CORRECT ANSWERS-To discover the details about a patient's concern, explore
expectations, display interest, and partnership
What does establishing a positive relationship with the patient depend on? - CORRECT
ANSWERS-Communication built on courtesy, comfort, connection, and confirmation.
What are effective communication strategies when obtaining a health history? -
CORRECT ANSWERS-Using open-ended questions, direct questions, rarely leading
questions. Facilitate by encouraging patient to say more. Reflect by repeating what you
heard. Clarify. Empathize by showing understanding and acceptance. Confront by
discussing disturbing behavior. Interpret by repeating what you heard to confirm.
What are open-ended questions? - CORRECT ANSWERS-Those that give the patient
discretion about the extent of the answer. Such as "How have you been feeling?" or
"What brings you in today?"
What are direct questions? - CORRECT ANSWERS-Those that seek specific
information. Such as "How long ago did that happen?" or "Where does it hurt?"
What are leading questions? - CORRECT ANSWERS-Those that are prompting the
patient toward the desired answer and these are the most risky.
What is a patient centered question? - CORRECT ANSWERS-One that respects and
responds to a patient's wants, needs, preferences so that they can make choices in
their care that best fit their individual circumstances. Such as "How would you like to be
addressed?", "What would you like us to do today?", "How are you coping with your
illness?".
What are potential barriers of patient and provider communication? - CORRECT
ANSWERS-When the patient is curious about you, anxiety, silence, depression,
crying/compassionate moments, physical & emotional intimacy, seduction, anger,
avoiding the full story, financial considerations.
STUDYGUIDE NEW VERSION ACTUAL EXAM WITH
QUESTIONS AND CORRECT VERIFIED ANSWERS
|WELL GRADED A+
What is being assessed with looking at the patient's eyelids? - CORRECT ANSWERS-
have the patient close lids lightly to look for tremors
inspect ability of eyelids to close completely and open wide
check for flakiness, crusting, redness, or swelling
check eyelashes to make sure that they curve away from the eye
when eye is open the superior eyelid should cover a portion of the iris but not cover
pupil
What can be a cause of fasciculations of the eyelid when a patient lightly closes eye? -
CORRECT ANSWERS-hyperthyroidism
What is ptosis? - CORRECT ANSWERS-when the upper eyelid covers more than the
top of the iris or pupil and indicates congenital weakness of levator muscle or paresis of
a branch of CN III
What is CN III - CORRECT ANSWERS-oculomotor nerve
How do you document a finding of ptosis? - CORRECT ANSWERS-by recording the
difference between the two eyelids in millimeters (the average lid is 2 mm below the
border of the cornea and sclera. average lower lid is at the lower limbus)
What is ectropion? - CORRECT ANSWERS-it is when the lower eyelid turns away from
the eye and may result in excessive tearing because the tear collecting system can't
collect the secretions
What is entropion? - CORRECT ANSWERS-it is when the eyelid turns toward the globe
which can cause corneal and conjunctival irritation and risk for secondary infection
What is a hordeolum? - CORRECT ANSWERS-it is an acute suppurative inflammation
of an eyelash follicle which causes an erythematous or yellowish lump
What may be the cause of crusting along eyelashes? - CORRECT ANSWERS-
blepharitis caused by blockage of tiny oil glands or by bacteria, seborrhea, psoriasis,
rosacea, allergic response
What is lagophthalmos? - CORRECT ANSWERS-it is when the eyelids to not meet
completely when closed and can be caused by thyroid disease, bell's palsy, aggressive
ptosis, blepharoplasty
,When you palpate the eyes what are you assessing for? - CORRECT ANSWERS-
eyelids for nodules
orbit for intraocular pressure
If the patient complains of pain when you palpate the orbit what can be the cause? -
CORRECT ANSWERS-scleritis, orbital cellulitis, cavernous sinus thrombosis
If the eye is very firm or resists palpation what does this indicate? - CORRECT
ANSWERS-it can be a sign of severe glaucoma or retrobulbar tumor
How do you inspect the lower conjunctiva? - CORRECT ANSWERS-have the patient
look up while you draw the lower eyelid down and note the translucency and vascular
pattern, erythema, exudate
How do you inspect the upper conjunctiva? - CORRECT ANSWERS-this is only done
when there is a foreign object present. Evert the upper lid one a cotton swab
What can cause erythema or cobblestone appearance to conjunctiva? - CORRECT
ANSWERS-allergic or infections conjunctivitis
What is a subconjunctival hemorrhage? - CORRECT ANSWERS-it is seen as bright red
blood in a sharply defined area that is surrounded by healthy conjunctiva which may
occur spontaneously in pregnancy or labor
What is a pterygium? - CORRECT ANSWERS-it is the abnormal growth of conjunctiva
tissue over the cornea and more common on the nasal side. This is more common in
persons exposed to UV light.
How do you examine the cornea for clarity? - CORRECT ANSWERS-check for clarity
by shining a light tangentially on it. blood vessels should not be present
What is corneal arcus? - CORRECT ANSWERS-it is lipid deposits in the periphery of
the cornea and common after age 60. If they present in persons less than 40 it may
indicate a lipid disorder
How do you check corneal sensitivity (CN V) - CORRECT ANSWERS-by touching a
cotton wisp to the cornea which should make the patient blink. This indicates an intact
CN V and motor fibers of CN VII (facial nerve)
What is CN V? - CORRECT ANSWERS-trochlear nerve
What is decreased corneal sensitivity caused by? - CORRECT ANSWERS-diabetes,
herpes simplex, herpes zoster, after trigeminal neuralgia surgery
How do you inspect the iris? - CORRECT ANSWERS-check it for visibility and uniform
color
, How do you inspect the pupil? - CORRECT ANSWERS-note irregularities in shape of
pupil, they should be round, regular, and equal in size
How do you test the pupil? - CORRECT ANSWERS-check the pupils response to light
and accomodation
What are the concepts of developing a relationship with the patient? - CORRECT
ANSWERS-See the patient as a unique individual
Let them know that you really want to know all that is needed
Be open and flexible
Explain boundaries
Be honest
What is the primary objective when developing a relationship with the patient? -
CORRECT ANSWERS-To discover the details about a patient's concern, explore
expectations, display interest, and partnership
What does establishing a positive relationship with the patient depend on? - CORRECT
ANSWERS-Communication built on courtesy, comfort, connection, and confirmation.
What are effective communication strategies when obtaining a health history? -
CORRECT ANSWERS-Using open-ended questions, direct questions, rarely leading
questions. Facilitate by encouraging patient to say more. Reflect by repeating what you
heard. Clarify. Empathize by showing understanding and acceptance. Confront by
discussing disturbing behavior. Interpret by repeating what you heard to confirm.
What are open-ended questions? - CORRECT ANSWERS-Those that give the patient
discretion about the extent of the answer. Such as "How have you been feeling?" or
"What brings you in today?"
What are direct questions? - CORRECT ANSWERS-Those that seek specific
information. Such as "How long ago did that happen?" or "Where does it hurt?"
What are leading questions? - CORRECT ANSWERS-Those that are prompting the
patient toward the desired answer and these are the most risky.
What is a patient centered question? - CORRECT ANSWERS-One that respects and
responds to a patient's wants, needs, preferences so that they can make choices in
their care that best fit their individual circumstances. Such as "How would you like to be
addressed?", "What would you like us to do today?", "How are you coping with your
illness?".
What are potential barriers of patient and provider communication? - CORRECT
ANSWERS-When the patient is curious about you, anxiety, silence, depression,
crying/compassionate moments, physical & emotional intimacy, seduction, anger,
avoiding the full story, financial considerations.
