NUR 355 Module 2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Assess for the following clinical manifestations - CORRECT ANSWER - -acute head pain
-photophobia: sensitivity to light
-nausea
-vertigo
-aura
Nursing diagnosis or potential problems the client may encounter because of the
symptoms/medical diagnosis: - CORRECT ANSWER - -pain
-lack of education about migraines
-unable to manage symptoms
Nursing actions - CORRECT ANSWER - -decrease/relieve pain: administer medications;
calm, dark environment
-Teach: ways to improve sleep and decrease stress, take pain medications as prescribed, identify
food triggers: sugar, caffeine, alcohol, tobacco
Nursing Evaluation - CORRECT ANSWER - (Remember: after you carry out an
intervention, you need to evaluate whether that intervention was effective):
-pain resolves
-stress reduction techniques worked: medication, exercise, yoga, etc
Cranial nerves that control eye function: - CORRECT ANSWER - -optic II
-Oculomotor III
-Trochlear IV
-Abducens VI
, Optic II - CORRECT ANSWER - responsible for vision
Oculomotor III - CORRECT ANSWER - controls pupil constriction as well as eyelid and
eyeball movements
Trochlear IV - CORRECT ANSWER - allows eye movement in a downward and lateral
motion
Abducens VI - CORRECT ANSWER - controls lateral movement of the eye
Snellen chart - CORRECT ANSWER - eye chart used to evaluate distance (far) vision
-perfect vision = 20/20
*means at 20 ft, a person reads a letter that most people are expected to read at 20 feet
-legall blind = 20/200 or worse
Rosenbaum Pocket Vision Screener/Jaegar card - CORRECT ANSWER - used to assess
near vision
example: 14/14 at 14 inches a person can read what they're expected to read at 14 inches
Ishihara chart - CORRECT ANSWER - assessment used for color blindness
Corneal staining test - CORRECT ANSWER - Fluorescein is a medication that is instiled
in the eye so the provider can further assess the eye (cornea); anesthetic drops can also be placed
in the eye for comfort
Exam Questions and CORRECT Answers
Assess for the following clinical manifestations - CORRECT ANSWER - -acute head pain
-photophobia: sensitivity to light
-nausea
-vertigo
-aura
Nursing diagnosis or potential problems the client may encounter because of the
symptoms/medical diagnosis: - CORRECT ANSWER - -pain
-lack of education about migraines
-unable to manage symptoms
Nursing actions - CORRECT ANSWER - -decrease/relieve pain: administer medications;
calm, dark environment
-Teach: ways to improve sleep and decrease stress, take pain medications as prescribed, identify
food triggers: sugar, caffeine, alcohol, tobacco
Nursing Evaluation - CORRECT ANSWER - (Remember: after you carry out an
intervention, you need to evaluate whether that intervention was effective):
-pain resolves
-stress reduction techniques worked: medication, exercise, yoga, etc
Cranial nerves that control eye function: - CORRECT ANSWER - -optic II
-Oculomotor III
-Trochlear IV
-Abducens VI
, Optic II - CORRECT ANSWER - responsible for vision
Oculomotor III - CORRECT ANSWER - controls pupil constriction as well as eyelid and
eyeball movements
Trochlear IV - CORRECT ANSWER - allows eye movement in a downward and lateral
motion
Abducens VI - CORRECT ANSWER - controls lateral movement of the eye
Snellen chart - CORRECT ANSWER - eye chart used to evaluate distance (far) vision
-perfect vision = 20/20
*means at 20 ft, a person reads a letter that most people are expected to read at 20 feet
-legall blind = 20/200 or worse
Rosenbaum Pocket Vision Screener/Jaegar card - CORRECT ANSWER - used to assess
near vision
example: 14/14 at 14 inches a person can read what they're expected to read at 14 inches
Ishihara chart - CORRECT ANSWER - assessment used for color blindness
Corneal staining test - CORRECT ANSWER - Fluorescein is a medication that is instiled
in the eye so the provider can further assess the eye (cornea); anesthetic drops can also be placed
in the eye for comfort
