1
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NURS634 /NURS 634 ADVANCED HEALTH
ASSESSMENT MIDTERM EXAM 2025/2026
QUESTIONS AND ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED QUESTIONS AND
STUDY GUIDE / EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED A+
Graded A+
© 2025 Assignment Expert
Subjective History Components [ANS:] chief complaint, HPI, PMH,
family history, social history, & review of systems: what patient tells
you.
Guru01 - Stuvia
Objective History Components [ANS:] General survey, vitals,
physical exam, diagnostic results, what you observe or see.
Presbyopia [ANS:] age-related near-vision loss. Can see far away
better.
Examples of sudden, painful unilateral vision loss [ANS:] corneal
ulcer, acute closed angle glaucoma, uveitis, or traumatic
hyphema.
Examples of sudden, PAINLESS unilateral vision loss [ANS:] retinal
detachment, macular degeneration, or retinal vein occlusion.
Olfactory (CN 1) [ANS:] smell, occlude each nostril
Optic (CN 2) [ANS:] Vision-Snellen chart, an enlarged blind spot
affects optic nerve
caused by glaucoma, optic neuritis, and papilledema.
, 2
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Oculomotor Nerve (CN III) [ANS:] Test PERRLA, Paralysis if the pupil
is dilated, fixed to light and near accommodation with ptosis,
lateral deviation of the eye. Impaired ability to look up, down, or
inward. (A conjugate gauze is a normal gaze=both eyes move in
same direction at same time). ptosis=CNIII problem.
Trochlear Nerve (CN IV) [ANS:] controls superior oblique muscle-
moves eye down towards nose, damage from head trauma or
central lesions=diplopia. Diplopia is also seen in cataracts,
astigmatism, or CN III, IV, or VI neuropathy, or myasthenia gravis,
trauma, or lesions in brainstem or cerebellum.
© 2025 Assignment Expert
Trigeminal (CN V): [ANS:] Facial sensation, nasal and buccal
mucosa, & teeth, mastication muscles. Test corneal reflex, have pt
clench teeth/palpate masseter/temporal muscles, sharp/dull
Guru01 - Stuvia
sensations on cheek/forehead.
Abducens (CNVI) [ANS:] Movement of lateral rectus muscle,
moves eye laterally.
Facial (CN VII) [ANS:] Facial muscles, taste anterior 2/3rd of
tongue. Have pt smile, show teeth, raise eyebrows, frown, close
eyes tight, puff out cheeks. Bell's Palsy.
Vestibulocochlear (CN VIII) [ANS:] Sensation to pharynx, posterior
1/3rd of tongue, and tympanic membrane. Test gag reflex.
Vagus Nerve (CN X) [ANS:] Supplies parasympathetic nerve fibers
to viscera of chest, abdomen, motor fibers to pharynx, larynx. *A
deviated uvula without swelling indicates vagus nerve lesion.
Spinal Accessory (CN XI): [ANS:] Supplies motor fibers to
sternocleidomastoid & trapezius muscle, ask pt to shrug shoulders
against your hands.
, 3
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Hypoglossal (CN XII): [ANS:] Tongue muscles, ask pt to move
tongue all around.
Glaucoma [ANS:] gradual loss of peripheral vision, optic nerve
damage. Open Angle=asymptomatic, bilateral, gradual
increased cup-to-disk ratio from increased intraocular
pressure=notching of optic cup. Acute Closed Angle rapid onset
of sudden vision loss, unilateral, deep eye pain, dilated and fixed
pupil with cloudy cornea=emergency if increased intraocular
pressure.
© 2025 Assignment Expert
Macular Degeneration [ANS:] gradual loss of central vision d/t
damaged retina.
Cataracts: [ANS:] gradual cloudiness/opacification of the lens
Guru01 - Stuvia
from DM, overexposure to sun, long-term steroid use, diuretics,
poor diet, smoking, ETOH, age, trauma, lead exposures=NO red
reflex, Leukoria-white reflex present, blurred/cloudy vision, halo
around lights, diminished night vision, diplopia, fall risk.
Normal Retina: [ANS:] present red reflex, veins pulsate, arteries
narrower. Normal Cup/Disk ratio is 1/3, fovea is in middle of
macula.
AV Tapering [ANS:] vein "winds" or tapers down on either side of
artery.
AV Nicking [ANS:] vein stops abruptly on either side of artery,
arteries indent and displace veins, caused by HTN
AV Banking [ANS:] vein is twisted on distal side of artery
Subconjuncival Hemorrhage: [ANS:] red painless eye.
, 4
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Red & Painful eye [ANS:] Hyphema (blood in anterior chamber of
eye), episcleritis
(inflammation of episcleral vessels in RA or herpes), acute angle
closer glaucoma, or uveitis.
Amblyopia [ANS:] Reduction in vision causing loss of binocular
vision from cataracts or untreated strabismus (cross-eyed
detected with cover-uncover test or Hirschberg Test- will show
asymmetric light reflex, pt c/o diplopia).
© 2025 Assignment Expert
Esotropia: [ANS:] eye drifts in
Exotropia [ANS:] eye drifts out
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Hypertropia: [ANS:] eye drifts up
Hypotropia [ANS:] eye drifts down
Retinoblastoma [ANS:] rapidly developing cancer of the retina w/
absent red reflex.
Corneal Scar [ANS:] superficial grayish-white opacity in cornea.
Tonic Pupil (Adele's Pupil): [ANS:] Pupil is large, regular, slow
reaction to light unilateral.
Normal Optic Disk: [ANS:] yellowish-orange to creamy pink with
sharp margins.
Optic Atrophy [ANS:] death of optic nerve fibers=loss of disc
vessels=white appearance.
Glaucomatous Cupping: [ANS:] the optic disk is pale with a
backward depression caused by
For Expert help and assignment solutions, +254707240657
NURS634 /NURS 634 ADVANCED HEALTH
ASSESSMENT MIDTERM EXAM 2025/2026
QUESTIONS AND ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED QUESTIONS AND
STUDY GUIDE / EXPERT VERIFIED FOR
GUARANTEED PASS/ALREADY GRADED A+
Graded A+
© 2025 Assignment Expert
Subjective History Components [ANS:] chief complaint, HPI, PMH,
family history, social history, & review of systems: what patient tells
you.
Guru01 - Stuvia
Objective History Components [ANS:] General survey, vitals,
physical exam, diagnostic results, what you observe or see.
Presbyopia [ANS:] age-related near-vision loss. Can see far away
better.
Examples of sudden, painful unilateral vision loss [ANS:] corneal
ulcer, acute closed angle glaucoma, uveitis, or traumatic
hyphema.
Examples of sudden, PAINLESS unilateral vision loss [ANS:] retinal
detachment, macular degeneration, or retinal vein occlusion.
Olfactory (CN 1) [ANS:] smell, occlude each nostril
Optic (CN 2) [ANS:] Vision-Snellen chart, an enlarged blind spot
affects optic nerve
caused by glaucoma, optic neuritis, and papilledema.
, 2
For Expert help and assignment solutions, +254707240657
Oculomotor Nerve (CN III) [ANS:] Test PERRLA, Paralysis if the pupil
is dilated, fixed to light and near accommodation with ptosis,
lateral deviation of the eye. Impaired ability to look up, down, or
inward. (A conjugate gauze is a normal gaze=both eyes move in
same direction at same time). ptosis=CNIII problem.
Trochlear Nerve (CN IV) [ANS:] controls superior oblique muscle-
moves eye down towards nose, damage from head trauma or
central lesions=diplopia. Diplopia is also seen in cataracts,
astigmatism, or CN III, IV, or VI neuropathy, or myasthenia gravis,
trauma, or lesions in brainstem or cerebellum.
© 2025 Assignment Expert
Trigeminal (CN V): [ANS:] Facial sensation, nasal and buccal
mucosa, & teeth, mastication muscles. Test corneal reflex, have pt
clench teeth/palpate masseter/temporal muscles, sharp/dull
Guru01 - Stuvia
sensations on cheek/forehead.
Abducens (CNVI) [ANS:] Movement of lateral rectus muscle,
moves eye laterally.
Facial (CN VII) [ANS:] Facial muscles, taste anterior 2/3rd of
tongue. Have pt smile, show teeth, raise eyebrows, frown, close
eyes tight, puff out cheeks. Bell's Palsy.
Vestibulocochlear (CN VIII) [ANS:] Sensation to pharynx, posterior
1/3rd of tongue, and tympanic membrane. Test gag reflex.
Vagus Nerve (CN X) [ANS:] Supplies parasympathetic nerve fibers
to viscera of chest, abdomen, motor fibers to pharynx, larynx. *A
deviated uvula without swelling indicates vagus nerve lesion.
Spinal Accessory (CN XI): [ANS:] Supplies motor fibers to
sternocleidomastoid & trapezius muscle, ask pt to shrug shoulders
against your hands.
, 3
For Expert help and assignment solutions, +254707240657
Hypoglossal (CN XII): [ANS:] Tongue muscles, ask pt to move
tongue all around.
Glaucoma [ANS:] gradual loss of peripheral vision, optic nerve
damage. Open Angle=asymptomatic, bilateral, gradual
increased cup-to-disk ratio from increased intraocular
pressure=notching of optic cup. Acute Closed Angle rapid onset
of sudden vision loss, unilateral, deep eye pain, dilated and fixed
pupil with cloudy cornea=emergency if increased intraocular
pressure.
© 2025 Assignment Expert
Macular Degeneration [ANS:] gradual loss of central vision d/t
damaged retina.
Cataracts: [ANS:] gradual cloudiness/opacification of the lens
Guru01 - Stuvia
from DM, overexposure to sun, long-term steroid use, diuretics,
poor diet, smoking, ETOH, age, trauma, lead exposures=NO red
reflex, Leukoria-white reflex present, blurred/cloudy vision, halo
around lights, diminished night vision, diplopia, fall risk.
Normal Retina: [ANS:] present red reflex, veins pulsate, arteries
narrower. Normal Cup/Disk ratio is 1/3, fovea is in middle of
macula.
AV Tapering [ANS:] vein "winds" or tapers down on either side of
artery.
AV Nicking [ANS:] vein stops abruptly on either side of artery,
arteries indent and displace veins, caused by HTN
AV Banking [ANS:] vein is twisted on distal side of artery
Subconjuncival Hemorrhage: [ANS:] red painless eye.
, 4
For Expert help and assignment solutions, +254707240657
Red & Painful eye [ANS:] Hyphema (blood in anterior chamber of
eye), episcleritis
(inflammation of episcleral vessels in RA or herpes), acute angle
closer glaucoma, or uveitis.
Amblyopia [ANS:] Reduction in vision causing loss of binocular
vision from cataracts or untreated strabismus (cross-eyed
detected with cover-uncover test or Hirschberg Test- will show
asymmetric light reflex, pt c/o diplopia).
© 2025 Assignment Expert
Esotropia: [ANS:] eye drifts in
Exotropia [ANS:] eye drifts out
Guru01 - Stuvia
Hypertropia: [ANS:] eye drifts up
Hypotropia [ANS:] eye drifts down
Retinoblastoma [ANS:] rapidly developing cancer of the retina w/
absent red reflex.
Corneal Scar [ANS:] superficial grayish-white opacity in cornea.
Tonic Pupil (Adele's Pupil): [ANS:] Pupil is large, regular, slow
reaction to light unilateral.
Normal Optic Disk: [ANS:] yellowish-orange to creamy pink with
sharp margins.
Optic Atrophy [ANS:] death of optic nerve fibers=loss of disc
vessels=white appearance.
Glaucomatous Cupping: [ANS:] the optic disk is pale with a
backward depression caused by
