CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT
NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT CHAMBERLAIN COLLEGE OF
NURSING
Question 1
The function of the auditory ossicles is to:
a.transmit the light reflex to the light cone.
b. transform sound vibrations into mechanical waves for the inner
ear. c. to capture
sound waves from the external ear for transmission into the middle ear.
d. to separate the inner ear from the middle ear.
Explanation:
The function of the auditory ossicles is to transform sound vibrations into
mechanical waves for the inner ear
Question 2
A 35-year-old patient complains of vertigo accompanied by nausea and vomiting.
Examination reveals bilateral diplopia and an unsteady gait. These symptoms
could be suggestive of:
a. an arrhythmia.
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT ADVANCED
PHYSICAL ASSESSMENT
, CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT
b. a neurological
condition. c. an inner ear infection.
d. orthostatic hypotension.
Explanation:
Vertigo symptoms associated with neurologic conditions include: ataxia, diplopia,
and dysarthria. Symptoms associated with cardiovascular conditions and vertigo
include arrhythmias, orthostatic hypotension, vasovagal stimulation,
lightheadedness, weakness, or presyncope.
Question 3:
A 60-year-old was concerned about a yellowish colored lesion above her right
eyelid. Findings revealed a slightly raised yellowish, well circumscribed plaque
along the nasal area of her right eyelid. This finding is most consistent with:
a. a pinguecula.
b. a chalazion.
c. episcleritis.
d. .
xanthelasma Explanation:
Slightly raised, yellowish, well-circumscribed plaques appearing along the nasal
area of one or both eyelids are consistent with lipid disorders and called
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT ADVANCED
PHYSICAL ASSESSMENT
, CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT
xanthelasma. Pinguecula refer to harmless, yellowish, triangular nodules in the
bulbar conjunctiva on either side of the iris. A chalazion is a nontender nodule
usually on the underside of the eyelid. Episcleritis is an ocular inflammation of the
episcleral vessels.
Question 4
Assessment of a patient's visual acuity resulted in 20/200 using the Snellen eye
chart. This means that:
a. at 200 feet the patient can read printed information that a person with
normal vision could read at 20 feet.
b. at 20 feet the patient can read printed information that a person with
normal
could read at 200
feet.
vision
c. the patient has normal visual acuity.
d. the patient may not be able to read so he should be tested with the picture or
"E" eye charts.
Explanation:
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT ADVANCED
PHYSICAL ASSESSMENT
, CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT
Visual acuity that is corrected to 20/200 constitutes legal blindness. The larger the
number under 20, the worse the visual acuity. If this is a new finding, the patient
needs ophthalmologic evaluation.
Question 5
Findings following assessment of a person's left eye gaze include impaired
movements when attempting to look upward, downward, or inward. This condition
is most consistent with:
a. a conjugate gaze.
b. left cranial nerve III (oculomotor)
paralysis c. cranial nerve IV (trochlear)
paralysis.
d. cranial nerve VI (abducens) paralysis.
Explanation:
With a left cranial nerve III paralysis, upward, downward, or inward movements
are impaired. In conjugate or normal gaze, the normal movement of the two eyes
appears simultaneously in the same direction to bring something into view. With a
left cranial nerve VI paralysis, a person's gaze would include eyes conjugate when
looking to the right, esotropia (one or both eyes turn inward) appears in the left eye
when looking straight ahead, and esotropia is maximum in the left eye when
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT ADVANCED
PHYSICAL ASSESSMENT
ADVANCED PHYSICAL ASSESSMENT
NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT CHAMBERLAIN COLLEGE OF
NURSING
Question 1
The function of the auditory ossicles is to:
a.transmit the light reflex to the light cone.
b. transform sound vibrations into mechanical waves for the inner
ear. c. to capture
sound waves from the external ear for transmission into the middle ear.
d. to separate the inner ear from the middle ear.
Explanation:
The function of the auditory ossicles is to transform sound vibrations into
mechanical waves for the inner ear
Question 2
A 35-year-old patient complains of vertigo accompanied by nausea and vomiting.
Examination reveals bilateral diplopia and an unsteady gait. These symptoms
could be suggestive of:
a. an arrhythmia.
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT ADVANCED
PHYSICAL ASSESSMENT
, CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT
b. a neurological
condition. c. an inner ear infection.
d. orthostatic hypotension.
Explanation:
Vertigo symptoms associated with neurologic conditions include: ataxia, diplopia,
and dysarthria. Symptoms associated with cardiovascular conditions and vertigo
include arrhythmias, orthostatic hypotension, vasovagal stimulation,
lightheadedness, weakness, or presyncope.
Question 3:
A 60-year-old was concerned about a yellowish colored lesion above her right
eyelid. Findings revealed a slightly raised yellowish, well circumscribed plaque
along the nasal area of her right eyelid. This finding is most consistent with:
a. a pinguecula.
b. a chalazion.
c. episcleritis.
d. .
xanthelasma Explanation:
Slightly raised, yellowish, well-circumscribed plaques appearing along the nasal
area of one or both eyelids are consistent with lipid disorders and called
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT ADVANCED
PHYSICAL ASSESSMENT
, CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT
xanthelasma. Pinguecula refer to harmless, yellowish, triangular nodules in the
bulbar conjunctiva on either side of the iris. A chalazion is a nontender nodule
usually on the underside of the eyelid. Episcleritis is an ocular inflammation of the
episcleral vessels.
Question 4
Assessment of a patient's visual acuity resulted in 20/200 using the Snellen eye
chart. This means that:
a. at 200 feet the patient can read printed information that a person with
normal vision could read at 20 feet.
b. at 20 feet the patient can read printed information that a person with
normal
could read at 200
feet.
vision
c. the patient has normal visual acuity.
d. the patient may not be able to read so he should be tested with the picture or
"E" eye charts.
Explanation:
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT ADVANCED
PHYSICAL ASSESSMENT
, CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT
ADVANCED PHYSICAL ASSESSMENT
Visual acuity that is corrected to 20/200 constitutes legal blindness. The larger the
number under 20, the worse the visual acuity. If this is a new finding, the patient
needs ophthalmologic evaluation.
Question 5
Findings following assessment of a person's left eye gaze include impaired
movements when attempting to look upward, downward, or inward. This condition
is most consistent with:
a. a conjugate gaze.
b. left cranial nerve III (oculomotor)
paralysis c. cranial nerve IV (trochlear)
paralysis.
d. cranial nerve VI (abducens) paralysis.
Explanation:
With a left cranial nerve III paralysis, upward, downward, or inward movements
are impaired. In conjugate or normal gaze, the normal movement of the two eyes
appears simultaneously in the same direction to bring something into view. With a
left cranial nerve VI paralysis, a person's gaze would include eyes conjugate when
looking to the right, esotropia (one or both eyes turn inward) appears in the left eye
when looking straight ahead, and esotropia is maximum in the left eye when
CHAMBERLAIN COLLEGE OF NURSING NR 509 APEA TEST HEENT NR 509 APEA EXAM 2026 HEENT ADVANCED
PHYSICAL ASSESSMENT
