NSG3160 Health Assessment Exam 2 with Practice Questions and Answers

NSG3160 Health Assessment Exam 2 with Practice Questions and Answers The nurse is performing an assessment on a 7-year-old child who has symptoms of chronic watery eyes, sneezing, and clear nasal drainage. The nurse notices the presence of a transverse line across the bridge of the nose, dark blue shadows below the eyes, and a double crease on the lower eyelids. What does the nurse suspect is the cause of these signs and symptoms? A Lymphadenopathy B Chronic allergies C Nasal congestion D Upper respiratory infection ANSWER B Chronic allergies When examining a patient's CN function, what muscles should the nurse assess to assess the function of CN XI? A Sternomastoid and trapezius B Spinal accessory and omohyoid C Sternomandibular and spinal accessory D Trapezius and sternomandibular ANSWER A Sternomastoid and trapezius When assessing the pupillary light reflex, the nurse should use which technique? A Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction. B Ask the patient to focus on a distant object. Then ask the patient to follow the penlight to approximately 7 cm from the nose. C Shine a penlight from directly in front of the patient, and inspect for pupillary constriction. D Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction. ANSWER D Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction.