NURS 6512 Week 5 Test Prep

NURS 6512 Week 5 Test Prep Question 1 Peripheral vision can be estimated by means of which test? 2 out of 2 points Response Feedback: The confrontation test measures peripheral vision. The examiner sits or stands across from the patient and asks the patient to close one eye while the examiner closes the opposite eye. The examiner then proceeds to wave the fingers while moving the extended arms from a lateral to a central position along both the temporal and the nasal fields. The pupillary reaction test is done to observe the pupil's response to light. The accommodation test deals with the pupils' reaction to light. The Snellen E chart is used to measure visual acuity. Question 2 Periorbital edema is: 2 out of 2 points Response Feedback: A clinical finding of periorbital edema should always be regarded as an abnormal finding until ruled otherwise. Question 3 Opacities of the red reflex may indicate the presence of: 2 out of 2 points Response Feedback: Opacities or dark spots of the red reflex may indicate the presence of congenital cataracts in the newborn. Question 4 2 out of 2 points Retinal hemorrhages in an infant require investigation for: Response Feedback: Beyond newborn age, any hemorrhages to the retina indicate infection, allergy, or trauma and should be further investigated. Question 5 The inequality of pupillary size is called: 2 out of 2 points Response Feedback: Anisocoria is when the pupil size is not the same but the reflexes remain normal. Mydriasis is when pupil size is large and even. Diopter is a unit of measurement used to focus a lens. Ptosis is a droopy eyelid. Question 6 Hearing tends to deteriorate after 50 years of age because of: 2 out of 2 points Response Feedback: Hearing declines after 50 years of age due to degeneration of hair cells in the organ of Corti as well as atrophy of the hair cells in the cochlea. Question 7 You are performing Weber and Rinne hearing tests. For the Weber test, the sound 0 out of 2 points lateralized to the unaffected ear; for the Rinne test, air conduction to bone conduction ratio was less than 2:1. You interpret these findings as suggestive of: Question 8 0 out of 2 points The approximate expected systolic blood pressure for a child older than 1 year of age is: Question 9 When you ask the patient to identify smells, you are assessing which cranial nerve? 2 out of 2 points Response Feedback: The first cranial nerve, the olfactory nerve, is tested when you ask a patient to identify different smells. Question 10 2 out of 2 points The use of computers in health care is: Response Feedback: The computer is a useful tool in the clinical setting for documenting patient care and for retrieval of information. It cannot substitute for the clinician s critical thinking or for patient interactions. For some clinicians, computer use is a threatening skill and poses confidentiality issues. Question 11 A newborn whose serum bilirubin is greater than 20 mg/100 mL risks later: Question 12 Spasmodic muscular contractions of the head, face, or neck are called: 0 out of 2 points 2 out of 2 points Response Feedback: Tics, by definition, are spasmodic, repetitive contractions of the muscles of the face, head, or neck. Question 13 2 out of 2 points The ABCs of a primary survey would be interrupted to: Response Feedback: The primary assessment is interrupted to manage a life-threatening condition as soon as it is detected. Once the condition is stabilized, the primary assessment is continued. The historical information obtained during the primary assessment is generally limited to the chief complaint. Recording of events as they occur should be completed in a manner that does not interrupt continued care or transport. Reassessment of the patient s temperature is inappropriate because it would interrupt the continued assessment process. Transporting the patient may begin after the primary assessment is completed to adequately determine the needs of the patient.