ADVANCED HEALTH ASSESSMENT EXAM 2 AND
STUDYGUIDE NEW VERSION ACTUAL EXAM WITH
QUESTIONS AND CORRECT VERIFIED ANSWERS
|WELLGRADED A+
Examination of the ear - CORRECT ANSWERS-1. Examination or inspect the outer
structures of the ear initially.
2. Ears should be equal in size without swelling or thickening.
3. Color of skin should resemble the facial skin color.
4. Upon palpation of the pre auricular and the post auricular nodes there should be no
tenderness
5. Gently move the pinna and palpate the tragus, this should not illicit any discomfort.
6. Note the size of the external auditory meatus, this will determine the size of the
speculum to be used. 7. The largest one that will fit in the ear should be used.
8. There is usually ear wax of varying degrees present in the ear canal.
what may be indicated if the ear drum is not visible and no infection is present -
CORRECT ANSWERS-the ear canal may need cleaning due to excessive cerumen
Otosclerosis - CORRECT ANSWERS-a gradual hardening that causes the foot plate of
the stapes to become fixed in the oval window, impeding the transmission of sound and
causing progressive deafness. begins between ages of 20-40. Can be reversed with a
stapedectomy
sudden hearing loss can be cause by - CORRECT ANSWERS-a toxic reaction to a
medication - such as aspirin, chemotherapeutic agents loop diuretics, aminoglycosides,
naproxen, vancomycin are some common meds that may have a hearing loss as a side
effect
aging adult considerations - CORRECT ANSWERS--Has an increased accumulation of
ear wax which oxidizes and dries and results in gland atrophy.
-Coarse wiry hairs may be present at the ear opening.
-There can be scarring of the drum, which results in immobility of the ear drum.
-The drum can appear whiter in color, opaque, thickened, & duller than in a younger
adult.
-presbycusis: nerve degeneration of the inner ear
common abnormalities of the ear - CORRECT ANSWERS--Low set ears may indicate a
congenital abnormality
-Pain in the external ear on palpation may indicate an external ear infection
-Pain that isn't increased by pulling on the auricle may originate from a middle ear
infection
-Reddened ear canal = inflammation, drainage = infection
-Yellow or green discharge indicates infection
,testing hearing acuity in an infant
newborn
infant
6-8 months
2 years - CORRECT ANSWERS-newborn- absence of alerting behavior to a loud
sudden noise may indicate congenital deafness. Startle (MORO) reflex and acoustic
blink reflex.
3 - 4 months - Acoustic blink reflex, infant stops movement and seems to listen, quiets if
crying, cries if quiet. Failure to localize sound is abnormal.
6 - 8 months - Turns head to localize sound and responds to own name.
2 years- No intelligible speech by 2 years of age is abnormal.
testing hearing acuity of a child
preschool and school age child - CORRECT ANSWERS-Preschool and School Age
Child - Must be screened with audiometer.
Remember to recheck hearing if allergies or respiratory infection exists.
Chapter 13 - CORRECT ANSWERS-
how many cranial bones - CORRECT ANSWERS-8
how many facial bones - CORRECT ANSWERS-14
when dose the posterior fontanelle close - CORRECT ANSWERS-2 months
when does the frontal fontanelle close - CORRECT ANSWERS-9-24 months
depression of fontanelles shows - CORRECT ANSWERS-depression
bulging of fontanelles show - CORRECT ANSWERS-over hydration, hydrocephalus, , or
ICP
C1 called - CORRECT ANSWERS-atlas
c2 called - CORRECT ANSWERS-axis; pivots for allow for head turning
c7 - CORRECT ANSWERS-long spinous process that is palpable when head is flexed
(vertebra prominens) provides a pressure point and potential for decubitus (ulcers) land
mark when palpating
CN V - CORRECT ANSWERS-Trigeminal Nerve facial sensation (wisp of cotton ball),
allows for opening mouth, chewing food, clenching teeth
CN VII - CORRECT ANSWERS-Facial smile,
lift eyebrows, puff cheeks, taste
, when can parotid glands become swollen? Where are they located? - CORRECT
ANSWERS-in front of ear, swollen in mumps and HIV, also a site for cancer
sternomastoid muscles - CORRECT ANSWERS-head rotation and head flexion
trapezius muscles - CORRECT ANSWERS-moves shoulder and extends and turns
head
CN XI - CORRECT ANSWERS-Spinal accessory - shrug of shoulders checking for
equality of and rotation of head against resistance
thyroid gland - CORRECT ANSWERS-Largely responsible for cellular metabolism and
secretion of thyroxine (T4) and triliodothyronine (T3)
thyroid cartilage can be seen as - CORRECT ANSWERS-adam's apple
posterior auricular lymph node enlarged can indicate - CORRECT ANSWERS-ear
infection
cervical lymph node enlargement - CORRECT ANSWERS-mono
left subclavicular lymph node swelling can indicate - CORRECT ANSWERS-neoplasm
of thorax or abdomen
if a lymph node is enlarged or tender, what do you do? - CORRECT ANSWERS-check
the area they drain for a source of infection
symptoms of meningeal inflammation - CORRECT ANSWERS-neck stiffness with sever
headache and fever
HX of infant of child? - CORRECT ANSWERS--Mother's use of street drugs or alcohol
-type of delivery, difficultly, or use of forceps?
-growth on schedule
-head growth normal? did fontanels close on time?
-when did the infant achieve head control?
hx of the aging adult - CORRECT ANSWERS--dizziness? are ADLs limited because of
this?
-neck pain? ADLS limited?
-Do they have impaired driving, and difficulty with mobility?
assessing lymph system - CORRECT ANSWERS-1. inspect (nodes >1 cm can be
visualized in the neck area)
2. palpate gently using a circular motion of the fingertips
STUDYGUIDE NEW VERSION ACTUAL EXAM WITH
QUESTIONS AND CORRECT VERIFIED ANSWERS
|WELLGRADED A+
Examination of the ear - CORRECT ANSWERS-1. Examination or inspect the outer
structures of the ear initially.
2. Ears should be equal in size without swelling or thickening.
3. Color of skin should resemble the facial skin color.
4. Upon palpation of the pre auricular and the post auricular nodes there should be no
tenderness
5. Gently move the pinna and palpate the tragus, this should not illicit any discomfort.
6. Note the size of the external auditory meatus, this will determine the size of the
speculum to be used. 7. The largest one that will fit in the ear should be used.
8. There is usually ear wax of varying degrees present in the ear canal.
what may be indicated if the ear drum is not visible and no infection is present -
CORRECT ANSWERS-the ear canal may need cleaning due to excessive cerumen
Otosclerosis - CORRECT ANSWERS-a gradual hardening that causes the foot plate of
the stapes to become fixed in the oval window, impeding the transmission of sound and
causing progressive deafness. begins between ages of 20-40. Can be reversed with a
stapedectomy
sudden hearing loss can be cause by - CORRECT ANSWERS-a toxic reaction to a
medication - such as aspirin, chemotherapeutic agents loop diuretics, aminoglycosides,
naproxen, vancomycin are some common meds that may have a hearing loss as a side
effect
aging adult considerations - CORRECT ANSWERS--Has an increased accumulation of
ear wax which oxidizes and dries and results in gland atrophy.
-Coarse wiry hairs may be present at the ear opening.
-There can be scarring of the drum, which results in immobility of the ear drum.
-The drum can appear whiter in color, opaque, thickened, & duller than in a younger
adult.
-presbycusis: nerve degeneration of the inner ear
common abnormalities of the ear - CORRECT ANSWERS--Low set ears may indicate a
congenital abnormality
-Pain in the external ear on palpation may indicate an external ear infection
-Pain that isn't increased by pulling on the auricle may originate from a middle ear
infection
-Reddened ear canal = inflammation, drainage = infection
-Yellow or green discharge indicates infection
,testing hearing acuity in an infant
newborn
infant
6-8 months
2 years - CORRECT ANSWERS-newborn- absence of alerting behavior to a loud
sudden noise may indicate congenital deafness. Startle (MORO) reflex and acoustic
blink reflex.
3 - 4 months - Acoustic blink reflex, infant stops movement and seems to listen, quiets if
crying, cries if quiet. Failure to localize sound is abnormal.
6 - 8 months - Turns head to localize sound and responds to own name.
2 years- No intelligible speech by 2 years of age is abnormal.
testing hearing acuity of a child
preschool and school age child - CORRECT ANSWERS-Preschool and School Age
Child - Must be screened with audiometer.
Remember to recheck hearing if allergies or respiratory infection exists.
Chapter 13 - CORRECT ANSWERS-
how many cranial bones - CORRECT ANSWERS-8
how many facial bones - CORRECT ANSWERS-14
when dose the posterior fontanelle close - CORRECT ANSWERS-2 months
when does the frontal fontanelle close - CORRECT ANSWERS-9-24 months
depression of fontanelles shows - CORRECT ANSWERS-depression
bulging of fontanelles show - CORRECT ANSWERS-over hydration, hydrocephalus, , or
ICP
C1 called - CORRECT ANSWERS-atlas
c2 called - CORRECT ANSWERS-axis; pivots for allow for head turning
c7 - CORRECT ANSWERS-long spinous process that is palpable when head is flexed
(vertebra prominens) provides a pressure point and potential for decubitus (ulcers) land
mark when palpating
CN V - CORRECT ANSWERS-Trigeminal Nerve facial sensation (wisp of cotton ball),
allows for opening mouth, chewing food, clenching teeth
CN VII - CORRECT ANSWERS-Facial smile,
lift eyebrows, puff cheeks, taste
, when can parotid glands become swollen? Where are they located? - CORRECT
ANSWERS-in front of ear, swollen in mumps and HIV, also a site for cancer
sternomastoid muscles - CORRECT ANSWERS-head rotation and head flexion
trapezius muscles - CORRECT ANSWERS-moves shoulder and extends and turns
head
CN XI - CORRECT ANSWERS-Spinal accessory - shrug of shoulders checking for
equality of and rotation of head against resistance
thyroid gland - CORRECT ANSWERS-Largely responsible for cellular metabolism and
secretion of thyroxine (T4) and triliodothyronine (T3)
thyroid cartilage can be seen as - CORRECT ANSWERS-adam's apple
posterior auricular lymph node enlarged can indicate - CORRECT ANSWERS-ear
infection
cervical lymph node enlargement - CORRECT ANSWERS-mono
left subclavicular lymph node swelling can indicate - CORRECT ANSWERS-neoplasm
of thorax or abdomen
if a lymph node is enlarged or tender, what do you do? - CORRECT ANSWERS-check
the area they drain for a source of infection
symptoms of meningeal inflammation - CORRECT ANSWERS-neck stiffness with sever
headache and fever
HX of infant of child? - CORRECT ANSWERS--Mother's use of street drugs or alcohol
-type of delivery, difficultly, or use of forceps?
-growth on schedule
-head growth normal? did fontanels close on time?
-when did the infant achieve head control?
hx of the aging adult - CORRECT ANSWERS--dizziness? are ADLs limited because of
this?
-neck pain? ADLS limited?
-Do they have impaired driving, and difficulty with mobility?
assessing lymph system - CORRECT ANSWERS-1. inspect (nodes >1 cm can be
visualized in the neck area)
2. palpate gently using a circular motion of the fingertips
