MARYVILLE NURS 612 EXAM 1 LATEST 2024 MODIFIED WITH 150
COMPLETE QUESTIONS CORRECTLY ANSWERED/DOWNLOAD SCORE
A+
Which of the following will best facilitate the interview
when obtaining a history for a deaf patient who
can read lips? - ANSWER-speaking slowly
What is disease that progressively destroys the macula, impairing central vision - ANSWER-Age
related macular degeneration (AMD):
gradual blurring of central vision, and increased difficulty reading fine print, recognizing faces or
seeing street signs - ANSWER-Dry AMD progression...
rapid loss of central vision, with metamorphopsia (images that appear distorted - ANSWER-Wet
AMD
What is Glaucoma? - ANSWER-progressive, chronic optic neuropathy in which intraocular pressure
(IOP), disease of optic nerve where the nerve cells die
characterized by a progressive series of abnormal changes in the retinal microvasculature,
proliferative retinopathy, dilated fundoscopy - ANSWER-Diabetic retinopathy
Subjective Data for Open-angle glaucoma - ANSWER-symptoms are absent except for a gradual
loss of peripheral vision over a period of years
what you might see in Acute glaucoma - ANSWER-intense ocular pain, blurred vision, halos around
lights, a red eye, and a dilated pupilo Occasionally: stomach pain, nausea, & vomiting
presbyopia, decrease in dim light sight, decreased ability to adjust to change in lighting - ANSWER-
Normal findings with elderly Conjunctiva
,What is being looked at with ophthalmoscope - ANSWER-Red reflex, vascular supply of the retina,
optic disc and macula
if someone of a different culture comes in with pain how would you address that? - ANSWER-ask if
they any cultural beliefs that will affect how you need to treat the pain, does the pain frighten you,
how do you cope with pain, what ways do you usually treat pain
How would you like to be addressed?; How are you feeling today?; What would you like for us to do
today?; What do you think is causing your symptoms?; What is your understanding of your
diagnosis? - ANSWER-examples of patient-centered questions
If language is a barrier how should it be handled - ANSWER-professional interpreter, rather than a
family member, should be used
What do open-ended questions allow? - ANSWER-gives the patient discretion
about the extent of an ANSWER
What do direct questions allow? - ANSWER-to seeks specific information
What tests would you use to check vision acuity? - ANSWER-Rosenbaum (near vision) & Snellen
(far vision)
Know some red flags of the eye (send to ED or eye doctor) - ANSWER-uneven pupils with HA,
sudden loss of vision, floaters/flashers
When a patient has retinal detachment what is their main complaint? - ANSWER-"curtain" feeling,
floaters or flashes
How do you check for glaucoma? - ANSWER-Check intraocular pressure (tonometry); optic disc
assessment, peripherial vision exam, whether intraocular drainage system is "open" or "closed"
(gonioscopy)
, how to identify bacterial conjunctivitis vs allergic conjunctivitis - ANSWER-Bacterial- starts in one
eye and spreads to the other, yellow/ crusty drainage
Allergic- both eyes, puffy and/ or runny
What is first thing visualized with ophthalmascope 12 inchs away? - ANSWER-red reflex
What will be the first thing seen with ophthalmascope as you approach 3-5 cm away? - ANSWER-
blood vessel
If your patient is myopic (nearsighted) what lens will be used with ophthalmascope - ANSWER-
minus (red) len
If patient is hyperoptic (farsighted) or aphakic (lacks a lens) what lens will be used with
ophthalmascope? - ANSWER-plus (green) lens
When doing an ear exam what do you start out looking at? - ANSWER-Look at the outer structures
of the ear then palpate
If you look at the outside of the ear and you see drainage, is this normal or abnormal? - ANSWER-
Abnormal
What is your differential diagnoses if you see drainage outside of the ear? - ANSWER-Otitis
Externa, Otitis Media, Ear effusion, or foreign body in the ear
What kind of patients get Otitis Externa? - ANSWER-Swimmers, breast/ bottle fed children
When you exam the ear what things are you looking for? - ANSWER-TM (whether it is perforated
or not), cone of light, look at the canal (whether it is swollen or red, look for cerumen impaction)
what is palpated while examining external ear? - ANSWER-the preauricular and post auricular
lymph nodes and mastoid area
COMPLETE QUESTIONS CORRECTLY ANSWERED/DOWNLOAD SCORE
A+
Which of the following will best facilitate the interview
when obtaining a history for a deaf patient who
can read lips? - ANSWER-speaking slowly
What is disease that progressively destroys the macula, impairing central vision - ANSWER-Age
related macular degeneration (AMD):
gradual blurring of central vision, and increased difficulty reading fine print, recognizing faces or
seeing street signs - ANSWER-Dry AMD progression...
rapid loss of central vision, with metamorphopsia (images that appear distorted - ANSWER-Wet
AMD
What is Glaucoma? - ANSWER-progressive, chronic optic neuropathy in which intraocular pressure
(IOP), disease of optic nerve where the nerve cells die
characterized by a progressive series of abnormal changes in the retinal microvasculature,
proliferative retinopathy, dilated fundoscopy - ANSWER-Diabetic retinopathy
Subjective Data for Open-angle glaucoma - ANSWER-symptoms are absent except for a gradual
loss of peripheral vision over a period of years
what you might see in Acute glaucoma - ANSWER-intense ocular pain, blurred vision, halos around
lights, a red eye, and a dilated pupilo Occasionally: stomach pain, nausea, & vomiting
presbyopia, decrease in dim light sight, decreased ability to adjust to change in lighting - ANSWER-
Normal findings with elderly Conjunctiva
,What is being looked at with ophthalmoscope - ANSWER-Red reflex, vascular supply of the retina,
optic disc and macula
if someone of a different culture comes in with pain how would you address that? - ANSWER-ask if
they any cultural beliefs that will affect how you need to treat the pain, does the pain frighten you,
how do you cope with pain, what ways do you usually treat pain
How would you like to be addressed?; How are you feeling today?; What would you like for us to do
today?; What do you think is causing your symptoms?; What is your understanding of your
diagnosis? - ANSWER-examples of patient-centered questions
If language is a barrier how should it be handled - ANSWER-professional interpreter, rather than a
family member, should be used
What do open-ended questions allow? - ANSWER-gives the patient discretion
about the extent of an ANSWER
What do direct questions allow? - ANSWER-to seeks specific information
What tests would you use to check vision acuity? - ANSWER-Rosenbaum (near vision) & Snellen
(far vision)
Know some red flags of the eye (send to ED or eye doctor) - ANSWER-uneven pupils with HA,
sudden loss of vision, floaters/flashers
When a patient has retinal detachment what is their main complaint? - ANSWER-"curtain" feeling,
floaters or flashes
How do you check for glaucoma? - ANSWER-Check intraocular pressure (tonometry); optic disc
assessment, peripherial vision exam, whether intraocular drainage system is "open" or "closed"
(gonioscopy)
, how to identify bacterial conjunctivitis vs allergic conjunctivitis - ANSWER-Bacterial- starts in one
eye and spreads to the other, yellow/ crusty drainage
Allergic- both eyes, puffy and/ or runny
What is first thing visualized with ophthalmascope 12 inchs away? - ANSWER-red reflex
What will be the first thing seen with ophthalmascope as you approach 3-5 cm away? - ANSWER-
blood vessel
If your patient is myopic (nearsighted) what lens will be used with ophthalmascope - ANSWER-
minus (red) len
If patient is hyperoptic (farsighted) or aphakic (lacks a lens) what lens will be used with
ophthalmascope? - ANSWER-plus (green) lens
When doing an ear exam what do you start out looking at? - ANSWER-Look at the outer structures
of the ear then palpate
If you look at the outside of the ear and you see drainage, is this normal or abnormal? - ANSWER-
Abnormal
What is your differential diagnoses if you see drainage outside of the ear? - ANSWER-Otitis
Externa, Otitis Media, Ear effusion, or foreign body in the ear
What kind of patients get Otitis Externa? - ANSWER-Swimmers, breast/ bottle fed children
When you exam the ear what things are you looking for? - ANSWER-TM (whether it is perforated
or not), cone of light, look at the canal (whether it is swollen or red, look for cerumen impaction)
what is palpated while examining external ear? - ANSWER-the preauricular and post auricular
lymph nodes and mastoid area
