NUR-631 Advanced Health Assessment
TEST BANK
NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A + GUARANTEED PASS
(QUESTIONS AND ANSWERS WITH detailed
RATIONALES) ACE YOUR EXAM -pdf
INSTRUCTIONS :read the questions carefully ,
After examining a patient's eyes, you are documenting your findings. Which information would
you include about a finding of ptosis?
A. Severity of redness and injection of the lacrimal duct based on a range of 0 to 10
B. Number of millimeters separating the upper and lower lid when the eyes are closed
C. Difference in millimeters between the position of the two upper lids relative to the limbus
D. Degrees of eversion of the lower lid - ANS :C. Difference in millimeters between the position
of the two upper lids relative to the limbus
Ptosis indicates a congenital or acquired weakness of the levator muscle or a paresis of a branch
of the third cranial nerve. Record the difference between the two lids in millimeters. The
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Assessment TEST BANK
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average upper lid position is 2 mm below the limbus (the border of the cornea and the sclera),
and the average lower lid position is at the lower limbus.
Mrs. Delman brings her 1-month-old infant in for a routine examination. Which of the following
is considered a routine part of a newborn examination?
A. Assessing red reflex
B. Assessing extraocular movements with six fields of gaze
C. A fundoscopic examination
D. Assessing visual acuity - ANS :A. Assessing red reflex
The red reflex is checked bilaterally in the newborn. Interruption of the red reflex may indicate
congenital cataracts or retinoblastoma or other serious intraocular pathologic condition. A
funduscopic examination is difficult to conduct on a newborn or young infant and is generally
deferred until the infant is 2 to 6 months of age unless there is concern about a congenital eye
abnormality, suspicion of physical abuse (shaken baby syndrome), trauma, or need for an
assessment for retinopathy of prematurity.
Which examination finding may be indicative of a retro-orbital tumor?
A. Episcleritis
B. Argyll Robertson pupil
C. Unilateral exophthalmos
D. Retinitis pigmentosa - ANS :C. Unilateral exophthalmos
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Exophthalmos is bulging of eye anteriorly out of orbit. An eye that feels very firm and resists
palpation may indicate severe glaucoma or retrobulbar tumor. When exopththalmos is
unilateral, a retro-orbital tumor must be considered.
Mr. French is a 67-year-old patient who presents to your office with the following complaint: "I
have a loss of vision in the outer half of each eye." Which of the following underlying problems
should the examiner consider?
A. Diabetes
B. Pituitary tumor
C. Glaucoma
D. Cytomegalovirus (CMV) infection - ANS :B. Pituitary tumor
Bitemporal hemianopia is caused by a lesion—most commonly a pituitary tumor—interrupting
the optic chiasm.
Mrs. Carter has vision that at best is 20/210. Mrs. Carter is considered:
A. legally blind.
B. mildly myopic.
C. moderately hyperopic.
D. unilaterally anisocoric. - ANS :A. legally blind.
The smaller the fraction, the worse is the vision. Vision not correctable to better than 20/200 is
considered legal blindness.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
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Which is the correct technique for performing a fundoscopic examination with a traditional
ophthalmoscope? Examine the patient's:
A. right eye with your right eye, and the left eye with your left eye.
B. right eye with your left eye, and the left eye with your right eye.
C. right and left eyes with your dominant eye.
D. right and left eyes with your nondominant eye. - ANS :A. right eye with your right eye, and
the left eye with your left eye.
The ophthalmoscopic (fundoscopic) examination of the eyes can be a tiring process for the
patient. Examine the patient's right eye with your right eye and the patient's left eye with your
left. Hold the ophthalmoscope in the hand that corresponds to the examining eye.
Mrs. Young has brought her 2-year-old son in for a routine examination. On examination, you
elicit a white reflex rather than a red reflex in her son. This indicates:
A. congenital glaucoma.
B. myosis.
C. retinopathy.
D. retinoblastoma. - ANS :D. retinoblastoma.
Initial sign of retinoblastoma is leukocoria, a white reflex (also called a cat's eye reflex) rather
than the usual red reflex.
An examiner is most likely to observe pseudostrabismus in which of the following groups?
A. Older or frail adults
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
TEST BANK
NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A + GUARANTEED PASS
(QUESTIONS AND ANSWERS WITH detailed
RATIONALES) ACE YOUR EXAM -pdf
INSTRUCTIONS :read the questions carefully ,
After examining a patient's eyes, you are documenting your findings. Which information would
you include about a finding of ptosis?
A. Severity of redness and injection of the lacrimal duct based on a range of 0 to 10
B. Number of millimeters separating the upper and lower lid when the eyes are closed
C. Difference in millimeters between the position of the two upper lids relative to the limbus
D. Degrees of eversion of the lower lid - ANS :C. Difference in millimeters between the position
of the two upper lids relative to the limbus
Ptosis indicates a congenital or acquired weakness of the levator muscle or a paresis of a branch
of the third cranial nerve. Record the difference between the two lids in millimeters. The
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
average upper lid position is 2 mm below the limbus (the border of the cornea and the sclera),
and the average lower lid position is at the lower limbus.
Mrs. Delman brings her 1-month-old infant in for a routine examination. Which of the following
is considered a routine part of a newborn examination?
A. Assessing red reflex
B. Assessing extraocular movements with six fields of gaze
C. A fundoscopic examination
D. Assessing visual acuity - ANS :A. Assessing red reflex
The red reflex is checked bilaterally in the newborn. Interruption of the red reflex may indicate
congenital cataracts or retinoblastoma or other serious intraocular pathologic condition. A
funduscopic examination is difficult to conduct on a newborn or young infant and is generally
deferred until the infant is 2 to 6 months of age unless there is concern about a congenital eye
abnormality, suspicion of physical abuse (shaken baby syndrome), trauma, or need for an
assessment for retinopathy of prematurity.
Which examination finding may be indicative of a retro-orbital tumor?
A. Episcleritis
B. Argyll Robertson pupil
C. Unilateral exophthalmos
D. Retinitis pigmentosa - ANS :C. Unilateral exophthalmos
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
Exophthalmos is bulging of eye anteriorly out of orbit. An eye that feels very firm and resists
palpation may indicate severe glaucoma or retrobulbar tumor. When exopththalmos is
unilateral, a retro-orbital tumor must be considered.
Mr. French is a 67-year-old patient who presents to your office with the following complaint: "I
have a loss of vision in the outer half of each eye." Which of the following underlying problems
should the examiner consider?
A. Diabetes
B. Pituitary tumor
C. Glaucoma
D. Cytomegalovirus (CMV) infection - ANS :B. Pituitary tumor
Bitemporal hemianopia is caused by a lesion—most commonly a pituitary tumor—interrupting
the optic chiasm.
Mrs. Carter has vision that at best is 20/210. Mrs. Carter is considered:
A. legally blind.
B. mildly myopic.
C. moderately hyperopic.
D. unilaterally anisocoric. - ANS :A. legally blind.
The smaller the fraction, the worse is the vision. Vision not correctable to better than 20/200 is
considered legal blindness.
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
, NUR-631 Advanced Health Assessment
TEST BANK
Which is the correct technique for performing a fundoscopic examination with a traditional
ophthalmoscope? Examine the patient's:
A. right eye with your right eye, and the left eye with your left eye.
B. right eye with your left eye, and the left eye with your right eye.
C. right and left eyes with your dominant eye.
D. right and left eyes with your nondominant eye. - ANS :A. right eye with your right eye, and
the left eye with your left eye.
The ophthalmoscopic (fundoscopic) examination of the eyes can be a tiring process for the
patient. Examine the patient's right eye with your right eye and the patient's left eye with your
left. Hold the ophthalmoscope in the hand that corresponds to the examining eye.
Mrs. Young has brought her 2-year-old son in for a routine examination. On examination, you
elicit a white reflex rather than a red reflex in her son. This indicates:
A. congenital glaucoma.
B. myosis.
C. retinopathy.
D. retinoblastoma. - ANS :D. retinoblastoma.
Initial sign of retinoblastoma is leukocoria, a white reflex (also called a cat's eye reflex) rather
than the usual red reflex.
An examiner is most likely to observe pseudostrabismus in which of the following groups?
A. Older or frail adults
NUR-631 Advanced Health ABOMB
Assessment TEST BANK
