NURS 612 Exam 1 Questions with Correct Answers 100% Verified By Experts| Latest Update
Guaranteed Success
Mr. Kasey is a 57-year-old patient who presents to your office. During the eye exam, you note
that his pupils are not equal in size, however, they reaction to light and accommodation. THis is
called ANisocoria
A cobblestone appearance of the conjunctive is most likely related to Allergic or infectious
conjunctivitis
Rinne Test: test for conductive hearing loss - compares bone conduction of sound with air
conduction of sound
frenulum linguae the midline fold that connects the undersurface of the tongue with the
floor of the mouth
xerostoma dry mouth as a result of a reduced supply of saliva
cerumen Earwax, secreted by the apocine glands in the distal third of the ear canal; provides
an acidic Ph environment that inhibits the growth of microorganisms; comes in two types - wet
and dry; type is a genetic trait
sensorineural hearing loss Hearing impairment that results from a disorder of the inner ear,
damage to cranial nerve VIII or damage to the brain
Epstein's Pearls Small whitish-yellowish masses at the juncture between the hard and soft
palate
Sinusitits Fever, headache, nasal discharge, infection of one or more of the paranasal
sinuses
,Tonsilitis Dysphasia, fever, fetid breath, referred pain to the ears
Presbycusis hearing loss Bilateral sensorineural hearing loss associated with aging
Middle ear effusion plus acute eardrum inflammation (bulging eardrum, fever) Inflammation
of the middle ear resulting in a collection of serous mucked or purulent fluid
Darwin tubercle (presentation) Appears as a blunt point projecting up from the upper part
of the helix of the ear
Which of the following statements made by a 72-year-old patient would indicate a normal
process of aging? Food does not taste the same as it used to
Cranial Nerve 1: Olfactory Evaluate patency of the nasal passages bilaterally by asking the
patient to breathe through their nose while the examiner occludes one nostril at a time.
Ask the patient to smell the object and report what it is.
Cranial Nerve II: Optic * Test visual acuity by a visual acuity chart
* Using the opthalmoscope, observe the optic disc, physiological cup, retinal vessels and fovea.
Note the pulsations of the optic vessels, check for a blurring of the optic disc margin and a
change in the optic discs color.
* Test visual fields, tell the patient to cover their right eye with their right hand and remain
looking at you. Once this is done, cover your left eye with your left hand. Tell the patient to
notify you when your fingers enter their field of vision.
Cranial Nerves II - Optic and III Pupillary Reactions (Ocularmotor) Ask the patient to focus on
an object in the distance. Observe the diameter of the pupils in a dimly lit room. Note
symmetry between pupils. Shine light into one eye at a time to check both direct and
consensual light responses in each pupil. Note the rate of these reflexes. If sluggish or absent,
test for pupillary constriction via accommodation by moving the light itself closer and closer to
the nose.
, Ptosis Lagging of an eyelid
Cranial Nerve III - (Ocularmotor)
Cranial Nerve IV - (Trochlear)
Cranial Nerve VI - (Abducens) Instruct the patient to follow the penlight with their eyes
without moving their head. Move the penlight slowly at eye level first to the left and then to
the right. Repeat this horizontal sweep with the penlight at the level of the patient's forehead
and then chin. Note extra-ocular muscle palsies and horizontal or vertical nystagmus.
Cranial Nerve V: Trigeminal Palpate the masseter muscles while you instruct the patient to
bite down. Ask the patient to open their mouth against resistance.
Perform the dull/sharp test
Cranial Nerve VII: Facial Inspect the face, noting any facial asymetry including drooping,
sagging or smoothing of normal facial creases. Ask patient to raise their eyebrows, smile
showing their teeth, frown, and puff out both cheeks. Note asymmetry and difficulty
performing these maneuvers.
Cranial Nerve VIII: Auditory Perform Weber test for lateralization
If conductive hearing loss is present, the vibration will be louder on the side with the
conductive hearing loss.
Cranial Nerve VIII: Auditory Perform the Rinne Test - Wrap the tuning fork on your palm and
place the butt on the mastoid eminence firmly. Tell the patient to say "now" when they can no
longer hear the vibration. Then place the U of the fork near the ear without touching it. Tell the
patient to say "now" when they can no longer hear anything.
-- NORMAL - Air conduction greater and bone conduction
ABNORMAL - Bone conduction is the same or greater than air conduction, there is a conductive
hearing impairment on that side.
Guaranteed Success
Mr. Kasey is a 57-year-old patient who presents to your office. During the eye exam, you note
that his pupils are not equal in size, however, they reaction to light and accommodation. THis is
called ANisocoria
A cobblestone appearance of the conjunctive is most likely related to Allergic or infectious
conjunctivitis
Rinne Test: test for conductive hearing loss - compares bone conduction of sound with air
conduction of sound
frenulum linguae the midline fold that connects the undersurface of the tongue with the
floor of the mouth
xerostoma dry mouth as a result of a reduced supply of saliva
cerumen Earwax, secreted by the apocine glands in the distal third of the ear canal; provides
an acidic Ph environment that inhibits the growth of microorganisms; comes in two types - wet
and dry; type is a genetic trait
sensorineural hearing loss Hearing impairment that results from a disorder of the inner ear,
damage to cranial nerve VIII or damage to the brain
Epstein's Pearls Small whitish-yellowish masses at the juncture between the hard and soft
palate
Sinusitits Fever, headache, nasal discharge, infection of one or more of the paranasal
sinuses
,Tonsilitis Dysphasia, fever, fetid breath, referred pain to the ears
Presbycusis hearing loss Bilateral sensorineural hearing loss associated with aging
Middle ear effusion plus acute eardrum inflammation (bulging eardrum, fever) Inflammation
of the middle ear resulting in a collection of serous mucked or purulent fluid
Darwin tubercle (presentation) Appears as a blunt point projecting up from the upper part
of the helix of the ear
Which of the following statements made by a 72-year-old patient would indicate a normal
process of aging? Food does not taste the same as it used to
Cranial Nerve 1: Olfactory Evaluate patency of the nasal passages bilaterally by asking the
patient to breathe through their nose while the examiner occludes one nostril at a time.
Ask the patient to smell the object and report what it is.
Cranial Nerve II: Optic * Test visual acuity by a visual acuity chart
* Using the opthalmoscope, observe the optic disc, physiological cup, retinal vessels and fovea.
Note the pulsations of the optic vessels, check for a blurring of the optic disc margin and a
change in the optic discs color.
* Test visual fields, tell the patient to cover their right eye with their right hand and remain
looking at you. Once this is done, cover your left eye with your left hand. Tell the patient to
notify you when your fingers enter their field of vision.
Cranial Nerves II - Optic and III Pupillary Reactions (Ocularmotor) Ask the patient to focus on
an object in the distance. Observe the diameter of the pupils in a dimly lit room. Note
symmetry between pupils. Shine light into one eye at a time to check both direct and
consensual light responses in each pupil. Note the rate of these reflexes. If sluggish or absent,
test for pupillary constriction via accommodation by moving the light itself closer and closer to
the nose.
, Ptosis Lagging of an eyelid
Cranial Nerve III - (Ocularmotor)
Cranial Nerve IV - (Trochlear)
Cranial Nerve VI - (Abducens) Instruct the patient to follow the penlight with their eyes
without moving their head. Move the penlight slowly at eye level first to the left and then to
the right. Repeat this horizontal sweep with the penlight at the level of the patient's forehead
and then chin. Note extra-ocular muscle palsies and horizontal or vertical nystagmus.
Cranial Nerve V: Trigeminal Palpate the masseter muscles while you instruct the patient to
bite down. Ask the patient to open their mouth against resistance.
Perform the dull/sharp test
Cranial Nerve VII: Facial Inspect the face, noting any facial asymetry including drooping,
sagging or smoothing of normal facial creases. Ask patient to raise their eyebrows, smile
showing their teeth, frown, and puff out both cheeks. Note asymmetry and difficulty
performing these maneuvers.
Cranial Nerve VIII: Auditory Perform Weber test for lateralization
If conductive hearing loss is present, the vibration will be louder on the side with the
conductive hearing loss.
Cranial Nerve VIII: Auditory Perform the Rinne Test - Wrap the tuning fork on your palm and
place the butt on the mastoid eminence firmly. Tell the patient to say "now" when they can no
longer hear the vibration. Then place the U of the fork near the ear without touching it. Tell the
patient to say "now" when they can no longer hear anything.
-- NORMAL - Air conduction greater and bone conduction
ABNORMAL - Bone conduction is the same or greater than air conduction, there is a conductive
hearing impairment on that side.
