HEALTH ASSESSMENT (NSG 3009)-
EXAM 2 WITH 100%CORRECT
ANSWERS 2025
How do you perform an eye exam? <correct answer>-Pupillary light reflex exam: Shine penlight
across pupil from the side and observe for direct and consensual pupillary constriction.
Direct = constriction of illuminated pupil
Consensual = constriction of other pupil not being illuminated
-Diagnostics Positions Test: leads eyes through six cardinal fields to elicit muscle weakness
(nystagmus) during movement. Normal response is parallel movement.
Consider developmental competencies related to ear exams.
(Infants) <correct answer>•The infant's eustachian tube is short and wide and positioned
horizontally than the adult's eustachian tube.
•This horizontal position makes it easier for pathogens to move from the nasopharynx to the
middle ear and increases the possibility of ear infections.
Consider developmental competencies related to ear exams.
(Adults) <correct answer>•Otosclerosis is a common cause if conductive hearing loss in young
adults between the ages of 20-40 years.
•It is a gradual bone formation that causes the stapes to become fixed in the oval window which
impedes the transmission of sound and causes progressive deafness.
Contusion (Bruise) <correct answer>A mechanical injury (a blow) that results in hemorrhage
into tissues.
Macules (Abnormal) <correct answer>Small changes of color in the skin that are neither raised
nor depressed
Papules (Abnormal) <correct answer>A small, raised solid pimple or swelling, often forming part
of a rash, typically inflamed, bur not producing pus.
, Plaques (Abnormal) <correct answer>Elevated, dry, thickened area with well-defined or ill-
defined borders.
Wheal (Abnormal) <correct answer>An area of skin that is temporarily raised, typically reddened
and usually accompanied by itching.
Nodules (Abonormal) <correct answer>Elevated lesions on the skin. They are larger than
papules. Some are fixed to skin above or subcutaneous tissue below.
Vesicle (Abnormal) <correct answer>A fluid-filled cavity or sac.
Bulla (Abnormal) <correct answer>A bubble-like cavity filled with air or fluid.
Cyst (Abnormal) <correct answer>A membranous sac or cavity containing a liquid or semi-solid
substance.
What is ABCDE method for skin cancer teaching? <correct answer>A: asymmetry: not regularly
round or oval, two halves of lesion do not look the same
B: border: notching, scalloping, ragged edges, poorly defined margins
C: color: areas of brown, tan, black, blue, red, white, or combination
D: diameter: greater than 6 mm
E: evolving: refers to the "ugly duckling" sign, in which the suspicious lesion stands out as
looking different
late clubbing <correct answer>-Deformity of nails caused by a number of diseases mostly the
heart and lungs
-Caused by low O2 in blood
proliferation of tissue under the nail plate causes angle to increase to <160 degrees
Early clubbing <correct answer>the angle straightens out to 180 degrees, and the nail base
feels spongy to palpation. Then the nail becomes convex as the digit grows
Diamond/ crystal gap test <correct answer>test used to determine if clubbing of the nails has
occurred.
EXAM 2 WITH 100%CORRECT
ANSWERS 2025
How do you perform an eye exam? <correct answer>-Pupillary light reflex exam: Shine penlight
across pupil from the side and observe for direct and consensual pupillary constriction.
Direct = constriction of illuminated pupil
Consensual = constriction of other pupil not being illuminated
-Diagnostics Positions Test: leads eyes through six cardinal fields to elicit muscle weakness
(nystagmus) during movement. Normal response is parallel movement.
Consider developmental competencies related to ear exams.
(Infants) <correct answer>•The infant's eustachian tube is short and wide and positioned
horizontally than the adult's eustachian tube.
•This horizontal position makes it easier for pathogens to move from the nasopharynx to the
middle ear and increases the possibility of ear infections.
Consider developmental competencies related to ear exams.
(Adults) <correct answer>•Otosclerosis is a common cause if conductive hearing loss in young
adults between the ages of 20-40 years.
•It is a gradual bone formation that causes the stapes to become fixed in the oval window which
impedes the transmission of sound and causes progressive deafness.
Contusion (Bruise) <correct answer>A mechanical injury (a blow) that results in hemorrhage
into tissues.
Macules (Abnormal) <correct answer>Small changes of color in the skin that are neither raised
nor depressed
Papules (Abnormal) <correct answer>A small, raised solid pimple or swelling, often forming part
of a rash, typically inflamed, bur not producing pus.
, Plaques (Abnormal) <correct answer>Elevated, dry, thickened area with well-defined or ill-
defined borders.
Wheal (Abnormal) <correct answer>An area of skin that is temporarily raised, typically reddened
and usually accompanied by itching.
Nodules (Abonormal) <correct answer>Elevated lesions on the skin. They are larger than
papules. Some are fixed to skin above or subcutaneous tissue below.
Vesicle (Abnormal) <correct answer>A fluid-filled cavity or sac.
Bulla (Abnormal) <correct answer>A bubble-like cavity filled with air or fluid.
Cyst (Abnormal) <correct answer>A membranous sac or cavity containing a liquid or semi-solid
substance.
What is ABCDE method for skin cancer teaching? <correct answer>A: asymmetry: not regularly
round or oval, two halves of lesion do not look the same
B: border: notching, scalloping, ragged edges, poorly defined margins
C: color: areas of brown, tan, black, blue, red, white, or combination
D: diameter: greater than 6 mm
E: evolving: refers to the "ugly duckling" sign, in which the suspicious lesion stands out as
looking different
late clubbing <correct answer>-Deformity of nails caused by a number of diseases mostly the
heart and lungs
-Caused by low O2 in blood
proliferation of tissue under the nail plate causes angle to increase to <160 degrees
Early clubbing <correct answer>the angle straightens out to 180 degrees, and the nail base
feels spongy to palpation. Then the nail becomes convex as the digit grows
Diamond/ crystal gap test <correct answer>test used to determine if clubbing of the nails has
occurred.
