Nur 634 Advanced Health Assessment Midterm Exams With Questions And Correct Answers Rated A+ Sure Pass

NUR 634 ADVANCED HEALTH
ASSESSMENT MIDTERM EXAMS
WITH QUESTIONS AND CORRECT
ANSWERS RATED A+ SURE PASS
SubjectivemHistorymComponentsm-
mCORRECTmANSWERSchiefmcomplaint,mHPI,mPMH,mfamilymhistory,msocialmhistory,m&mreviewmofmsyst


ems:mwhatmpatientmtellsmyou.



ObjectivemHistorymComponentsm-
mCORRECTmANSWERSGeneralmsurvey,mvitals,mphysicalmexam,mdiagnosticmresults,mwhatmyoumobserv


emormsee.



Presbyopiam-mCORRECTmANSWERSage-relatedmnear-visionmloss.mCanmseemfarmawaymbetter.



Examplesmofmsudden,mpainfulmunilateralmvisionmlossm-
mCORRECTmANSWERScornealmulcer,macutemclosedmanglemglaucoma,muveitis,mormtraumaticmhyphem


a.



Examplesmofmsudden,mPAINLESSmunilateralmvisionmlossm-
mCORRECTmANSWERSretinalmdetachment,mmacularmdegeneration,mormretinalmveinmocclusion.




Olfactorym(CNm1)m-mCORRECTmANSWERSsmell,moccludemeachmnostril



Opticm(CNm2)m-mCORRECTmANSWERSVision-
Snellenmchart,manmenlargedmblindmspotmaffectsmopticmnerve

causedmbymglaucoma,mopticmneuritis,mandmpapilledema.

,OculomotormNervem(CNmIII)m-
mCORRECTmANSWERSTestmPERRLA,mParalysismifmthempupilmismdilated,mfixedmtomlightmandmnearmacco


mmodationmwithmptosis,mlateralmdeviationmofmthemeye.mImpairedmabilitymtomlookmup,mdown,mormin
ward.m(Amconjugatemgauzemismamnormalmgaze=bothmeyesmmoveminmsamemdirectionmatmsamemtime).
mptosis=CNIIImproblem.




TrochlearmNervem(CNmIV)m-mCORRECTmANSWERScontrolsmsuperiormobliquemmuscle-
movesmeyemdownmtowardsmnose,mdamagemfrommheadmtraumamormcentralmlesions=diplopia.mDiplo
piamismalsomseenminmcataracts,mastigmatism,mormCNmIII,mIV,mormVImneuropathy,mormmyastheniamgravi
s,mtrauma,mormlesionsminmbrainstemmormcerebellum.



Trigeminalm(CNmV):m-
mCORRECTmANSWERSFacialmsensation,mnasalmandmbuccalmmucosa,m&mteeth,mmasticationmmuscles.


mTestmcornealmreflex,mhavemptmclenchmteeth/palpatemmasseter/temporalmmuscles,msharp/dullmsen


sationsmonmcheek/forehead.



Abducensm(CNVI)m-
mCORRECTmANSWERSMovementmofmlateralmrectusmmuscle,mmovesmeyemlaterally.




Facialm(CNmVII)m-
mCORRECTmANSWERSFacialmmuscles,mtastemanteriorm2/3rdmofmtongue.mHavemptmsmile,mshowmteet


h,mraisemeyebrows,mfrown,mclosemeyesmtight,mpuffmoutmcheeks.mBell'smPalsy.



Vestibulocochlearm(CNmVIII)m-
mCORRECTmANSWERSSensationmtompharynx,mposteriorm1/3rdmofmtongue,mandmtympanicmmembran


e.mTestmgagmreflex.



VagusmNervem(CNmX)m-
mCORRECTmANSWERSSuppliesmparasympatheticmnervemfibersmtomvisceramofmchest,mabdomen,mmot


ormfibersmtompharynx,mlarynx.m*Amdeviatedmuvulamwithoutmswellingmindicatesmvagusmnervemlesion.

,SpinalmAccessorym(CNmXI):m-
mCORRECTmANSWERSSuppliesmmotormfibersmtomsternocleidomastoidm&mtrapeziusmmuscle,maskmptm


tomshrugmshouldersmagainstmyourmhands.



Hypoglossalm(CNmXII):m-
mCORRECTmANSWERSTonguemmuscles,maskmptmtommovemtonguemallmaround.




Glaucomam-
mCORRECTmANSWERSgradualmlossmofmperipheralmvision,mopticmnervemdamage.mOpenmAngle=asym


ptomatic,mbilateral,mgradualmincreasedmcup-to-
diskmratiomfrommincreasedmintraocularmpressure=notchingmofmopticmcup.mAcutemClosedmAnglemrapi
dmonsetmofmsuddenmvisionmloss,munilateral,mdeepmeyempain,mdilatedmandmfixedmpupilmwithmcloudymc
ornea=emergencymifmincreasedmintraocularmpressure.



MacularmDegenerationm-mCORRECTmANSWERSgradualmlossmofmcentralmvisionmd/tmdamagedmretina.



Cataracts:m-
mCORRECTmANSWERSgradualmcloudiness/opacificationmofmthemlensmfrommDM,moverexposuremtoms


un,mlong-
termmsteroidmuse,mdiuretics,mpoormdiet,msmoking,mETOH,mage,mtrauma,mleadmexposures=NOmredmr
eflex,mLeukoria-
whitemreflexmpresent,mblurred/cloudymvision,mhalomaroundmlights,mdiminishedmnightmvision,mdiplo
pia,mfallmrisk.



NormalmRetina:m-
mCORRECTmANSWERSpresentmredmreflex,mveinsmpulsate,marteriesmnarrower.mNormalmCup/Diskmrati


omism1/3,mfoveamisminmmiddlemofmmacula.



AVmTaperingm-mCORRECTmANSWERSveinm"winds"mormtapersmdownmonmeithermsidemofmartery.

, AVmNickingm-
mCORRECTmANSWERSveinmstopsmabruptlymonmeithermsidemofmartery,marteriesmindentmandmdisplacem


veins,mcausedmbymHTN



AVmBankingm-mCORRECTmANSWERSveinmismtwistedmonmdistalmsidemofmartery



SubconjuncivalmHemorrhage:m-mCORRECTmANSWERSredmpainlessmeye.



Redm&mPainfulmeyem-
mCORRECTmANSWERSHyphemam(bloodminmanteriormchambermofmeye),mepiscleritis



(inflammationmofmepiscleralmvesselsminmRAmormherpes),macutemanglemclosermglaucoma,mormuveitis.



Amblyopiam-
mCORRECTmANSWERSReductionminmvisionmcausingmlossmofmbinocularmvisionmfrommcataractsmormunt


reatedmstrabismusm(cross-eyedmdetectedmwithmcover-uncovermtestmormHirschbergmTest-
mwillmshowmasymmetricmlightmreflex,mptmc/omdiplopia).




Esotropia:m-mCORRECTmANSWERSeyemdriftsmin



Exotropiam-mCORRECTmANSWERSeyemdriftsmout



Hypertropia:m-mCORRECTmANSWERSeyemdriftsmup



Hypotropiam-mCORRECTmANSWERSeyemdriftsmdown



Retinoblastomam-
mCORRECTmANSWERSrapidlymdevelopingmcancermofmthemretinamw/mabsentmredmreflex.