NUR 634 Advanced Health Assessment Midterm Exam
Questions with Correct Answers 2025/2026
Subjective History Components - CORRECT ANSWER -chief complaint, HPI, PMH, family history,
social history, & review of systems: what patient tells you.
Objective History Components - CORRECT ANSWER -General survey, vitals, physical exam,
diagnostic results, what you observe or see.
Presbyopia - CORRECT ANSWER -age-related near-vision loss. Can see far away better.
Examples of sudden, painful unilateral vision loss - CORRECT ANSWER -corneal ulcer, acute
closed angle glaucoma, uveitis, or traumatic hyphema.
Examples of sudden, PAINLESS unilateral vision loss - CORRECT ANSWER -retinal detachment,
macular degeneration, or retinal vein occlusion.
Olfactory (CN 1) - CORRECT ANSWER -smell, occlude each nostril
Optic (CN 2) - CORRECT ANSWER -Vision-Snellen chart, an enlarged blind spot affects optic
nerve
caused by glaucoma, optic neuritis, and papilledema.
Oculomotor Nerve (CN III) - CORRECT ANSWER -Test PERRLA, Paralysis if the pupil is dilated,
fixed to light and near accommodation with ptosis, lateral deviation of the eye. Impaired ability
to look up, down, or inward. (A conjugate gauze is a normal gaze=both eyes move in same
direction at same time). ptosis=CNIII problem.
,Trochlear Nerve (CN IV) - CORRECT ANSWER -controls superior oblique muscle-moves eye down
towards nose, damage from head trauma or central lesions=diplopia. Diplopia is also seen in
cataracts, astigmatism, or CN III, IV, or VI neuropathy, or myasthenia gravis, trauma, or lesions in
brainstem or cerebellum.
Trigeminal (CN V): - CORRECT ANSWER -Facial sensation, nasal and buccal mucosa, & teeth,
mastication muscles. Test corneal reflex, have pt clench teeth/palpate masseter/temporal
muscles, sharp/dull sensations on cheek/forehead.
Abducens (CNVI) - CORRECT ANSWER -Movement of lateral rectus muscle, moves eye laterally.
Facial (CN VII) - CORRECT ANSWER -Facial muscles, taste anterior 2/3rd of tongue. Have pt
smile, show teeth, raise eyebrows, frown, close eyes tight, puff out cheeks. Bell's Palsy.
Vestibulocochlear (CN VIII) - CORRECT ANSWER -Sensation to pharynx, posterior 1/3rd of
tongue, and tympanic membrane. Test gag reflex.
Vagus Nerve (CN X) - CORRECT ANSWER -Supplies parasympathetic nerve fibers to viscera of
chest, abdomen, motor fibers to pharynx, larynx. *A deviated uvula without swelling indicates
vagus nerve lesion.
Spinal Accessory (CN XI): - CORRECT ANSWER -Supplies motor fibers to sternocleidomastoid &
trapezius muscle, ask pt to shrug shoulders against your hands.
Hypoglossal (CN XII): - CORRECT ANSWER -Tongue muscles, ask pt to move tongue all around.
Glaucoma - CORRECT ANSWER -gradual loss of peripheral vision, optic nerve damage. Open
Angle=asymptomatic, bilateral, gradual increased cup-to-disk ratio from increased intraocular
pressure=notching of optic cup. Acute Closed Angle rapid onset of sudden vision loss, unilateral,
,deep eye pain, dilated and fixed pupil with cloudy cornea=emergency if increased intraocular
pressure.
Macular Degeneration - CORRECT ANSWER -gradual loss of central vision d/t damaged retina.
Cataracts: - CORRECT ANSWER -gradual cloudiness/opacification of the lens from DM,
overexposure to sun, long-term steroid use, diuretics, poor diet, smoking, ETOH, age, trauma,
lead exposures=NO red reflex, Leukoria-white reflex present, blurred/cloudy vision, halo around
lights, diminished night vision, diplopia, fall risk.
Normal Retina: - CORRECT ANSWER -present red reflex, veins pulsate, arteries narrower. Normal
Cup/Disk ratio is 1/3, fovea is in middle of macula.
AV Tapering - CORRECT ANSWER -vein "winds" or tapers down on either side of artery.
AV Nicking - CORRECT ANSWER -vein stops abruptly on either side of artery, arteries indent and
displace veins, caused by HTN
AV Banking - CORRECT ANSWER -vein is twisted on distal side of artery
Subconjuncival Hemorrhage: - CORRECT ANSWER -red painless eye.
Red & Painful eye - CORRECT ANSWER -Hyphema (blood in anterior chamber of eye), episcleritis
(inflammation of episcleral vessels in RA or herpes), acute angle closer glaucoma, or uveitis.
Amblyopia - CORRECT ANSWER -Reduction in vision causing loss of binocular vision from
cataracts or untreated strabismus (cross-eyed detected with cover-uncover test or Hirschberg
Test- will show asymmetric light reflex, pt c/o diplopia).
, Esotropia: - CORRECT ANSWER -eye drifts in
Exotropia - CORRECT ANSWER -eye drifts out
Hypertropia: - CORRECT ANSWER -eye drifts up
Hypotropia - CORRECT ANSWER -eye drifts down
Retinoblastoma - CORRECT ANSWER -rapidly developing cancer of the retina w/ absent red
reflex.
Corneal Scar - CORRECT ANSWER -superficial grayish-white opacity in cornea.
Tonic Pupil (Adele's Pupil): - CORRECT ANSWER -Pupil is large, regular, slow reaction to light
unilateral.
Normal Optic Disk: - CORRECT ANSWER -yellowish-orange to creamy pink with sharp margins.
Optic Atrophy - CORRECT ANSWER -death of optic nerve fibers=loss of disc vessels=white
appearance.
Glaucomatous Cupping: - CORRECT ANSWER -the optic disk is pale with a backward depression
caused by
increased IOP.
Papilledema - CORRECT ANSWER -the optic disk is pink and hyperemic.
Questions with Correct Answers 2025/2026
Subjective History Components - CORRECT ANSWER -chief complaint, HPI, PMH, family history,
social history, & review of systems: what patient tells you.
Objective History Components - CORRECT ANSWER -General survey, vitals, physical exam,
diagnostic results, what you observe or see.
Presbyopia - CORRECT ANSWER -age-related near-vision loss. Can see far away better.
Examples of sudden, painful unilateral vision loss - CORRECT ANSWER -corneal ulcer, acute
closed angle glaucoma, uveitis, or traumatic hyphema.
Examples of sudden, PAINLESS unilateral vision loss - CORRECT ANSWER -retinal detachment,
macular degeneration, or retinal vein occlusion.
Olfactory (CN 1) - CORRECT ANSWER -smell, occlude each nostril
Optic (CN 2) - CORRECT ANSWER -Vision-Snellen chart, an enlarged blind spot affects optic
nerve
caused by glaucoma, optic neuritis, and papilledema.
Oculomotor Nerve (CN III) - CORRECT ANSWER -Test PERRLA, Paralysis if the pupil is dilated,
fixed to light and near accommodation with ptosis, lateral deviation of the eye. Impaired ability
to look up, down, or inward. (A conjugate gauze is a normal gaze=both eyes move in same
direction at same time). ptosis=CNIII problem.
,Trochlear Nerve (CN IV) - CORRECT ANSWER -controls superior oblique muscle-moves eye down
towards nose, damage from head trauma or central lesions=diplopia. Diplopia is also seen in
cataracts, astigmatism, or CN III, IV, or VI neuropathy, or myasthenia gravis, trauma, or lesions in
brainstem or cerebellum.
Trigeminal (CN V): - CORRECT ANSWER -Facial sensation, nasal and buccal mucosa, & teeth,
mastication muscles. Test corneal reflex, have pt clench teeth/palpate masseter/temporal
muscles, sharp/dull sensations on cheek/forehead.
Abducens (CNVI) - CORRECT ANSWER -Movement of lateral rectus muscle, moves eye laterally.
Facial (CN VII) - CORRECT ANSWER -Facial muscles, taste anterior 2/3rd of tongue. Have pt
smile, show teeth, raise eyebrows, frown, close eyes tight, puff out cheeks. Bell's Palsy.
Vestibulocochlear (CN VIII) - CORRECT ANSWER -Sensation to pharynx, posterior 1/3rd of
tongue, and tympanic membrane. Test gag reflex.
Vagus Nerve (CN X) - CORRECT ANSWER -Supplies parasympathetic nerve fibers to viscera of
chest, abdomen, motor fibers to pharynx, larynx. *A deviated uvula without swelling indicates
vagus nerve lesion.
Spinal Accessory (CN XI): - CORRECT ANSWER -Supplies motor fibers to sternocleidomastoid &
trapezius muscle, ask pt to shrug shoulders against your hands.
Hypoglossal (CN XII): - CORRECT ANSWER -Tongue muscles, ask pt to move tongue all around.
Glaucoma - CORRECT ANSWER -gradual loss of peripheral vision, optic nerve damage. Open
Angle=asymptomatic, bilateral, gradual increased cup-to-disk ratio from increased intraocular
pressure=notching of optic cup. Acute Closed Angle rapid onset of sudden vision loss, unilateral,
,deep eye pain, dilated and fixed pupil with cloudy cornea=emergency if increased intraocular
pressure.
Macular Degeneration - CORRECT ANSWER -gradual loss of central vision d/t damaged retina.
Cataracts: - CORRECT ANSWER -gradual cloudiness/opacification of the lens from DM,
overexposure to sun, long-term steroid use, diuretics, poor diet, smoking, ETOH, age, trauma,
lead exposures=NO red reflex, Leukoria-white reflex present, blurred/cloudy vision, halo around
lights, diminished night vision, diplopia, fall risk.
Normal Retina: - CORRECT ANSWER -present red reflex, veins pulsate, arteries narrower. Normal
Cup/Disk ratio is 1/3, fovea is in middle of macula.
AV Tapering - CORRECT ANSWER -vein "winds" or tapers down on either side of artery.
AV Nicking - CORRECT ANSWER -vein stops abruptly on either side of artery, arteries indent and
displace veins, caused by HTN
AV Banking - CORRECT ANSWER -vein is twisted on distal side of artery
Subconjuncival Hemorrhage: - CORRECT ANSWER -red painless eye.
Red & Painful eye - CORRECT ANSWER -Hyphema (blood in anterior chamber of eye), episcleritis
(inflammation of episcleral vessels in RA or herpes), acute angle closer glaucoma, or uveitis.
Amblyopia - CORRECT ANSWER -Reduction in vision causing loss of binocular vision from
cataracts or untreated strabismus (cross-eyed detected with cover-uncover test or Hirschberg
Test- will show asymmetric light reflex, pt c/o diplopia).
, Esotropia: - CORRECT ANSWER -eye drifts in
Exotropia - CORRECT ANSWER -eye drifts out
Hypertropia: - CORRECT ANSWER -eye drifts up
Hypotropia - CORRECT ANSWER -eye drifts down
Retinoblastoma - CORRECT ANSWER -rapidly developing cancer of the retina w/ absent red
reflex.
Corneal Scar - CORRECT ANSWER -superficial grayish-white opacity in cornea.
Tonic Pupil (Adele's Pupil): - CORRECT ANSWER -Pupil is large, regular, slow reaction to light
unilateral.
Normal Optic Disk: - CORRECT ANSWER -yellowish-orange to creamy pink with sharp margins.
Optic Atrophy - CORRECT ANSWER -death of optic nerve fibers=loss of disc vessels=white
appearance.
Glaucomatous Cupping: - CORRECT ANSWER -the optic disk is pale with a backward depression
caused by
increased IOP.
Papilledema - CORRECT ANSWER -the optic disk is pink and hyperemic.
