NUR 634 ADVANCED HEALTH ASSESSMENT MIDTERM EXAM QUESTIONS AND ANSWERS 2025

NUR 634 ADVANCED LATEST
HEALTH ASSESSMENT
MIDTERM EXAM
Subjective History Components - ANSWERS-chief complaint, HPI,
PMH, family history, social history, & review of systems: what patient
tells you.


Objective History Components - ANSWERS-General survey, vitals,
physical exam, diagnostic results, what you observe or see.


Presbyopia - ANSWERS-age-related near-vision loss. Can see far away
better.


Examples of sudden, painful unilateral vision loss - ANSWERS-corneal
ulcer, acute closed angle glaucoma, uveitis, or traumatic hyphema.


Examples of sudden, PAINLESS unilateral vision loss - ANSWERS-
retinal detachment, macular degeneration, or retinal vein occlusion.


Olfactory (CN 1) - ANSWERS-smell, occlude each nostril




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, NUR 634 ADVANCED LATEST
HEALTH ASSESSMENT
MIDTERM EXAM
Optic (CN 2) - ANSWERS-Vision-Snellen chart, an enlarged blind spot
affects optic nerve
caused by glaucoma, optic neuritis, and papilledema.


Oculomotor Nerve (CN III) - ANSWERS-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) - ANSWERS-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): - ANSWERS-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.


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, NUR 634 ADVANCED LATEST
HEALTH ASSESSMENT
MIDTERM EXAM
Abducens (CNVI) - ANSWERS-Movement of lateral rectus muscle,
moves eye laterally.


Facial (CN VII) - ANSWERS-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) - ANSWERS-Sensation to pharynx,
posterior 1/3rd of tongue, and tympanic membrane. Test gag reflex.


Vagus Nerve (CN X) - ANSWERS-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): - ANSWERS-Supplies motor fibers to
sternocleidomastoid & trapezius muscle, ask pt to shrug shoulders
against your hands.


Hypoglossal (CN XII): - ANSWERS-Tongue muscles, ask pt to move
tongue all around.
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, NUR 634 ADVANCED LATEST
HEALTH ASSESSMENT
MIDTERM EXAM

Glaucoma - ANSWERS-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 - ANSWERS-gradual loss of central vision d/t
damaged retina.


Cataracts: - ANSWERS-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: - ANSWERS-present red reflex, veins pulsate, arteries
narrower. Normal Cup/Disk ratio is 1/3, fovea is in middle of macula.



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