PCHA EXAM 2025 VERSION 2, PATIENT CARE HEALTH
ASSISTANT QUESTIONS, VERIFIED PCHA ANSWERS,
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The patient comes to the clinic complaining of blurred vision when
reading the newspaper. After testing the patient's near vision, the
nurse explains to the patient that he has impaired near vision and
discusses a possible reason for the condition. The nurse
determines the patient has understood the teaching when the
patient states presbyopia is usually due to: - ANSWER-decreased
ability of the lens to accommodate
Which of the following best describes the test performed to
assess the function of cranial nerve XII (hypoglossal)? -
ANSWER-Ask the patient to stick out his tongue and observe for
midline position.
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Which of the following is true regarding assessment of the thyroid
gland? - ANSWER-The physical characteristics of the thyroid
gland tell you little about thyroid function.
The patient has come to the clinic with a chief complaint of a
"lump under my chin". In the history, you note that the patient
smokes and uses smokeless tobacco (tobacco placed under the
tongue). Upon physical exam, the practitioner notes enlarged,
nontender (2cm) submental lymph nodes. In an effort to identify
the cause of the node enlargement, you would assess the: -
ANSWER-inner aspect of the lips and cheeks
With palpation of the sinus areas, what would be a normal
finding? - ANSWER-The patient would feel firm pressure with your
palpation but no pain.
A patient is unable to differentiate between sharp and dull
stimulation to both sides of the face. The nurse suspects: -
ANSWER-damage to the trigeminal nerve (CN V)
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When assessing visual acuity using the Snellen chart, the
practitioner should: - ANSWER-Assess with and without
correction (reading glasses should not be worn).
The nurse documents PERRLA following assessment of a
patient's eyes. One finding that supports this data is: - ANSWER-
constriction of the pupils when an object is brought closer to the
eye.
The nurse has just completed a lymph node assessment on a 60-
year-old healthy patient. The nurse knows that most lymph nodes
in healthy adults are normally: - ANSWER-not palpable
Which of the following is an expected normal finding when
examining the function of the extraocular eye muscles? -
ANSWER-parallel movement of both eyes
The patient is at the clinic for an eye examination. The nurse
suspects that the patient has a ptosis of one eye. How would the
nurse check for this? - ANSWER-Observe the distance between
the upper and lower eyelid (palpebral fissure).
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When performing the whisper test to assess hearing, which of the
following would be appropriate? - ANSWER-Whisper words or
numbers 1 -2 feet behind the client and ask the client to repeat
them.
The patient comes to the clinic with a suspected lesion of cranial
nerve XI (spinal accessory). How would the nurse assess for this?
- ANSWER-Ask the client to shrug his shoulders against
resistance and turn his head side-to-side against resistance.
Which of the following best describes the test the nurse should
use to assess the function of cranial nerve X? - ANSWER-Ask the
patient to say "ahhh" and watch for movement of the soft palate
and uvula.
The practitioner shines a light straight toward the bridge of the
nose of the client. A bright dot of light appears at the 3 o'clock
position in the left eye and 10 o'clock position in the right eye.
This finding is known as a/an: - ANSWER-abnormal corneal light
reflex