Holistic Health Assessment Exam 2 Questions With
Complete Solutions
1. The nurse is testing the hearing of a 78-year-old man and is
reminded of the changes in
hearing that occur with aging that include which of the
following? Select all that apply.
a. Hearing loss related to aging begins in the mid 40s.
b. Progression of hearing loss is slow.
c. The aging person has low-frequency tone loss.
d. The aging person may find it harder to hear consonants than
vowels.
e. Sounds may be garbled and difficult to localize.
f. Hearing loss reflects nerve degeneration of the middle ear.
Correct Answer b,d,e
14. During an assessment of a 20-year-old Asian patient, the
nurse notices that he has dry, flaky
cerumen in his canal. What is the significance of this finding?
This finding:
a. Is probably the result of lesions from eczema in his ear.
b. Represents poor hygiene.
c. Is a normal finding, and no further follow-up is necessary.
d. Could be indicative of change in cilia; the nurse should assess
for hearing loss. Correct Answer c. Is a normal finding, and no
further follow-up is necessary.
28. In an individual with otitis externa, which of these signs
would the nurse expect to find on
assessment?
a. Rhinorrhea
,b. Periorbital edema
c. Pain over the maxillary sinuses
d. Enlarged superficial cervical nodes Correct Answer d.
Enlarged superficial cervical nodes
3. The nurse is reviewing the development of the newborn
infant. Regarding the sinuses, which
statement is true in relation to a newborn infant?
a. Sphenoid sinuses are full size at birth.
b. Maxillary sinuses reach full size after puberty.
c. Frontal sinuses are fairly well developed at birth.
d. Maxillary and ethmoid sinuses are the only sinuses present at
birth. Correct Answer d. Maxillary and ethmoid sinuses are the
only sinuses present at birth.
35. The nurse has just completed a lymph node assessment on a
60-year-old healthy female patient. The nurse knows that most
lymph nodes in healthy adults are normally:
a. Shotty.
b. Nonpalpable.
c. Large, firm, and fixed to the tissue.
d. Rubbery, discrete, and mobile. Correct Answer b.
Nonpalpable.
36. A 17-year-old student is a swimmer on her high schools
swim team. She has had three bouts
of otitis externa this season and wants to know what to do to
prevent it. The nurse instructs her
to:
a. Use a cotton-tipped swab to dry the ear canals thoroughly
after each swim.
,b. Use rubbing alcohol or 2% acetic acid eardrops after every
swim.
c. Irrigate the ears with warm water and a bulb syringe after
each swim.
d. Rinse the ears with a warmed solution of mineral oil and
hydrogen peroxide. Correct Answer b. Use rubbing alcohol or
2% acetic acid eardrops after every swim.
4. A patient is unable to differentiate between sharp and dull
stimulation to both sides of her face. The nurse suspects:
a. Bell palsy.
b. Damage to the trigeminal nerve.
c. Frostbite with resultant paresthesia to the cheeks.
d. Scleroderma. Correct Answer b. Damage to the trigeminal
nerve.
6. The nurse is reviewing the function of the cranial nerves
(CNs). Which CN is responsible for
conducting nerve impulses to the brain from the organ of Corti?
a. I
b. III
c. VIII
d. XI Correct Answer c. VIII
9. A mother asks when her newborn infants eyesight will be
developed. The nurse should reply:
a. Vision is not totally developed until 2 years of age.
b. Infants develop the ability to focus on an object at
approximately 8 months of age.
c. By approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
, d. Most infants have uncoordinated eye movements for the first
year of life. Correct Answer c. By approximately 3 months of
age, infants develop more coordinated eye movements and can
fixate on an object.
9. A patient says that she has recently noticed a lump in the front
of her neck below her Adams apple that seems to be getting
bigger. During the assessment, the finding that leads the nurse to
suspect that this may not be a cancerous thyroid nodule is that
the lump (nodule):
a. Is tender.
b. Is mobile and not hard.
c. Disappears when the patient smiles.
d. Is hard and fixed to the surrounding structures. Correct
Answer b. Is mobile and not hard.
A 10 year old is at the clinic for a sore throat that has lasted 6
days. Which of these findings
would be consistent with an acute infection?
a. Tonsils 1+/1-4+ and pink; the same color as the oral mucosa
b. Tonsils 2+/1-4+ with small plugs of white debris
c. Tonsils 3+/1-4+ with large white spots
d. Tonsils 3+/1-4+ with pale coloring Correct Answer c.
Tonsils 3+/1-4+ with large white spots
A 19-year-old college student is brought to the emergency
department with a severe headache he describes as, Like nothing
Ive ever had before. His temperature is 40 C, and he has a stiff
neck. The nurse looks for other signs and symptoms of which
problem?
a. Head injury
Complete Solutions
1. The nurse is testing the hearing of a 78-year-old man and is
reminded of the changes in
hearing that occur with aging that include which of the
following? Select all that apply.
a. Hearing loss related to aging begins in the mid 40s.
b. Progression of hearing loss is slow.
c. The aging person has low-frequency tone loss.
d. The aging person may find it harder to hear consonants than
vowels.
e. Sounds may be garbled and difficult to localize.
f. Hearing loss reflects nerve degeneration of the middle ear.
Correct Answer b,d,e
14. During an assessment of a 20-year-old Asian patient, the
nurse notices that he has dry, flaky
cerumen in his canal. What is the significance of this finding?
This finding:
a. Is probably the result of lesions from eczema in his ear.
b. Represents poor hygiene.
c. Is a normal finding, and no further follow-up is necessary.
d. Could be indicative of change in cilia; the nurse should assess
for hearing loss. Correct Answer c. Is a normal finding, and no
further follow-up is necessary.
28. In an individual with otitis externa, which of these signs
would the nurse expect to find on
assessment?
a. Rhinorrhea
,b. Periorbital edema
c. Pain over the maxillary sinuses
d. Enlarged superficial cervical nodes Correct Answer d.
Enlarged superficial cervical nodes
3. The nurse is reviewing the development of the newborn
infant. Regarding the sinuses, which
statement is true in relation to a newborn infant?
a. Sphenoid sinuses are full size at birth.
b. Maxillary sinuses reach full size after puberty.
c. Frontal sinuses are fairly well developed at birth.
d. Maxillary and ethmoid sinuses are the only sinuses present at
birth. Correct Answer d. Maxillary and ethmoid sinuses are the
only sinuses present at birth.
35. The nurse has just completed a lymph node assessment on a
60-year-old healthy female patient. The nurse knows that most
lymph nodes in healthy adults are normally:
a. Shotty.
b. Nonpalpable.
c. Large, firm, and fixed to the tissue.
d. Rubbery, discrete, and mobile. Correct Answer b.
Nonpalpable.
36. A 17-year-old student is a swimmer on her high schools
swim team. She has had three bouts
of otitis externa this season and wants to know what to do to
prevent it. The nurse instructs her
to:
a. Use a cotton-tipped swab to dry the ear canals thoroughly
after each swim.
,b. Use rubbing alcohol or 2% acetic acid eardrops after every
swim.
c. Irrigate the ears with warm water and a bulb syringe after
each swim.
d. Rinse the ears with a warmed solution of mineral oil and
hydrogen peroxide. Correct Answer b. Use rubbing alcohol or
2% acetic acid eardrops after every swim.
4. A patient is unable to differentiate between sharp and dull
stimulation to both sides of her face. The nurse suspects:
a. Bell palsy.
b. Damage to the trigeminal nerve.
c. Frostbite with resultant paresthesia to the cheeks.
d. Scleroderma. Correct Answer b. Damage to the trigeminal
nerve.
6. The nurse is reviewing the function of the cranial nerves
(CNs). Which CN is responsible for
conducting nerve impulses to the brain from the organ of Corti?
a. I
b. III
c. VIII
d. XI Correct Answer c. VIII
9. A mother asks when her newborn infants eyesight will be
developed. The nurse should reply:
a. Vision is not totally developed until 2 years of age.
b. Infants develop the ability to focus on an object at
approximately 8 months of age.
c. By approximately 3 months of age, infants develop more
coordinated eye movements and can fixate on an object.
, d. Most infants have uncoordinated eye movements for the first
year of life. Correct Answer c. By approximately 3 months of
age, infants develop more coordinated eye movements and can
fixate on an object.
9. A patient says that she has recently noticed a lump in the front
of her neck below her Adams apple that seems to be getting
bigger. During the assessment, the finding that leads the nurse to
suspect that this may not be a cancerous thyroid nodule is that
the lump (nodule):
a. Is tender.
b. Is mobile and not hard.
c. Disappears when the patient smiles.
d. Is hard and fixed to the surrounding structures. Correct
Answer b. Is mobile and not hard.
A 10 year old is at the clinic for a sore throat that has lasted 6
days. Which of these findings
would be consistent with an acute infection?
a. Tonsils 1+/1-4+ and pink; the same color as the oral mucosa
b. Tonsils 2+/1-4+ with small plugs of white debris
c. Tonsils 3+/1-4+ with large white spots
d. Tonsils 3+/1-4+ with pale coloring Correct Answer c.
Tonsils 3+/1-4+ with large white spots
A 19-year-old college student is brought to the emergency
department with a severe headache he describes as, Like nothing
Ive ever had before. His temperature is 40 C, and he has a stiff
neck. The nurse looks for other signs and symptoms of which
problem?
a. Head injury
