VN103 Head-to-Toe Assessment A nurse is assessing a patient's neck with the patient seated. Which of the following is considered an unexpected finding? - ANSWER-Jugular vein distention A nurse is inspecting the patient's ears with an otoscop

A nurse is assessing a patient's neck with the patient seated. Which of the following is considered an unexpected finding? - ANSWER-Jugular vein distention A nurse is inspecting the patient's ears with an otoscope. Which of the following findings would be considered normal? - ANSWER-Small amount of cerumen For which reflex is the normal response plantar flexion of the foot? - ANSWER-Achilles In which arteries are bruits considered normal? - ANSWER-Presence of a bruit is a sign of arterial obstruction. It is not considered normal at any arterial site. Neck rotation on each side should be: - ANSWER-70 degrees What is the purpose of having the patient clench his teeth and smile? - ANSWER-It tests CN VII and lets you observe tooth occlusion. Which of the following cranial nerves is assessed by observing the patient making specific facial movements? - ANSWER-Cranial Nerve VII Which of the following is not included in a head-to-toe assessment? - ANSWER-Exercise stress test Which of the following is part of monitoring and care? - ANSWER-Ask the patient if she/he has any questions or concerns about the exam. Why is it important to have equipment and supplies organized before the exam? - ANSWER-It avoids interruptions and delays.