NR 302 Health Assessment Exam
Questions With Correct Answers
The retinal structures viewed through the ophthalmoscope are: - ANSoptic disc, vessels, macula,
background
"Positive consensual light reflex" means... - ANSsimultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - ANScataract
Eye emergency - ANSsudden change in vision
Visual acuity is assessed with: - ANSSnellen eye chart
The cover test is used to assess for: - ANSmuscle weakness
When using the ophthalmoscope, you would: - ANSremove your own glasses and approach the
patient's left eye with your left eye
The 6 eye muscles that control eye movement are innervated by cranial nerves: - ANSIII, IV, VI
Conjunctivitis - ANSredness of the conjunctiva
normal peripheral vision would see finger at - ANS90 degrees
patient blind in left eye, what happens when light in right - ANSboth constrict
interruption of red reflex happens when - ANSthere is opacity of cornea or lens
,One cause of visual impairment in aging adults is: - ANSglaucoma
PERRLA - ANSpupils equal, round, reactive to light and accommodation
cause of red reflex - ANSlight reflecting from the retina
color of tympanic membrane - ANSpearly gray
sensioneural hearing loss - ANSrelated to gradual nerve degeneration
Before ear exam, palate - ANSpinna, tragus, and mastoid process
Ear exam of 3 year old - ANSpull pinna down
ear exam of adult - ANSpull pinna up and back
darwin tubercle - ANSa congenital, painless nodule at the helix
when assessing patients ear - ANStilt head away from examiner
The hearing receptors are located in the - ANScochlea
The sensation of vertigo may indicate: - ANSpathology in the semicircular canals
common cause of conductive hearing loss - ANSimpacted cerumen
Signs of ear infection - ANSabsent light reflex, red and bulging drum
Reducing risk of ear infection - ANSdont smoke in house or car
,assessing hearing in babies - ANSwatch for head turn when you call their name
patient w head injury has clear watery drainage from ear - ANSconsider possible basal skull fracture,
refer immediately
common site of nose bleeds - ANSkiesselbach plexus
Which sinuses can you assess through examination? - ANSfrontal and maxillary
the frenulum is the - ANSmidline fold of tissue that connects the tongue to the floor of the mouth
The largest salivary gland is located: - ANSwithin the cheeks in front of the ear
old woman with dry mouth - ANSmedication
find a deviated septum, what next - ANSdocument in case it needs suction
Oral malignancies are most likely to develop: - ANSin the mucosal "gutter" under the tongue
tonsils 3+ - ANStonsils touch the uvula
function of nasal turbinates - ANSwarm the inhaled air
Opening of adult's parotid gland is opposite what? - ANSupper 2nd molar
A nasal polyp is distinguished from the nasal turbinates by 3 things - ANSmoveable, pale/gray,
nontender
The examiner notes small, round, white, shiny papules on the hard palate and gums of a 2-month-old
infant. What is the significance of this finding? - ANSepstein pearls, normal
when assessing tongue - ANSpalpate u shaped area under tongue
, expected finding of 75 year old oral cavity - ANSdecreased ability to identify odors
african american with flat, 3cm, nontender, gray/white lesion on bucal mucosa - ANSleukodema,
normal
The manubriosternal angle is - ANSthe articulation of the manubrium and the body of the sternum
description of left lung - ANSnarrower than the right lung with two lobes
Documentation of cough - ANSproductive cough for at least 3 months throughout the year, happens
last two years
Confirm symmetric chest expansion - ANS-Place hands on posterior chest wall thumbs at T9 or T10
slide medially pinch up skin between thumbs
Auscultation of breath sounds - ANSHold the diaphragm of the stethoscope against the chest wall;
listen to one full respiration in each location, being sure to do side to side comparisons
Bronchiovesicular breath sounds - ANSmedium-pitched, moderately loud sounds heard over the
mainstem bronchi; inspiration = expiration
Fever, increased respiratory rate, chest expansion decresed on left side, dull to percussion over left
low lobe, loud breath sounds w crackles on low left lobe - ANSlobar pneumonia
angle of nail is less than 160 and spongy, indicates- - ANScongenital heart disease and COPD
Coarse and low pitched sound heard on inspiration and expiration and accompanied by pain with
breathing. - ANSPleural friction rub
egophony test - ANSpatient says "eeee" when diaphragm moved
Examine for tactile fremitus - ANSpalpate chest symmetrically
Questions With Correct Answers
The retinal structures viewed through the ophthalmoscope are: - ANSoptic disc, vessels, macula,
background
"Positive consensual light reflex" means... - ANSsimultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - ANScataract
Eye emergency - ANSsudden change in vision
Visual acuity is assessed with: - ANSSnellen eye chart
The cover test is used to assess for: - ANSmuscle weakness
When using the ophthalmoscope, you would: - ANSremove your own glasses and approach the
patient's left eye with your left eye
The 6 eye muscles that control eye movement are innervated by cranial nerves: - ANSIII, IV, VI
Conjunctivitis - ANSredness of the conjunctiva
normal peripheral vision would see finger at - ANS90 degrees
patient blind in left eye, what happens when light in right - ANSboth constrict
interruption of red reflex happens when - ANSthere is opacity of cornea or lens
,One cause of visual impairment in aging adults is: - ANSglaucoma
PERRLA - ANSpupils equal, round, reactive to light and accommodation
cause of red reflex - ANSlight reflecting from the retina
color of tympanic membrane - ANSpearly gray
sensioneural hearing loss - ANSrelated to gradual nerve degeneration
Before ear exam, palate - ANSpinna, tragus, and mastoid process
Ear exam of 3 year old - ANSpull pinna down
ear exam of adult - ANSpull pinna up and back
darwin tubercle - ANSa congenital, painless nodule at the helix
when assessing patients ear - ANStilt head away from examiner
The hearing receptors are located in the - ANScochlea
The sensation of vertigo may indicate: - ANSpathology in the semicircular canals
common cause of conductive hearing loss - ANSimpacted cerumen
Signs of ear infection - ANSabsent light reflex, red and bulging drum
Reducing risk of ear infection - ANSdont smoke in house or car
,assessing hearing in babies - ANSwatch for head turn when you call their name
patient w head injury has clear watery drainage from ear - ANSconsider possible basal skull fracture,
refer immediately
common site of nose bleeds - ANSkiesselbach plexus
Which sinuses can you assess through examination? - ANSfrontal and maxillary
the frenulum is the - ANSmidline fold of tissue that connects the tongue to the floor of the mouth
The largest salivary gland is located: - ANSwithin the cheeks in front of the ear
old woman with dry mouth - ANSmedication
find a deviated septum, what next - ANSdocument in case it needs suction
Oral malignancies are most likely to develop: - ANSin the mucosal "gutter" under the tongue
tonsils 3+ - ANStonsils touch the uvula
function of nasal turbinates - ANSwarm the inhaled air
Opening of adult's parotid gland is opposite what? - ANSupper 2nd molar
A nasal polyp is distinguished from the nasal turbinates by 3 things - ANSmoveable, pale/gray,
nontender
The examiner notes small, round, white, shiny papules on the hard palate and gums of a 2-month-old
infant. What is the significance of this finding? - ANSepstein pearls, normal
when assessing tongue - ANSpalpate u shaped area under tongue
, expected finding of 75 year old oral cavity - ANSdecreased ability to identify odors
african american with flat, 3cm, nontender, gray/white lesion on bucal mucosa - ANSleukodema,
normal
The manubriosternal angle is - ANSthe articulation of the manubrium and the body of the sternum
description of left lung - ANSnarrower than the right lung with two lobes
Documentation of cough - ANSproductive cough for at least 3 months throughout the year, happens
last two years
Confirm symmetric chest expansion - ANS-Place hands on posterior chest wall thumbs at T9 or T10
slide medially pinch up skin between thumbs
Auscultation of breath sounds - ANSHold the diaphragm of the stethoscope against the chest wall;
listen to one full respiration in each location, being sure to do side to side comparisons
Bronchiovesicular breath sounds - ANSmedium-pitched, moderately loud sounds heard over the
mainstem bronchi; inspiration = expiration
Fever, increased respiratory rate, chest expansion decresed on left side, dull to percussion over left
low lobe, loud breath sounds w crackles on low left lobe - ANSlobar pneumonia
angle of nail is less than 160 and spongy, indicates- - ANScongenital heart disease and COPD
Coarse and low pitched sound heard on inspiration and expiration and accompanied by pain with
breathing. - ANSPleural friction rub
egophony test - ANSpatient says "eeee" when diaphragm moved
Examine for tactile fremitus - ANSpalpate chest symmetrically
