1. A nurse in a provider's office is preparing to test a client's cranial nerve function.
What directions should she include when testing cranial nerve V? (was select all
that apply Ans: "Close your eyes"
"Clench your teeth"
"Tell me when you feel a touch"
2. A client asks the nurse what her Snellen eye test results mean. Her visual acuity is
20/30. What is the appropriate response Ans: "Your eyes see at 20 feet what visually
unimpaired eyes see at 30 feet"
3. A nurse us assessing a client's thyroid gland as part of a comprehensive physical
exam.What findings should the nurse expect Ans: Palpating the thyroid in the lower half
of the neck
Feeling the thyroid ascend as the client swallows
Finding symmetric extension of the trachea on both sides of the midline
4. A nurse is assessing an adult client's internal ear canals with an otoscope as part of
a head and neck examination. What actions are appropriate Ans: Insert the speculum
slightly downward and forward
Make sure the speculum does not touch the ear canal
Use the light to visualize the tympanic membrane in a cone shape
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, 5. A nurse is performing a head and neck examination for an older adult client. What
age- related findings should the nurse expect Ans: Tooth Loss
Glare Intolerance
Thickened Eardrums
6. A nurse in a provider's office is preparing to assess a young adult male client's
musculoskeletal system as part of a comprehensive physical ex- amination. What
findings should the nurse expect Ans: a concave thoracic spine posteriorly
A concave Lumbar spine posteriorly Muscles
slightly larger on his dominant side
7. A nurse is evaluating a client's neurosensory system.To evaluate sterogno- sis, she
should ask the client to close his eyes and identify what Ans: A familiar object she
places in his hand
8. A nurse is assessing a client who reports pain when the nurse evaluates the internal
rotation of her right shoulder. What activities is this problem likely to affect Ans:
Fastening her bra from behind her back
9. A nurse is performing a neurosensory examination for a client. What tests should
the nurse perform to test the clients balance Ans: Romberg Test
Heel-to- toe Walk
10. A nurse is collecting data from an older adult client as part of a neu- rosensory
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