A 2-week-old infant can fixate on an A
object but cannot follow a light or bright
toy. The nurse would:
a. Consider this a normal finding.
b. Assess the pupillary light reflex for
possible blindness.
c. Continue with the examination, and
assess visual fields.
d. Expect that a 2-week-old infant should
be able to fixate and follow an object.
,A 19-year-old college student is brought D
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
b. Cluster headache
c. Migraine headache
d. Meningeal inflammation
,A 31-year-old patient tells the nurse that A
he has noticed a progressive loss in his
hearing. He says that it does seem to help
when people speak louder or if he turns
up the volume of a television or radio. The
most likely cause of his hearing loss is:
a. Otosclerosis.
b. Presbycusis.
c. Trauma to the bones.
d. Frequent ear infections.
, A 31-year-old patient tells the nurse that B
he has noticed pain in his left ear when
people speak loudly to him. The nurse
knows that this finding:
a. Is normal for people of his age.
b. Is a characteristic of recruitment.
c. May indicate a middle ear infection.
d. Indicates that the patient has a
cerumen impaction.
object but cannot follow a light or bright
toy. The nurse would:
a. Consider this a normal finding.
b. Assess the pupillary light reflex for
possible blindness.
c. Continue with the examination, and
assess visual fields.
d. Expect that a 2-week-old infant should
be able to fixate and follow an object.
,A 19-year-old college student is brought D
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
b. Cluster headache
c. Migraine headache
d. Meningeal inflammation
,A 31-year-old patient tells the nurse that A
he has noticed a progressive loss in his
hearing. He says that it does seem to help
when people speak louder or if he turns
up the volume of a television or radio. The
most likely cause of his hearing loss is:
a. Otosclerosis.
b. Presbycusis.
c. Trauma to the bones.
d. Frequent ear infections.
, A 31-year-old patient tells the nurse that B
he has noticed pain in his left ear when
people speak loudly to him. The nurse
knows that this finding:
a. Is normal for people of his age.
b. Is a characteristic of recruitment.
c. May indicate a middle ear infection.
d. Indicates that the patient has a
cerumen impaction.
