NURSING 142 final exam Questions and
Answers 100 percent accurate
What are you looking for when inspecting the head? - ANSWER-size, shape, symmetry,
deformities, facial symmetry, facial expression, skin color, erect, proportional to body
size. look at hair for color and hygiene
What are you looking for when palpating the head? - ANSWER-texture of hair,
infestations, masses, lesions, and mobility
What are you looking for when inspecting the neck? - ANSWER-trachea (midline),
lesions, fullness of neck, swelling, erythema, and ROM when laterally turning head
What are you looking for when palpating the neck? - ANSWER-the ROM in shoulders
when shrugging against resistance
What are you looking for when inspecting the lymph nodes? - ANSWER-redness and
swelling
What is the expected finding when palpating the lymph nodes? - ANSWER-non
palpable and no tenderness
What is the unexpected finding when palpating lymph nodes and what would you
assess? - ANSWER-palpable: size, shape, symmetry, temperature, mobility, character,
consistency, and tenderness
What are the lymph nodes of the head? - ANSWER-pre auricular, post auricular,
occipital, tonsiller, submandibular, submental, anterior cervical chain, posterior cervical
chain, and supraclavicular
What are you looking for when inspecting the nose? - ANSWER-if its midline,
symmetrical, skin smooth, no swelling, no lesions, color consistent with facial
complexion, nares patent, and no drainage
What are you looking for when inspecting the external part of the mouth? - ANSWER-
symmetry, lip color, moisture, lesions, and oral competency
What are you looking for when inspecting the internal part of the mouth? - ANSWER-
color and moisture of buccal mucosa, floor of mouth, and gums
general appearance of the teeth: how many, alignment, dental work, color, signs of
decay, dentures and fit, and abnormal odor
color and intactness of hard and soft palate
,uvula lift, midline and symmetry of uvula and tongue
general salivary flow
What is the scale for grading tonsils? - ANSWER-+1 pillar
+2 beyond pillar
+3 see them
+4 touching
What is halitosis? - ANSWER-bad breath
What is anosmia? - ANSWER-loss of smell
How can anosmia affect the elderly? - ANSWER-can happen with dementia. decreases
appetite and overall food intake
What are you looking for when inspecting the eyes? - ANSWER-symmetry, alignment of
outer canthus with pinna of ears, obvious deformities, eye shape and symmetry, clarity
of cornea, color of sclera, clarity of conjunctiva, color and symmetry of iris, fullness and
symmetry of eyelashes and eyebrows, ability to close eyelids all the way while blinking
and symmetry, and drooping
What is ptosis? - ANSWER-eyelid drooping
What are you looking for when palpating the eyes? - ANSWER-if the orbits are tender
and if the lacrimal apparatus is tender or swollen
What are you looking for when performing the six cardinal fields of gaze? - ANSWER-
symmetry and smoothness of the eye and no nystagmus
What is nystagmus? - ANSWER-involuntary shakiness of eyes
What are you looking for when performing the pupillary reflex test? - ANSWER-size,
shape, symmetry, direct pupillary constriction and accommodation, PERRLA
What is the expected finding after performing the pupillary reflex test? - ANSWER-
consensual response
What does PERRLA stand for? - ANSWER-pupils equal, round, reactive to light, and
accommodation
What does a dead retina indicate? - ANSWER-blindness
What does intraocular mean? - ANSWER-the lens and back
What does extra ocular mean? - ANSWER-in front of the lens
, What determines eyesight? - ANSWER-the lens and how light hits the retina
What is glaucoma? - ANSWER-increased intraocular pressure
What is a cataract? - ANSWER-clouding of the lens
What are you looking for when inspecting the ears? - ANSWER-symmetry, size, shape,
auricle alignment, skin color and condition
external auditory meatus: discharge, redness, edema, scaling
What parts of the ear do you palpate during assessment? - ANSWER-auricle down to
lobe, mastoid process, and the pre auricular and post auricular lymph nodes
What are you looking for when palpating the ear and associated structures? -
ANSWER-massess and tenderness
What hearing test of you perform during an ear assessment? - ANSWER-the whisper
test
What can cause lower set ears? - ANSWER-neurodevelopment problems such as
Down syndrome and fetal alcohol syndrome
What can cause conductive hearing loss as we age? - ANSWER-collapsed cartilage in
ear canal
What is vertigo? - ANSWER-spinning sensation
What tool does the Rinne test use and how to perform it? - ANSWER-place a tuning
fork on mastoid process
What is placing a tuning fork on the mastoid process and example of? - ANSWER-bone
conduction
What tool does the Weber test use and how to perform it? - ANSWER-place a tuning
fork on top of head
What is the expected finding of the Weber test? - ANSWER-bilateral hearing, ringing on
top of head
If a patient hears the tuning fork unilaterally only in their bad ear, what is this a sign of? -
ANSWER-conductive hearing loss
If a patient hears the tuning fork unilaterally only in their good ear, what is this a sign of?
- ANSWER-sensorineural hearing loss, translation problem
Answers 100 percent accurate
What are you looking for when inspecting the head? - ANSWER-size, shape, symmetry,
deformities, facial symmetry, facial expression, skin color, erect, proportional to body
size. look at hair for color and hygiene
What are you looking for when palpating the head? - ANSWER-texture of hair,
infestations, masses, lesions, and mobility
What are you looking for when inspecting the neck? - ANSWER-trachea (midline),
lesions, fullness of neck, swelling, erythema, and ROM when laterally turning head
What are you looking for when palpating the neck? - ANSWER-the ROM in shoulders
when shrugging against resistance
What are you looking for when inspecting the lymph nodes? - ANSWER-redness and
swelling
What is the expected finding when palpating the lymph nodes? - ANSWER-non
palpable and no tenderness
What is the unexpected finding when palpating lymph nodes and what would you
assess? - ANSWER-palpable: size, shape, symmetry, temperature, mobility, character,
consistency, and tenderness
What are the lymph nodes of the head? - ANSWER-pre auricular, post auricular,
occipital, tonsiller, submandibular, submental, anterior cervical chain, posterior cervical
chain, and supraclavicular
What are you looking for when inspecting the nose? - ANSWER-if its midline,
symmetrical, skin smooth, no swelling, no lesions, color consistent with facial
complexion, nares patent, and no drainage
What are you looking for when inspecting the external part of the mouth? - ANSWER-
symmetry, lip color, moisture, lesions, and oral competency
What are you looking for when inspecting the internal part of the mouth? - ANSWER-
color and moisture of buccal mucosa, floor of mouth, and gums
general appearance of the teeth: how many, alignment, dental work, color, signs of
decay, dentures and fit, and abnormal odor
color and intactness of hard and soft palate
,uvula lift, midline and symmetry of uvula and tongue
general salivary flow
What is the scale for grading tonsils? - ANSWER-+1 pillar
+2 beyond pillar
+3 see them
+4 touching
What is halitosis? - ANSWER-bad breath
What is anosmia? - ANSWER-loss of smell
How can anosmia affect the elderly? - ANSWER-can happen with dementia. decreases
appetite and overall food intake
What are you looking for when inspecting the eyes? - ANSWER-symmetry, alignment of
outer canthus with pinna of ears, obvious deformities, eye shape and symmetry, clarity
of cornea, color of sclera, clarity of conjunctiva, color and symmetry of iris, fullness and
symmetry of eyelashes and eyebrows, ability to close eyelids all the way while blinking
and symmetry, and drooping
What is ptosis? - ANSWER-eyelid drooping
What are you looking for when palpating the eyes? - ANSWER-if the orbits are tender
and if the lacrimal apparatus is tender or swollen
What are you looking for when performing the six cardinal fields of gaze? - ANSWER-
symmetry and smoothness of the eye and no nystagmus
What is nystagmus? - ANSWER-involuntary shakiness of eyes
What are you looking for when performing the pupillary reflex test? - ANSWER-size,
shape, symmetry, direct pupillary constriction and accommodation, PERRLA
What is the expected finding after performing the pupillary reflex test? - ANSWER-
consensual response
What does PERRLA stand for? - ANSWER-pupils equal, round, reactive to light, and
accommodation
What does a dead retina indicate? - ANSWER-blindness
What does intraocular mean? - ANSWER-the lens and back
What does extra ocular mean? - ANSWER-in front of the lens
, What determines eyesight? - ANSWER-the lens and how light hits the retina
What is glaucoma? - ANSWER-increased intraocular pressure
What is a cataract? - ANSWER-clouding of the lens
What are you looking for when inspecting the ears? - ANSWER-symmetry, size, shape,
auricle alignment, skin color and condition
external auditory meatus: discharge, redness, edema, scaling
What parts of the ear do you palpate during assessment? - ANSWER-auricle down to
lobe, mastoid process, and the pre auricular and post auricular lymph nodes
What are you looking for when palpating the ear and associated structures? -
ANSWER-massess and tenderness
What hearing test of you perform during an ear assessment? - ANSWER-the whisper
test
What can cause lower set ears? - ANSWER-neurodevelopment problems such as
Down syndrome and fetal alcohol syndrome
What can cause conductive hearing loss as we age? - ANSWER-collapsed cartilage in
ear canal
What is vertigo? - ANSWER-spinning sensation
What tool does the Rinne test use and how to perform it? - ANSWER-place a tuning
fork on mastoid process
What is placing a tuning fork on the mastoid process and example of? - ANSWER-bone
conduction
What tool does the Weber test use and how to perform it? - ANSWER-place a tuning
fork on top of head
What is the expected finding of the Weber test? - ANSWER-bilateral hearing, ringing on
top of head
If a patient hears the tuning fork unilaterally only in their bad ear, what is this a sign of? -
ANSWER-conductive hearing loss
If a patient hears the tuning fork unilaterally only in their good ear, what is this a sign of?
- ANSWER-sensorineural hearing loss, translation problem
