Exam (elaborations)
NR 302 Health Assessment Final Exam well answered to pass
- Course
- NR 302
- Institution
- Chamberlain College Of Nursing
NR 302 Health Assessment Final Exam well answered to pass
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NR 302 Health Assessment Final ExamThe retinal structures viewed through the ophthalmoscope are: - correct answer ✔✔optic disc, vessels,
macula, background
"Positive consensual light reflex" means... - correct answer ✔✔simultaneous constriction
The thickening and yellowing of the lens due to aging is described as: - correct answer ✔✔cataract
Eye emergency - correct answer ✔✔sudden change in vision
Visual acuity is assessed with: - correct answer ✔✔Snellen eye chart
The cover test is used to assess for: - correct answer ✔✔muscle weakness
When using the ophthalmoscope, you would: - correct answer ✔✔remove 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: - correct answer ✔✔III,
IV, VI
Conjunctivitis - correct answer ✔✔redness of the conjunctiva
normal peripheral vision would see finger at - correct answer ✔✔90 degrees
patient blind in left eye, what happens when light in right - correct answer ✔✔both constrict
interruption of red reflex happens when - correct answer ✔✔there is opacity of cornea or lens
,One cause of visual impairment in aging adults is: - correct answer ✔✔glaucoma
PERRLA - correct answer ✔✔pupils equal, round, reactive to light and accommodation
cause of red reflex - correct answer ✔✔light reflecting from the retina
color of tympanic membrane - correct answer ✔✔pearly gray
sensioneural hearing loss - correct answer ✔✔related to gradual nerve degeneration
Before ear exam, palate - correct answer ✔✔pinna, tragus, and mastoid process
Ear exam of 3 year old - correct answer ✔✔pull pinna down
ear exam of adult - correct answer ✔✔pull pinna up and back
darwin tubercle - correct answer ✔✔a congenital, painless nodule at the helix
when assessing patients ear - correct answer ✔✔tilt head away from examiner
The hearing receptors are located in the - correct answer ✔✔cochlea
The sensation of vertigo may indicate: - correct answer ✔✔pathology in the semicircular canals
common cause of conductive hearing loss - correct answer ✔✔impacted cerumen
Signs of ear infection - correct answer ✔✔absent light reflex, red and bulging drum
Reducing risk of ear infection - correct answer ✔✔dont smoke in house or car
,assessing hearing in babies - correct answer ✔✔watch for head turn when you call their name
patient w head injury has clear watery drainage from ear - correct answer ✔✔consider possible basal
skull fracture, refer immediately
common site of nose bleeds - correct answer ✔✔kiesselbach plexus
Which sinuses can you assess through examination? - correct answer ✔✔frontal and maxillary
the frenulum is the - correct answer ✔✔midline fold of tissue that connects the tongue to the floor of
the mouth
The largest salivary gland is located: - correct answer ✔✔within the cheeks in front of the ear
old woman with dry mouth - correct answer ✔✔medication
find a deviated septum, what next - correct answer ✔✔document in case it needs suction
Oral malignancies are most likely to develop: - correct answer ✔✔in the mucosal "gutter" under the
tongue
tonsils 3+ - correct answer ✔✔tonsils touch the uvula
function of nasal turbinates - correct answer ✔✔warm the inhaled air
Opening of adult's parotid gland is opposite what? - correct answer ✔✔upper 2nd molar
A nasal polyp is distinguished from the nasal turbinates by 3 things - correct answer ✔✔moveable,
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? - correct answer ✔✔epstein pearls, normal
when assessing tongue - correct answer ✔✔palpate u shaped area under tongue
expected finding of 75 year old oral cavity - correct answer ✔✔decreased ability to identify odors
african american with flat, 3cm, nontender, gray/white lesion on bucal mucosa - correct answer
✔✔leukodema, normal
The manubriosternal angle is - correct answer ✔✔the articulation of the manubrium and the body of
the sternum
description of left lung - correct answer ✔✔narrower than the right lung with two lobes
Documentation of cough - correct answer ✔✔productive cough for at least 3 months throughout the
year, happens last two years
Confirm symmetric chest expansion - correct answer ✔✔-Place hands on posterior chest wall thumbs at
T9 or T10 slide medially pinch up skin between thumbs
Auscultation of breath sounds - correct answer ✔✔Hold 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 - correct answer ✔✔medium-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 - correct answer ✔✔lobar pneumonia
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