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NURS 366 Midterm Exam Questions And Answers
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NURS 366 Midterm Exam Questions And AnswersMyopia - ANSWER impaired far vision
20/100 - ANSWER what you see at 20 feet, people with unimpaired vision can see at 100
feet
the type of chart used in eye exams - ANSWER Snellen (E) chart
Ishihara test is used for - ANSWER color vision- the client should be able to identify the
various shaded shapes
which cranial nerve relates to vision fields - ANSWER CN II
Which CN responsible for EOMs ANSWER CN III, CN IV, CN VI
PERRLA -ANSWER CN II, CN III
P-Pupils clear
E- equal and between 3 to 7 mm in diameter
R-round
RL- reactive to light both directly and consensually when you direct light into one pupil
and then in the other
A- accommodation of the pupils when they dilate to view an object far away then
converge and constrict to focus on a near object
partially illuminated irises indicate - ANSWER glaucoma
,Expected findings of an eye exam - ANSWER 1- the optic disc is light pink or more yellow
than the surrounding area
2-the retina is free of lesions. It will be dark pink for dark-skinned individuals and light
pink for fair-skinned individuals
3-the arteries and veins present in a 2:3 ratio without nicking
4-without dilation of the pupil, you may briefly see the macula when the client looks
directly at the light
How to examine the ear - ANSWER The ear canal is straightened by gently pulling the
auricle up and back for adults and older children, and down and back for younger
children. Looking through the otoscope, insert the speculum slightly down and forward
1 to 1.5 cm (0.4 to 0.6 in) following, but not touching, the ear canal to visualize.
Expected findings of an ear exam - ANSWER 1- tympanic membranes that are pearly
gray and intact, free from tears
2- a light reflex that is visible and in a well-defined cone shape
3- umbo and manubrium landmarks that are readily visible
4- ear canals that are pink with fine hairs
auditory screening tests - ANSWER whisper test
Rinne test- tuning fork against mastoid bone, then in front of ear canal
Weber test- tuning fork on top of their head
Which sinuses can you palpate? - ANSWER frontal and maxillary
can't palpate ethmoid sinuses or sphenoid sinuses (both in nose)
Expected findings with age - ANSWER decreased acuity, inability to focus on near
objects or read fine print-presbyopia, loss of peripheral field, loss of accommodation for
marked changes in light, yellowing of lens, impaired hearing, loss of high pitched
tones-presbycusis, thickening of tympanic membrane, changes in taste, fewer taste
buds, edentulous, pale gums, periodontal disease, voice has increased pitch, loses
strength and vocal range, decreased olfaction
, Pallor - ANSWER loss of color- face, conjunctivae, nail beds, palms
could mean anemia or lack of blood flow
cyanosis - ANSWER bluish- nail beds, lips, mouth, skin
could be hypoxia or impaired venous return
jaundice - ANSWER yellow to orange- skin, sclera, mucous membranes
could be liver dysfunction, red blood-cell destruction
Erythema - ANSWER redness- face, trauma and pressure sore areas
could be inflammation or localized casodilation
clubbing can be from - ANSWER chronic low oxygen
capillary refill should be within ___ seconds - ANSWER 2
Dorsal side of hand is good for - ANSWER temperature
palmar surface/base of fingers is good for - ANSWER sensitivity to vibration
fingertips are sensitive to - ANSWER pulsation, position, texture, size, and consistency
the fingers and thumb are useful for - ANSWER grasping organs and masses
order of assessment usually - ANSWER inspect, palpate, percuss, auscultate
(abdomen- inspect, auscultate, percuss, palpate)
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