Nursing 270 Exam 2 Practice Questions and Correct Answers
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Course
NUR 270
Institution
NUR 270
What identifying characteristic would the instructor use for the thyroid cartilage? The notch on its superior edge
The nurse should ask about or assess which associated factors when a patient c/o cluster headaches? rhinorrhea, ptosis, miosis, lacrimation
When doing an examination of the thyroid g...
Nursing 270 Exam 2 Practice Questions
and Correct Answers
What identifying characteristic would the instructor use for the thyroid cartilage? ✅The
notch on its superior edge
The nurse should ask about or assess which associated factors when a patient c/o
cluster headaches? ✅rhinorrhea, ptosis, miosis, lacrimation
When doing an examination of the thyroid gland, the suggested sequence of
examination for a posterior approach is ✅1. have the pt sip and swallow
2. place the fingers of both hands on either side of the thyroid
3. flex the neck forward
4. displace the trachea right then left, evaluating the margins of the lobes
A client arrives in the ER by ambulance after falling down his front steps. The nurse
notes two soft lumps approx. 3cm in diameter, on the side of his head. What would the
nurse identify these as? ✅Pilar cysts
a 16 yr old white female brought to the clinic by her mother with a chief complaint of
severe headaches lasting more than 24hrs. The mother states "just before the
headache started my daughter was craving food. I couldn't feed her enough." What is
this called? ✅Prodome
- unusual feelings such as euphoria, craving for food, fatigue or dizziness
What activity is known to aggravate a tension headache? ✅driving.
-sustained muscle tension
What are associated manifestations of a headache caused by a traumatic head injury
✅-attention span deficit
-gait changes
-seizures
The nurse is performing a physical examination and notes an enlarged left
supraclavicular lymph node. The nurse understands that this could be indicative of
✅metastasis
What are the bordering landmarks of the anterior triangle of the neck ✅-sternomastoid
-mandible
-midline of the neck
, During your physical examination of the patient you note an enlarged tender tonsillar
lymph node. What would you do? ✅Look for a source such as an infection in the area
that it drains
What does the nurse assess the face for? ✅-asymmetry
-edema
-involuntary movements
a pt with hypothyroidism is admitted to the medical unit. The nurse would expect to
assess which signs/symptoms? ✅-lethargy
-constipation
-cool skin
-lower systolic blood pressure
True or false. Primary Headaches are more worrisome than secondary headaches
✅false.
The client presents at the clinic for a routine check up. The nurse notes that she is
dressed in warm clothing even though the temp outside is 73degrees . The nurse notes
that the pt has gained 10lbs since her last visit 9 months ago. What might the nurse
suspect? ✅effects of age-related changes
-intolerance to cold, preference for warm clothing and many blankets.
When examining the eye with an ophthalmoscope, where would the nurse look to
visualize? ✅medially toward the nose
The parent is very upset because she is told her child has a refractive error. The nurse
reassures the parent that refractive errors are common visual changes in children. (true
or false) ✅true
A pt c/o feeling like he is slowly losing his central vision. This symptom could represent
✅macular degeneration
You are assessing the visual fields on a pt newly admitted for eye surgery. The pt's left
eye repeatedly does not see your fingers until they have crossed the line of gaze. You
would document that the pt has? ✅left temporal hemianopsia
The nurse notes that the ophthalmologist suspects death of the optic nerve. When
looking into the eye, the nurse would expect to see what color if the disc is dead?
✅white
What is the primary purpose of the health history in relation to the eyes? ✅Identify
changes
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