When inspecting the eyeballs of an African American individual, which might be expected

Small brown macules on the sclera

One method to verify information within the context of the interview is to:

rephrase the same questions later in the interview.

Which of the following children is at risk of recurrent otitis media (OM)?

18-month-old 3 episode of ear infections in a 5-month period

Which of the following statements made by the interviewer would be an appropriate response?

“Tell me what you mean by ‘bad blood.’”

What is the major cause of decreased saliva production in older adults?

Use of anticholinergic medications

Otoscopic examination is performed on an older adult patient, the tympanic membrane may be:

whiter than that of a younger adult.

One of the purposes of the paranasal sinuses is to:

lighten the weight of the skull bones

A full mental status examination should be completed if the patient:

has a change in behavior and the family is concerned

Which of the following groups need to be tested for the presence of color blindness?

White boys between the ages of 4 and 8 years

The tympanic membrane of a child with acute otitis media would be:

bulging with a distinct red color.

Risk factors that may lead to skin disease and breakdown include:

a lifetime of environmental trauma.

Teaching 4th graders about sweat glands, which should be included while discussing this topic?

Newborn infants do not sweat, use compensatory mechanisms

The general survey consists of four distinct areas. These areas include:

physical appearance, body structure, mobility, and behavior

Signs and Symptoms of Dehydration in Infants. (SATA)

No tears when crying, Sunken soft spot on top of skull, No wet diapers for three hours

Patient cries and says: "please get me something to relieve this pain" What should the nurse do

Assess the level of pain, and administer meds based patient

Aphasia is best described as:

a language disturbance in speaking, writing or understanding

studbud

McGovern Physical Assessment Exam

179 termsStudBud Administration138 plays

A #Nursing #Physical Assessment Exam Review

Flashcards179 cardsFPractice quizPHost liveL

Questions 179

Answers

1
What is this?
Papule
Pustule
Macule
Cyst
2
When inspecting the eyeballs of an African American individual, which might be expected
A slight amount of drainage around the lacrimal apparatus
A slight yellow discoloration of the sclera
Small brown macules on the sclera
A slight misalignment of the eyeballs
3
What three cranial nerves account for eye movement?
III, V, X
III, IV, VI
X, VI, IV
III, V, VI
4
Which of the following tests provides a precise quantitative measure of hearing?
Whispered voice test
Tuning fork tests
Audiometer test
Romberg test
5
What lymph node is this
Deep Jugular Chain
Deep Throat Chain
Deep Cervical Chain
Deep Thoracic Chain
6
Which of the following is an example of objective data?
Dizziness
Alert and oriented
A sore throat
An earache
7
One method to verify information within the context of the interview is to:
call a family member to confirm information.
rephrase the same questions later in the interview.
review previous medical records
ask the patient if there is someone who could verify info
8
What is this?
Pustule
Nodule
Vesicle
Cyst
9
Which of the following children is at risk of recurrent otitis media (OM)?
A 2-year-old with two ear infections in the past 6 months
An 18-month-old infant who lives with a smoker
6-month-old with sibling who had tubes inserted at 3 years
18-month-old 3 episode of ear infections in a 5-month period
10
Which of the following is included in documenting a history source?
Reliability of informant
Cognition and literacy level
Appearance, dress, and hygiene
Documented relationship of support systems
11
Which of the following statements made by the interviewer would be an appropriate response?
“I know just how you feel.”
“If I were you, I would have the surgery.”
“Why did you wait so long to make an appointment?”
“Tell me what you mean by ‘bad blood.’”
12
What Cranial Nerve accounts for hearing?
VII
VI
VIII
IV
13
What Cranial Nerve Accounts for mastication (chewing)?
VI
X
VII
V
14
The extraocular muscles consist of four straight or ___muscles and two slanting or __ muscles.
palpebral; conjugate
rectus; oblique
rectilinear; diagonal
superior; inferior
15
What is this?
External Auditory Canal
Internal Auditory Canal
Auricle
Eustachian Tube
16
What is the major cause of decreased saliva production in older adults?
Normal aging process
A diminished sense of taste and smell
Decreased fluid intake
Use of anticholinergic medications
17
What lymph node is this?
Posterior cervical
Inferior cervical
deep jugular
inferior jugular
18
Otoscopic examination is performed on an older adult patient, the tympanic membrane may be:
thinner than that of a younger adult
pinker than that of a younger adult.
more mobile than that of a younger adult.
whiter than that of a younger adult.
19
Which of the following is the most reliable indicator for chronic pain?
Tissue enzyme levels
Blood drug levels
Magnetic resonance imaging (MRI) results
Patient self-report
20
One of the purposes of the paranasal sinuses is to:
warm and moisten the inspired air.
amplify sound.
augment the sensory sensation of smell.
lighten the weight of the skull bones
21
A full mental status examination should be completed if the patient:
has a change in behavior and the family is concerned
develops dysphagia
has a new diagnosis of type 2 diabetes mellitus.
complains of insomnia.
22
What test is this?
Corneal Light Reflex
Corneal Reflex
Pupillary Reflex
Pupillary Light Reflex
23
Which of the following groups need to be tested for the presence of color blindness?
White boys between the ages of 4 and 8 years
Asian girls between the ages of 3 and 6 years
Black boys between the ages of 10 and 15 years
White girls between the ages of 4 and 8 years
24
An enlarged tongue (macroglossia) may accompany:
Down syndrome
hairy tongue.
cleft palate.
fissured tongue.
25
What is this?
Pupil
Iris
Sclera
Canthus
26
Light shines in both eyes in the same place. What test is this?
Corneal Light Reflection
Pupillary Light Reflex
Corneal Reflex
Corneal Light Reflex
27
The tympanic membrane of a child with acute otitis media would be:
flat and slightly pulled in at the center.
bulging with a distinct red color.
mobile and would flutter with the Valsalva maneuver.
shiny and translucent, with a pearly gray color.
28
According to the holistic model, a narrow definition of holistic health includes:
the response of the whole person to actual or risks.
an optimal functioning of mind, body, and spirit
the internal and external environment.
the absence of disease.
29
Risk factors that may lead to skin disease and breakdown include:
a lifetime of environmental trauma.
decreased vascular fragility.
increased thickness of the skin.
loss of protective cushioning of the dermal skin layer.
30
What disease flat, expressionless face; a staring gaze; oily skin; and elevated eyebrows?
Cushing syndrome
Parkinson disease
Scleroderma
Acromegaly
31
What cranial nerve accounts for tongue movement?
XI
IX
XII
X
32
What is this?
Crust
Papule
Scale
Pustule
33
The duct in the parotid gland that opens into the mouth opposite the second molar is:
the sublingual duct.
the salivary duct.
the Wharton duct.
the Stensen duct.
34
What lymph node is this?
Superior auricular
Preauricular
Post Auricular
superior mandibular
35
What is this?
Thyroid Cartilage
Trachea
Isthmus of Thyroid
Thyroid Gland
36
What Cranial Nerve Accounts for parasympathetic?
XII
XI
X
IX
37
What test is this?
Peripheral Test
Confirmation Test
Confrontation Test
Consult Test
38
examiner notices fine tremor in patients tongue. What disorder is consistent with this finding?
Halitosis
Alcoholism
Diabetic ketoacidosis
Hyperthyroidism
39
What Stage is this Ulcer?
2
4
3
1
40
What Cranial Nerve Accounts for facial movement?
VII
VI
VIII
V
41
Teaching 4th graders about sweat glands, which should be included while discussing this topic?
Newborn infants do not sweat, use compensatory mechanisms
2 type of sweat glands: eccrine glands and sebaceous glands.
The evaporation of sweat, increases body temperature.
Eccrine glands located in axillae, anogenital area, & navel.
42
The general survey consists of four distinct areas. These areas include:
A/O, personal hygiene, mental status, & physical condition
mental status, speech, behavior, and mood and affect.
physical appearance, body structure, mobility, and behavior
gait, range of motion, mental status, and behavior.
43
Signs and Symptoms of Dehydration in Infants. (SATA)
No tears when crying
Sunken soft spot on top of skull
blood spots on skin
No wet diapers for three hours
44
Functions of the skin include:
production of new cells by melanocytes.
temperature regulation
secretion of a drying substance called sebum.
production of vitamin C.
45
Patient cries and says: "please get me something to relieve this pain" What should the nurse do
Assess level of pain and give meds according to pain lvl
Assess the level of pain, and administer meds based patient
Verify that the patient has an order for pain medications
Reposition patient, then reassess pain
46
What lymph node is this?
Submaxillary
Preauricular
Submental
Submandibular
47
A patient with asthma has the following problems. Which problem is a a first-level priority?
Risk for infection
Readiness for enhanced spiritual well-being
Ineffective self–health management
Impaired gas exchange
48
What Stage is this Ulcer?
4
1
2
3
49
A patient was in a motor vehicle accident. The trachea deviates to the left side. this means...
aortic arch aneurysm.
right pleural adhesion.
right-sided atelectasis.
right pneumothorax
50
What is the source of deep somatic pain?
Skin and subcutaneous tissues
Pancreas
Intestine
Bones and joints
51
Aphasia is best described as:
unable to identify things despite intact sensory function.
a language disturbance in speaking, writing or understanding
a disturbance in executive functioning
unable to do motor activities despite intact motor function
52
The tympanic membrane in neonate is more _____ making it hard to visualize with the otoscope.
perpendicular
oblique
horizontal
vertical
53
Which of the following is an expected response on the cover test?
The covered eye moves into a relaxed position.
The covered eye jumps to reestablish fixation when uncovered
The uncovered eye is unable to maintain gaze on fixed object
The covered eye maintains its position when uncovered.
54
Kyphosis of the spine is common with aging. To compensate, older adults:
extend their heads and jaws forward.
shuffle.
increase their center of gravity.
stiffen their gait.
55
nurse infers patient uncomfortable asking for a different treatment b/c of fear. This...
affects the nurse-physician relationship.
helps nurse understand own feelings abt patient’s verbal msg
helps patient understand feelings in regards of verbal msg
impedes further discussion.
56
What type of database is most appropriate when rapid collection of data is required
Episodic
Follow-up
Emergency
Complete
57
What is this?
Macula
Patch
Junctional Nevus
Compound Nevus
58
Binaural interaction at the level of the brainstem permits:
interpretation of sound.
identification and location of the direction of the sound.
amplification of sound.
direction of sound toward the appropriate conduction pathway
59
An example of a primary lesion is a(n):
urticaria.
ulcer.
erosion.
port-wine stain.
60
pupil constricts at close object. What is this?
Accommodation
corneal reflex
Acclimation
Pupillary reflex
61
Starting at ___ years of age, the interviewer asks child directly about presenting symptoms.
5
9
7
11
62
Endogenous obesity is:
characterized by evenly distributed excess body fat.
excessive secretion of growth hormone in adulthood.
inadequate secretion of cortisol by the adrenal glands
excess adrenocorticotropin production by the pituitary gland
63
To perform an accurate assessment of respirations, the examiner should:
assess respirations for a full 2 minutes if an abnormality
inform the person of the procedure and count for 1 minute.
count for 30 seconds after completing a pulse assessment
count for 15 seconds while keeping fingers on the pulse
64
A medical diagnosis is used to evaluate:
the response of the whole person to actual or risks.
a person’s culture.
a person’s state of health
the cause of disease.
65
What Cranial Nerve Accounts for Smell?
V
II
X
I
66
A severe deficiency of thyroid hormone nonpitting edema, coarse hair & face, dry skin & hair
scleroderma
Hashimoto thyroiditis.
congenital hypothyroidism.
myxedema.
67
What lymph node is this?
Inferior clavicular
Intraclavicular
Interclavicular
Supraclavicular
68
What is this?
Canthus
Inferior Canthus
Lateral Canthus
Medial Canthus
69
A slight protrusion of the eyeballs may be noticed in which ethnic/cultural group?
Asian
Hispanic
American Indian
African American
70
What test is this?
Corneal Reflex
Pupillary Reflex
Sclera Reflex
Ocular Reflex
71
Pain signals are carried to the central nervous system by way of:
afferent fibers.
perception.
referred pain
modulation.
72
What is this?
Sclera
Pupil
Canthus
Iris
73
Most facial bones articulate at a suture. Which facial bone articulates at a joint?
Nasal bone
Mandible
Zygomatic bone
Maxilla
74
If the tympanic membrane has white dense areas, the examiner suspects:
perforation from a ruptured membrane.
scarring from recurrent ear infections.
serous fluid from serous otitis media.
a fungal infection.
75
What kind of cancer is this?
dermis carcinoma
epithelial carcinoma
Squamous cell carcinoma
basal cell carcinoma
76
What is this?
Cherry Nevus
Cherry Angioma
Cherry Macula
Cherry Patch
77
An adult patient’s pulse is 46 beats per minute. The term used to describe this rate is:
bradycardia.
tachycardia.
sinus arrhythmia.
weak and thready.
78
The Doppler technique:
augments Korotkoff sounds during blood pressure measurement.
provides easy and accurate measurement diastolic pressure.
measures arterial oxygenation saturation.
is used to assess the apical pulse.
79
Which of the following is a good example of a well-written chief complaint?
Complain of chest pain for 3 days that is worse with activit
Pain is a 10/10.
“I don’t know what this pain is. This is the worst"
A patient complaining of chest pain. R/O MI.
80
the examiner notices a bifid uvula on the mouth of an American Indian.
his may indicate the presence of oral cancer.
This is expected variation associated with this individual
This is rare and indicates other congenital anomalies may be
This condition is frequently associated with cleft palate
81
What is this?
Macule
Scale
Wheal
Plaque
82
Which statements regarding the results obtained from the Snellen chart is true?
The larger the numerator, the better the vision.
The smaller the numerator, the poorer the vision.
The larger the denominator, the poorer the vision
The smaller the denominator, the poorer the vision.
83
The CAGE test is a screening questionnaire that helps to identify:
personal response to stress
unhealthy lifestyle behaviors.
excessive or uncontrollable drinking.
depression.
84
A complete database is:
used to evaluate the cause or etiology of disease.
used for a limited or short-term problem
used to collect data rapidly & compiled with lifesaving
used to perform a thorough or comprehensive health history
85
the nurse asks, "What makes the headaches worse?" the nurse is seeking information about:
the patient's perception of pain
relieving factors.
aggravating factors
the nature or character of the headache.
86
Pairs of sinuses is absent at birth, is well developed at 7 yrs, fully developed after puberty?
Frontal
Ethmoid
Maxillary
Sphenoid
87
Narrow palpebral fissures, epicanthal folds, and midfacial hypoplasia are characteristic of:
congenital hypothyroidism.
Down syndrome.
fetal alcohol syndrome.
chronic childhood allergies.
88
What lymph node is this?
Superficial cervical
superficial jugular
Deep cervical
superior cervical
89
What is this?
Fissure
Cornea
Sclera
Limbus
90
PQRSTU is a mnemonic that helps clinician to remember to address characteristics specific to:
severity of dementia.
substance use and abuse.
pain presentation.
the ability to perform activities of daily living (ADLs).
91
What is this?
Tympanic canal
Tympanic fluid
Tympanic Membrane
Tympanic Window
92
What is this?
conjunctivae
lower eye
eyelashes
Lower eyelid
93
The nasal mucosa of an individual with rhinitis would be:
bright red and swollen
moist and pink.
pale with bright red bleeding.
swollen, boggy, and gray.
94
Which of the following statements cultural/racial differences in the treatment of pain is true?
Black and Hispanic individuals have a higher pain tolerance
Whites receive more analgesic therapy black or Hispanic
Neurotransmitters r more concentrated in white than blacks
Pain modulation more highly developed in black and Hispanic
95
Which questions would the examiner ask to determine whether an individual has epistaxis?
“Have you noticed unusual lesions on inside of your mouth?”
“Do you experience a runny nose frequently?”
“Do you experience nosebleeds?”
"Do you have any difficulty with swallowing?”
96
A flat macular hemorrhage is called a(n):
ecchymosis
petechiae
purpura
hemangioma
97
Performing an abdominal examination, what is the proper sequence
Inspection, auscultation, percussion, palpation
Auscultation, percussion, inspection, palpation
Palpation, percussion, inspection, auscultation
Inspection, palpation, auscultation, percussion
98
The labyrinth of the inner ear is responsible for maintaining the body’s:
pressure equalization
equilibrium.
binaural interaction.
air conduction
99
The use of euphemisms to avoid reality or to hide feelings is known as:
avoidance language.
distancing language.
sympathetic language
ethnocentric language.
100
Specialized nerve endings that are designed to detect painful stimuli are?
c fibers
nociceptors
synapses
dorsal horns
101
Which of the following statements related to symptoms or triggers of headaches is true?
Alcohol consumption may cause cluster or migraine headaches
premenstrual hormonal fluctuations may caus cluster headache
Chocolate or cheese may cause tension headaches.
Poor posture may trigger a migraine headache.
102
What Stage is this Ulcer?
4
1
3
2
103
Decreased vision in an elderly patient may be due to which of the following conditions?
Presbyopia
Fixation
Retinoblastoma
Macular degeneration
104
When taking a health history from an adolescent, the interviewer should:
have at least one parent present during the interview.
interview the youth alone with a parent in the waiting area.
Ask about violence and abuse before asking abt alcohol & dru
ask every youth about the use of condoms.
105
An example of an open-ended question or statement is:
“You are upset about the level of pain, right?”
“Tell me about your pain.”
“On a scale of 1 to 10, how would you rate your pain?”
“I can see that you are quite uncomfortable.”
106
A common error in blood pressure measurement is:
deflating the cuff about 2 mm Hg per heartbeat.
waiting less than 1-2 mins before repeating BP on same arm
taking the blood pressure in an arm that is at lvl of heart.
using blood pressure cuff whose bladder length is 80% of arm
107
Nonverbal communication is the primary form of communication for which group of individuals?
Preschoolers
Older adults
Infants
Adolescents
108
The external structure of the ear is identified as the:
atrium.
auriga
aureole.
auricle.
109
What is this?
Compound Nevus
Birthmark
Macula
Junctional Nevus
110
Viewing the world from another person’s inner frame of reference is called:
clarification.
reflection.
sympathy.
empathy.
111
What three bones are these?
Femur, Tibia, Fibula
Cricoid, thyroid, lacrimal
incus, malleus, staples
stapes, malleus, incus
112
Signs and Symptoms of Dehydration in Adults (SATA)
Increased urination.
Fatigue
Dark-colored urine
Confusion
113
What is this?
Cornea
Limbus
Caruncle
Canthus
114
The "review of systems" in the health history is:
a record of objective findings.
evaluation past & present health state of each body system.
a documentation of the problem as perceived by the patient
a short statement of general health status.
115
What is this?
nasal tube
Inner Ear canal
auditory canal
Eustachian tube
116
What is this?
Fissure, Erosion
Bulla, Vesicle
Wheal, Hives
Papule, Plaque
117
Dehydration signs and symptoms in older adults
cold spots
Has bloody or black stool
hot spots
Is irritable or disoriented
118
The components of a nail examination include:
clubbing, pitting, and grooving.
shape, surface, and circulation
contour, consistency, and color.
texture, toughness, and translucency.
119
What Cranial nerve accounts for pharyngeal muscles (swallowing)?
IX
XI
IIX
XII
120
Data collection for the general survey begins
during the mental status examination.
at the first encounter
while taking vital signs.
at the beginning of the physical examination.
121
To determine if a dark-skinned patient is pale, the nurse should assess the color of the:
earlobes.
skin in the antecubital space.
conjunctivae
palms of the hands.
122
When recording information for the review of systems, the interviewer must document:
physical findings to support historic data.
“negative” under the system heading
presence or absence of all symptoms under the system heading
objective data that support the history of present illness.
123
What occurs during transduction (the first phase of nociceptive pain)?
Pain signals move from the site of origin to the spinal cord
The pain impulse moves from the spinal cord to the brain.
The brain interprets the pain signal.
Chemical mediators neutralized to lower perception of pain.
124
Craniosynostosis is a severe deformity caused by
premature closure of the sutures
localized bone disease that softens, thickens,& deforms bone
increased intracranial pressure
excess growth hormone or a deficit in thyroid hormone.
125
What tests visual acuity?
Snellen Eye Test
Visual Reflex Test
Rohenberg Eye Test
Hinhberg Eye Test
126
What is this?
half circle canals
oval canals
inner ear canals
Semi-circular canals
127
Which of the following findings is associated with Horner syndrome?
Unilateral tinyregular pupil reacts to light & accommodation
Bilateral miosis
Bilateral mydriasis
Unilateral dilated pupil with no reaction
128
The normal color of the optic disc is:
creamy red to yellow-orange.
creamy yellow-orange to pink.
creamy pink
red.
129
What lymph node is this?
Submaxillary
Submandibular
Submental
Preauricular
130
A scooped-out, shallow depression in the skin is called a(n):
ulcer.
erosion.
fissure
excoriation
131
Physical appearance includes statements that compare appearance with:
mood and affect.
stated age.
gait.
nutrition.
132
What is this?
Manubrium
Clavicle
Femur
Hyoid
133
What type of pain is short and self-limiting and dissipates after the injury heals?
Breakthrough
Chronic
Acute
Persistent
134
Which of the following has been found to increase sensitivity to pain in women?
Age
Hormonal Changes
Weight
Parity
135
What is this?
Thyroid Glad
Stenoid Cartilage
Cricoid Cartilage
Thyroid Cartilage
136
In addition to initiating digestion of food, saliva:
cleans and protects the mucosa.
protects the mucosa from caustic substances.
inhibits overgrowth of bacteria in the mouth.
augments taste sensation.
137
A nursing diagnosis is best described as:
a pattern of coping
a concise statement of actual or risks or level of wellness.
an individual’s perception of health.
a determination of the etiology of disease.
138
Bleeding into the periosteum during birth is known as:
molding.
cephalhematoma
craniosynostosis.
caput succedaneum
139
Neuropathic pain implies an abnormal:
degree of pain interpretation.
modulation of pain signals.
transmission of pain signals.
processing of the pain message
140
What lymph node is this?
Posterior Auricular
Occipital
Preauricular
Jugulodigital
141
What is this?
freckles
macula
patches
Vitiligo
142
When preparing the physical setting for an interview, the interviewer should:
conduct the interview at eye level & distance of 4 to 5 ft
stand next to the patient to convey a professional demeanor.
set the room temperature between 64° F and 66° F.
reduce noise by turning the volume of t.v. or radio down.
143
The most appropriate introduction to use to start an interview with an older adult patient is:
I will just get the information from the chart.”
David, I am here to ask you questions about your illness
“Mr. Jones, I want ask you some questions about your health
Mr. Jones is it okay if I ask several questions this morning
144
What is this?
Thymus Gland
Parotid Gland
Thyroid Gland
Salivary Gland
145
When taking health history, the patient complains of pruritus. what is a common cause of this?
Excessive bruising
Hyperpigmentation
Drug reactions
Melasma
146
What kind of Cancer is this?
squamous cell carcinoma
epithelial carcinoma
Basal cell carcinoma
dermis cell carcinoma
147
An example of objective data is:
left knee has been swollen and hot for the past 3 days.
a complaint of left knee pain.
impaired left knee motion from inability to walk, swelling,
crepitation in the left knee joint.
148
Best electronic resource for incorporating evidence-based practice into health assessment?
Wikipedia.org
WebMD.com
Nursingworld.org
Mayoclinic.com
149
What information is included in greater detail when taking a health history on an infant?
Nutritional data
Family history
Environmental hazards
History of present illness
150
The tympanic membrane thermometer (TMT):
provides an accurate measurement of core body temperature.
senses the infrared emissions of the cerebral cortex.
is not used in unconscious patients.
accurately measures temperature in 20 to 30 seconds.
151
What Test is this?
Cardinal Signs
4 Cardinal Positions
Eight Cardinal Positions
Six Cardinal Positions
152
What lymph node is this?
deep jugular
cervical
throat
jugulodigastric
153
Which of the following behaviors demonstrated may be indicative of hearing loss?
Not looking at the examiner when being questioned
Speaking slowly with well-articulated consonants
Talking in a high-pitched voice
Frequently asking for the question to be repeated
154
What is this?
Pupil
Sclera
Canthus
Limbus
155
The nurse records that the patient’s pulse is 3+ or full and bounding. Which is the cause?
Bleeding
Dehydration
Shock
Anxiety
156
What test is this?
Tuning Fork
Hearing test
Rohnberg
Hirshberg
157
What is this?
Concha
Malleus
Stapes
Vestibule
158
Which of the following statements describing a headache would warrant an immediate referral?
“This is the worst migraine of my life.”
“This is the worst headache I’ve had since puberty.”
“I never had a headache like this before; I can’t function.”
“I have had daily headaches for years.”
159
What is this?
Concha
Vestibular
Cochlea
Incus
160
What is this?
posterior cervical
Superficial cervical
trapezius muscle
Sternomastoid muscle
161
What Stage is this Ulcer?
3
4
1
2
162
What is this?
sclera
Palpebral Fissure
Fissure
Nonpalpebral fissure
163
The location in the brain where optic nerve fibers cross over is identified as
fovea centralis.
optic chiasm
optic disc.
choroid.
164
What Cranial nerve accounts for neck movement?
XIII
X
XI
XII
165
The nurse obtained review of eye. What would require emergency situation?
“My eyes get watery when I am gardening.”
“I’m having trouble seeing when I drive at night.”
“My eyes feel tired all the time.”
“I see flashing lights and spots.”
166
Areas covered under self-esteem and self-concept include:
stressors, coping mechanisms, and change in past year.
exercise, leisure activities, and level of independence.
education, financial status, and value-belief system.
family role, relationship, social support, & time spent alon
167
What lymph node is this?
Occipital
postauricular
jugulodigastric
Preauricular
168
What type of database is most appropriate for an individual who is admitted to a long-term care
Emergency
Episodic
Complete
Follow-up
169
Which Cranial Nerve Accounts for Vision?
I
IIII
III
II
170
What term refers to a linear skin lesion that runs along a nerve route?
Shingles
Zosteriform
Dermatome
Annular
171
What nerve is this?
V
VI
VII
VIII
172
What is this?
Canthus
Lateral Canthus
Medial Canthus
Upper Canthus
173
An example of subjective data is:
arthritis.
crepitation in the left knee joint.
left knee has been swollen and hot for the past 3 days.
decreased range of motion.
174
What is this?
Upper eyelid
I don't know what else.
Eyecover
Eye
175
The lens of the eye functions as a:
refracting medium.
sensory facilitator
mediator of light.
controller of intraocular pressure.
176
What is this?
Plaque
Nodule
Vesicle
Tumor
177
An older adult with dementia rates 5 out of 10 pain. The Nurse should...
use only nonpharmacological pain relief interventions
administer prescribed pain meds
reassess pain level in 3-4 hours
ask the patient to verify pain rating
178
PA on Patient who is end-stage HIV positive. What should the nurse do for self-protection?
Wash hands and don gloves, gown, and protective face shield.
Wash hands and don two pairs of gloves and gown.
Don gloves & wash hands after examination
Wash hands, don gloves, and wash hands after examination
179
When addressing a toddler during the interview, the health care provider should:
use nonverbal communication
use detailed explanations.
use short, simple, concrete sentences.
ask the child, before the caretaker, about symptoms.

McGovern Physical Assessment Exam Flashcards | StudBud