Midterm Quiz 4

Question 1

Which of the following is an enlargement of
the head and bony facial structures caused
by excessive secretion of growth hormone?
a. Acromegaly
b. Craniosynostosis
c. Hydrocephalus
d. Craniotabes

Answer 1

a. Acromegaly

Question 2

A gross measure of peripheral vision, in
which the patient’s peripheral vision is
tested in comparison to the nurse's is
referred to as
a. Confrontation test
b. Snellen Eye Chart
c. Near-vision test
d. Cover test

Answer 2

a. Confrontation test

Question 3

Which structure in the neck is responsible for
deflecting fluid and food away from the
larynx and toward the esophagus?
a. Cricoid cartilage
b. Epiglottis
c. Larynx
d. Thyroid cartilage

Answer 3

b. Epiglottis

Question 4

The client’s vision is tested with a Snellen’s
chart. The results of the tests are
documented as 20/60. The nurse interprets
this as:
a. The client is legally blind.
b. The client can read only at a distance of 20
feet what a client with normal vision can
read at 60 feet.
c. The client can read at a distance of 60 feet
what a client with normal vision can read at
20 feet.
d. The client’s vision is normal

Answer 4

b. The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.

Question 5

Bell’s palsy is best defined as asymmetry
affecting \_\_\_\_\_\_\_\_\_.
a. The eyelids
b. The mouth
c. The lower face
d. The entire side of the face

Answer 5

d. The entire side of the face.

Question 6

Red, scaly, greasy flakes and thickened,
crusted lid margins occur with
staphylococcal infection or seborrheic
dermatitis of the lid edge. Which of the
following terms is used for this condition?
a. Blepharitis
b. Anisocoria
c. Conjunctivitis
d. Stye

Answer 6

a. Blepharitis

Question 7

Which type of headache is usually described
as throbbing or pounding, is sudden in onset,
and is sometimes associated with nausea,
photophobia, and visual problems?
a. Migraine
b. Hypertension
c. Tension
d. Cluster

Answer 7

a. Migraine

Question 8

Which type of headache is usually described
as throbbing or pounding, is sudden in onset,
and is sometimes associated with nausea,
photophobia, and visual problems?
a. Migraine
b. Hypertension
c. Tension
d. Cluster

Answer 8

a. Migraine

Question 9

It facilitates movement needed for chewing
and talking.
a. Temporal artery
b. Sternocleidomastoid muscle
c. Trapezius muscle
d. Temporo-mandibular joint

Answer 9

d. Temporo-mandibular joint

Question 10

The nurse is performing vision screenings.
Which client is at greatest risk for developing
vision problems?
a. Middle-aged adult who takes
antihypertensive daily
b. Young client who has diabetes mellitus
c. Pregnant woman with no complications
d. Older client with chronic dry eye syndrome

Answer 10

b. Young client who has diabetes mellitus

Question 11

Your 5-year-old child is diagnosed with
hydrocephalus (enlargement of head
without enlargement of the facial
structures). You suspect \_\_\_\_\_\_\_\_ caused
this.
a. His chronic struggle with meningitis and
pneumonia
b. A viral infection
c. An excessive accumulation of CSF in skull
d. His recent chemotherapy drugs

Answer 11

c. An excessive accumulation of CSF in the skull

Question 12

In the larynx of a male, which anatomical
structure forms the Adam’s apple?
a. Arytenoid cartilage
b. Cricoid cartilage
c. Epiglottis
d. Thyroid cartilage

Answer 12

d. Thyroid cartilage

Question 13

Name the largest endocrine gland in the
body.
a. Ovaries
b. Thyroid
c. Adrenal gland
d. Hypothalamus

Answer 13

b. Thyroid

Question 14

_________are yellowish plaques that occur
most commonly near the inner canthus of
the eyelid, more often on the upper lid than
the lower lid. It is the most commonly caused
by hyperlipidemia.
a. Glaucoma
b. Pterygium
c. Stye
d. Xanthelasma

Answer 14

d. Xanthelasma

Question 15

What is another term for crossed eyes?

a. Strabismus
b. Nystagmus
c. Myopia
d. Anisocoria

Answer 15

a. Strabismus

Question 16

Which of the following terms refers to the
inability to tolerate light?
a. Myopia
b. Photophobia
c. Photopia
d. Diplopia

Answer 16

b. Photophobia

Question 17

Which client is most likely to have palpable
lymph nodes in the neck?
a. Male, 45 with heart problem
b. Female, 78 who is severely dehydrated
c. Male, 65 with tonsillitis
d. Female, 18 with diabetes mellitus

Answer 17

c. Male, 65 with tonsillitis

Question 18

Lymph nodes should not be \_\_\_\_\_\_\_\_ in the
healthy adult patient.
a. Palpable
b. Too close together.
c. Under muscle masses
d. Tender

Answer 18

a. Palpable

Question 19

For the Snellen eye Chart Test results….the
larger the denominator =
a. The poorer the vision
b. The better the vision

Answer 19

a. The poorer the vision

Question 20

A client with presbyopia asks her nurse
about prescriptive/corrective lenses. Which
is the nurse’s best response?
a. Corrective lenses can be used for reading
and close work.
b. Corrective lenses are needed for both near
and distance vision.
c. This type of problem cannot be helped with
corrective lenses.
d. Corrective lenses are needed for distance
only

Answer 20

a. Corrective lenses can be used for reading and close work.

Question 21

Which of the following is a clinical
manifestation of Bell's palsy?
a. Involuntary movements of the face
b. Asymmetry of the mouth
c. Asymmetry of the entire side of the face
d. Asymmetry of the lower face

Answer 21

c. Asymmetry of the entire side of the face

Question 22

The nurse is performing an assessment in a
client with a suspected diagnosis of cataract.
The chief clinical manifestation that the
nurse would expect to note in the early
stages of cataract formation is:
a. Eye pain
b. Diplopia
c. Blurred vision
d. Floating spots

Answer 22

c. Blurred vision

Question 23

You are watching a nursing student assess
the thyroid gland of a patient. Which of the
following steps needs to be corrected?
a. Have the patient lower the chin slightly in
order to relax the neck muscles.
b. Note consistency, nodularity, or tenderness
as the gland moves upward.
c. Move the finger pads over the tracheal rings.
d. Have the patient sit comfortably and stand in
front of the patient.

Answer 23

d. Have the patient sit comfortably and stand in front of the patient.

Question 24

What associated symptom would you expect
the patient to experience along with his
tension headaches?
a. Anxiety
b. Visual disturbances
c. Stiff neck and fever
d. Vomiting

Answer 24

a. Anxiety

Question 25

A 42-year-old woman who has problems
during the near-vision testing, due to the
decrease in power of accommodation,
suffers from which of the following
conditions?
a. Strabismus
b. Nystagmus
c. Myopia
d. Presbyopia

Answer 25

d. Presbyopia

Question 26

The most commonly used test for accurate
measure of visual acuity is which of the
following?
a. Eyeglasses test
b. Romberg test
c. Confrontation test
d. Snellen Eye Chart

Answer 26

d. Snellen Eye Chart

Question 27

Which of the following is least likely to cause
craniotabes (softening of the skull)?
a. Hypervitaminosis A
b. Rickets
c. Syphilis
d. Exophthalmos

Answer 27

d. Exophthalmos

Question 28

The clinic nurse is preparing to test the visual
acuity of a client using a Snellen chart. Which
of the following identifies the correct
procedure for this visual acuity test?
a. The client is asked to stand at a distance of
40ft from the chart and to read the line than
can be read 200 ft away by an individual with
unimpaired vision.
b. The right eye is tested followed by the left
eye, and then both eyes are tested.
c. The client is asked to stand at a distance of
40ft. from the chart and is asked to read the
largest line on the chart.
d. Both eyes are assessed together, followed by
the assessment of the right and then the left
eye.

Answer 28

b. The right eye is tested followed by the left eye, and then both eyes are tested.

Question 29

An elderly patient complains of dry itchy
eyes, upon closer assessment the nurse
notices that the lower lid is loose and is
slightly rolling outward. This abnormality is
known as which of the following…
a. Ectropion
b. Hypotropia
c. Esotropia
d. Entropion

Answer 29

a. Ectropion