Weeks 5: HEENOT

Question 1

diplopia

Answer 1

double vision

Question 2

snellen chart

Answer 2

measures visual acuity

Question 3

Hydrocephalus

Answer 3

excessive fluid in the brain

Question 4

acromegaly

Answer 4

too much growth hormone so head is very long and big

Question 5

Paget’s disease

Answer 5

A disease that disrupts the replacement of old bone tissue with new bone tissue- large head

Question 6

myxedema

Answer 6

swelling on skin from underlying tissues—gives a waxy appearance-often caused by hypothyroidism

Question 7

ptosis

Answer 7

droopy upper eyelid

Question 8

microtia

Answer 8

smaller ear than expected

Question 9

macrotia

Answer 9

larger ear than expected

Question 10

Weber’s test

Answer 10

(tuning fork on top of head) tests for conductive or sensorineural (root cause is inner ear) hearing loss

differentiates unilateral hearing loss

Normal result: equal sound bilaterally

Question 11

Rinne test

Answer 11

tuning fork next to ear, raise finger when sound stops. Air conduction should be twice as long as bone conduction

Question 12

Grading of tonsils

Answer 12

1+: Visible
2+: Halfway to uvula
3+: Touching uvula
4+: Touching each other

Question 13

tongue deviation could indicate

Answer 13

damage to cranial nerve 7

Question 14

halitosis

Answer 14

bad breath

Question 15

which cranial nerves are checked for PERRLA (eye movement)?

Answer 15

3, 4, 6

Question 16

eyes in toddlers

Answer 16

20/30 vision is normal

Question 17

pseudoptosis

Answer 17

relaxed upper eyelid, dropping over the eye lid

Question 18

arcus senilis

Answer 18

(“old people eyes”) .

Not pathologic, a lighter ring around eyes

Question 19

vision in elderly

Answer 19

20/30 is considered normal

color perception of blue, violet, green is impaired

presbyopia (farsighted)

Question 20

presbyopia (farsightedness) occurs

Answer 20

commonly over age 40 and a decrease in vision overall happens after 70

Question 21

edentulous

Answer 21

missing teeth

Question 22

mini cog

Answer 22

3 word recall + clock drawing test

Question 23

early childhood caries (ECC)

Answer 23

the most common chronic disease of childhood in 5-17 year olds

Question 24

ECC is ____ more common than esthma

Answer 24

5 times

Question 25

a bruit may be present with

Answer 25

hyperthyroidism or thyrotoxicosis.

Question 26

While examining the patient’s neck, the nurse finds the trachea midline but has difficulty palpating the thyroid. What action would the nurse take next?

Answer 26

document the finding as normal

Question 27

The lymph nodes that lie in front of the mastoid bone are the:

Answer 27

preauricular nodes

Question 28

Which of the following descriptions is most consistent with a patient who has hypothyroidism?

Answer 28

Slightly obese female with periorbital edema and a flat facial expression, who complains of constipation, deceased appetite, and fatigue

Question 29

The nurse can best evaluate the strength of the sternocleidomastoid muscle by having the patient

Answer 29

turn his or her head against resistance

Question 30

Which of the following best describes the instructions the nurse should give a patient when assessing the thyroid from the posterior approach?

Answer 30

Please tilt your head slightly down and to one side.

Question 31

While assessing a patient, the nurse finds a palpable lymph node in the left supraclavicular region. Which of the following should be the next action?

Answer 31

Recognize that it is not common to palpate lymph nodes in this region and they must be carefully evaluated

Question 32

While reviewing laboratory values for thyroid function on an adult patient, the nurse sees that the TSH is elevated, and the T3 and T4 are decreased. The nurse recognizes that these findings are indicative of

Answer 32

hypothyroidism

Question 33

A patient presents with a complaint of drooping of his eyes, cheeks, and mouth on one side. This finding is most likely associated with pathology of which cranial nerve?

Answer 33

cranial nerve 5

Question 34

Jaeger test and allen test are used for

Answer 34

near vision

Question 35

Patients older than 40 years of age often have a decreased ability to

Answer 35

accommodate their eyes, often needing to move the object further away to read

Question 36

nystagmus

Answer 36

rapid, involuntary movements of the eye

Question 37

astigmatism

Answer 37

common imperfection in the eye’s curvature

Question 38

Which of the following symptoms would the nurse expect the patient to report as translucent specks that drift across the visual field?

Answer 38

floaters

Question 39

Peripheral vision is evaluated by the nurse using the

Answer 39

confrontation test

Question 40

otalgia

Answer 40

earache

Question 41

tinnitus

Answer 41

ear ringing

Question 42

The whisper test evaluates

Answer 42

loss of high-frequency sounds.

Question 43

During the Rinne test, AC should be twice as long as BC. If BC is equal to or greater than AC...

Answer 43

it is evidence of conductive hearing loss

Question 44

The middle ear contains

Answer 44

the malleus, incus, and stapes (they conduct sound waves to the inner ear)

Question 45

what population has the highest risk of hearing loss

Answer 45

Older adult men of European descent have the highest incidence, which may be related to previous occupational exposure.

Question 46

Which of the following differentiates the RN assessment from the APRN assessment of the ear?

Answer 46

Otoscopic assessment

Question 47

epitaxis

Answer 47

nose bleeding

Question 48

The most common site of bleeding

Answer 48

kiesselbach plexus (highly vascular area of the nose)

Question 49

Risk factors for nose, sinus, mouth, and throat problems include

Answer 49

Risk factors specific to this area include topical decongestant use, smoking, inhaling substances and chemicals, allergies, and dust exposure.

Question 50

During routine physical examination of a 20-year-old woman, the nurse notes a septal perforation. This finding may be significant for which of the following causes?

Answer 50

Illicit drug use (cocaine and inhaled substances irritate the nose and may cause perforation)

Question 51

The nurse is testing a PT's visual accommodation, which refers to which action?

Answer 51

pupillary constriction when looking at a near object

Question 52

which test provides a precise quantitative measure of hearing?

Answer 52

audioscope test

Question 53

a PT's uvula raises midline when she says"ahh" and she has a positive gag reflex. The nurse has just tested which cranial nerves?

Answer 53

cranial nerves 9 and 10