Columbia NURS244 – Health Assessment and Health Promotion

11 Jun Columbia NURS244 – Health Assessment and Health Promotion

Question
NURS244

Health Assessment and Health Promotion

Quiz #3

Name ___________________________________________________ Date ___________________

Match the following terms and definitions: (1 point each)

ANSWER

DEFINITIONS

TERMS

1.

1. excessively pale, whitish-pink color of lightly

pigmented skin

A. Pruritis

2.

2. elevated cavity containing fluid, larger than 1 cm.

in diameter

B. Confluent

3.

3. elevated cavity containing fluid, less than 1 cm. in

diameter

C. Macule

4.

4. another term for itching

D. Erythema

5.

5. slightly raised, palpable skin lesion, less than 1 cm.

in diameter

E. Papule

6.

6. hypertrophic scars

F. Vesicle

7.

7. intense redness of the skin due to excess blood in

dilated superficial capillaries

G. Pallor

8.

8. flat skin lesion with color change

H. Annular

9.

9. skin lesions that run together

I. Keloid

10.

10. circular shaped skin lesions

J. Bulla

The following multiple choice questions are worth 2 points each.

11. An elderly man is brought to the ER with a history of diarrhea, vomiting, and loss of appetite x 4

days. The nurse checks his skin turgor. This is done to assess for:

A _____ scleroderma

B _____ dehydration

C _____ edema

D _____ lesions

12. The ABCDE rule is use as a reminder when assessing suspicious skin lesions. The “A” in the ABCDE

rule stands for:

A _____ attenuation

B _____ appearance

C _____ accuracy

D _____ asymmetry

13. Flattening of the nailbed to 180 degrees is:

A _____ normal

B _____ seen in bacterial endocarditis

C _____ clubbing

D _____ related to vitamin deficiency

14. When assessing the neck, normal lymph nodes will have which of the following characteristics:

A _____ fixed, tender, and firm

B _____ large, tender, and soft

C _____ mobile, soft, and non-tender

D _____ fixed, firm, and non-tender

15. Offering mild resistance and asking the patient to shrug their shoulders is a test of Cranial Nerve:

A _____ V

B _____ VII

C _____ IX

D _____ XI

Choose from the list of words below to fill in the blanks in the following sentences. (Not all words will be used: worth 1 point each)

Preauricular Isthmus Macula Optic disc

Postauricular Cyanosis Entropian Diplopia

Submental Miosis Extropian Supraclavicular

Occipital Nystagmus Cataract Myopia

16. The term for double vision is _______________________________________.

17. Lymph nodes located in front of the ear are called __________________________________.

18. Lymph nodes located at the base of the skull are called ______________________________.

19. Constriction of the pupils is called ____________________________________.

20. Opacity of the lens of the eye, which can occur with aging, is a ___________________________.

21. Involuntary, rapid movement of the eyeball is called ________________________________.

22. ____________________________________ nodes are found above the clavicle.

23. Blood vessels enter and exit the fundus at the ________________________________.

24. Inward rolling of the lower eyelid is called ___________________________________.

25. Outward rolling of the lower eyelid is called _________________________________.

26. When examining the fundus of the eye using the ophthalmoscope, light reflecting from the retina

causes:

A _____ petechial hemorrhage

B _____ glaucoma

C _____ the Red Reflex

D _____ visualization of cataracts

27. Which of the following symptoms would be considered an eye emergency:

A. _____ floaters

B _____ sudden onset of vision change

C _____ photophobia

D _____ excessive lacrimation

28. When using the otoscope to examine the ears of a 5-year old, you should pull the pinna:

A _____ up and forward

B _____ down and forward

C _____ down and back

D _____ up and back

29. Impacted cerumen is a common finding on otoscopic examination. It can also be a cause of:

A _____ sensorineural hearing loss

B _____ conductive hearing loss

C _____ presbycusis

D _____ otitis media

30. On examination of the throat, the tonsils are noted to be enlarged, and documented as being 3+.

This means that they are:

A _____ visible

B _____ halfway between the tonsillar pillars and uvula

C _____ touching each other

D _____ touching the uvula

31. Small, round, white, shiny nodules on the hard palate and gums of an infant are noted. You

document your findings as:

A _____ aphthous ulcers

B _____ Epstein’s Pearls

C _____ Monilial infection

D _____ Candidiasis

32. You are examining the nose of a 75-year old man. All of your findings are normal appropriate for his

age. Which of the following would most likely NOT be a finding for this patient:

A _____ atrophy of the gums

B _____ decreased saliva production

C _____ more prominent nasal hair

D _____ increased sense of smell

33. When examining the face, which of the following sinuses can be assessed:

A _____ ethmoid and sphenoid

B _____ frontal and ethmoid

C _____ frontal and maxillary

D _____ maxillary and sphenoid

34. On examination of the nose, you find red, swollen mucosa, and drainage. You document this as:

A _____ gingivitis

B _____ rhinitis

C _____ cheilitis

D _____ candidiasis

35. To assess hearing acuity in a 6-month old infant, you would:

A _____ test the Moro (startle) reflex

B _____ use audiometry

C _____ call the child’s name and observe the response

D _____ assess their speech

BONUS POINTS

When assessing a patients’ pupils and noting no abnormalities, you record your findings as “PERRLA”.

What does each letter in the acronym stand for? (3 points – must get all letters correct)

P_____________________________________

E _____________________________________

R_____________________________________

R_____________________________________

L_____________________________________

A_____________________________________

Describe how to elicit the consentual light response and what you observe: (3 points)