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NURS 5220 Health Assessment Exam 1 (Actual
Exam 2025 ) | All Questions and Correct
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Micheal Jackson had vitiligo, and his skin gradually became lighter in color, many people claimed that he also wore alot of wigs. What condition of the scalp is often linked with Vitiligo? ---------CORRECT ANSWER-----------------Alopecia Areata Purple, red or brown patches or nodules on the skin, mucous membranes or internal organs caused by Human Herpes Virus 8 is called? ---------CORRECT ANSWER-----------------Kaposi Sarcoma Glossitis is associated with what deficiency? ---------CORRECT ANSWER----------------
- Vitamin B 12 Glossitis is associated with what type of anemia? ---------CORRECT ANSWER--------- --------Pernicious Anemia What are some dermal manifestations of Endocarditis? ---------CORRECT ANSWER- ----------------Lesions: small painful, purple nodules on the fingertips, hand and toes
Osler Nodes Janeway Lesions Which cranial nerve is responsible for transmitting information from the retina to the brain? ---------CORRECT ANSWER-----------------Cranial Nerve II When using the Snellen Chart, what does a vision evaluation of 20/50 mean? ------ ---CORRECT ANSWER-----------------The patient can read at 20 feet what most people can read at 50 feet Which Cranial Nerves are responsible for movements of the eyes? --------- CORRECT ANSWER-----------------Cranial nerve 3, 4, and 6 Oculomotor Nerve Trochlear Nerve Abducens Nerve Glaucoma is due to damage to what cranial nerve? ---------CORRECT ANSWER------- ----------Cranial Nerve II optic nerve
Rochelle will start her visual acuity exam without her glasses to test her vision, True or False? ---------CORRECT ANSWER-----------------False: start the visual acuity exam with corrective lenses or glasses Chelsea gets eyelash extensions often to enhance her appearance. She came into the doctors office for red, itchy and greasy crusted eyelids. When the NP took a closer look, the tiny oil glands in the eye lashes were inflamed, what is this called? ---------CORRECT ANSWER-----------------Blepharitis A pregnant patient complains of a blind spot in her vision, what is this called? ------ ---CORRECT ANSWER-----------------Scotoma A pregnant patient complains of a blind spot in her vision, what is the first thing the NP should do? ---------CORRECT ANSWER-----------------Take the patients blood pressure, this could be a sign of Pre-eclampsia This is an emergency and requires immediate medical attention What is the number one Age Related eye changes in the aging population? --------- CORRECT ANSWER-----------------Macular Degeneration
What might you find on a Fundoscopic exam that would indicate Macular degeneration? ---------CORRECT ANSWER-----------------Yellow and white deposits on retina called Drussen spots Loss of central vision is a sign of Macular Degeneration, True or False? --------- CORRECT ANSWER-----------------True What is the first step for an Ear examination? ---------CORRECT ANSWER-------------- ---Inspection What needs to be done BEFORE an Otoscope Exam? ---------CORRECT ANSWER----- ------------Palpation How do you straighten the ear canal of an adult? ---------CORRECT ANSWER--------- --------Up and back How do you straighten the ear canal of a child? ---------CORRECT ANSWER------------ -----down and back
What does the Tuning Fork Test for? - --------CORRECT ANSWER-----------------Used to differentiate between conductive and sensorineural hearing loss Conductive Hearing loss is due to damage in what part of the ear? --------- CORRECT ANSWER-----------------Middle Ear (blockages, fluid structural problems) Sensorineural Hearing loss is due to damage to what part of the ear? --------- CORRECT ANSWER-----------------Inner Ear or Auditory Nerve The Weber test is completed the patient states that they hear the sound more in one ear, what does this indicate? ---------CORRECT ANSWER-----------------Sound Lateralized (Positive) Refer to a specialist No Lateralization of sound in a Weber Test is Positive or Negative? --------- CORRECT ANSWER-----------------Negative Weber Test Describe the Rinne Test? ---------CORRECT ANSWER-----------------Strike the tuning fork and place it on the mastoid bone. Time how long the patient hears the sound. Once the sound is no longer heard, move the tuning fork in front of the ear canal and time again
Rinne Test: Air condution should be better than bone conduction by a ratio of 1:1, True or False? ---------CORRECT ANSWER-----------------False: 2: If bone condition is better than air conduction what type of hearing loss does this suggest? ---------CORRECT ANSWER-----------------Condition hearing loss Which cranial nerve is tested when having the patient identify different orders? -- -------CORRECT ANSWER-----------------Cranial Nerve 1 (Olfactory) What is the purpose of testing Transillumination of the sinuses? ---------CORRECT ANSWER-----------------To assess for fluid or pus in the sinuses How do you test Cranial Nerve XII? ---------CORRECT ANSWER-----------------Ask the patient to stick out their tongue and move it side to side. (Hypoglossal) What cranial nerve are you testing when testing the gag reflex? ---------CORRECT ANSWER-----------------Cranial Nerves IX Glossopharyngeal Cranial Nerve X (Vagus)
What is the difference between a vesicle and a bulla? ---------CORRECT ANSWER--- --------------Vesicle: A small lesion less than 0.5 cm filled with serous fluid (eg. herpes, chicken pox) Bulla: More than 0.5 cm filled with serous fluid (eg. pemphigus) Folliculitis is considered what type of common skin lesion? ---------CORRECT ANSWER-----------------Pustule: a small, inflamed pus-filled lesion that contains purulent (pus) fluid which is often yellow or green in colir Hemangiomas and spider veins are what type of common skin lesion? --------- CORRECT ANSWER-----------------Vascular Lesion: lesion involving blood vessels often appearing red or purple Cracked on the lips due to intense dehydration is consider what type of skin lesion? ---------CORRECT ANSWER-----------------Fissure: a linear crack or split in the skin that extends into the dermis What areas of the body will you most likely find Squamous Cell Carcinoma? --------
- CORRECT ANSWER-----------------Scalp Back of the hand Lips Tops of the ears
What type of skin cancer is almost always located on the face (particularly the nose), cheeks, and forehead? ---------CORRECT ANSWER-----------------Basal Cell Carcinoma The BANS area (back, axilla, neck and scalp) is associated with what type of skin cancer? ---------CORRECT ANSWER-----------------Malignant Melanoma Chloe has a rash located superior to her naval. This rash occurs when the skin comes in contact with the metal from her belt buckle or the button on her jeans. This is an example of: A. Tinea Versicolor B. Actinic Keratosis C. Lichen Planus D. Contact Dermatitis ---------CORRECT ANSWER-----------------D. Contact Dermatitis A lipoma is a malignant tumor of mature fat cells. A. True B. False ---------CORRECT ANSWER-----------------B. False
What differentiates contact dermatitis and herpes zoster? ---------CORRECT ANSWER-----------------The presence of a PAINFUL lesion Blackhead (Open/Closed) Comedone? ---------CORRECT ANSWER----------------- Open Comedone White Head (Open/Closed) Comedone? ---------CORRECT ANSWER----------------- Closed Comedone Robert often gets small, red bumps with a white center after shaving his face, what could this be? ---------CORRECT ANSWER-----------------Folliculitis: inflammation of the hair follicles, usually due to superficial skin infection What is the difference between Cellulitis and Folliculitis? ---------CORRECT ANSWER-----------------Folliculitis is superficial and occurs in the hair follicle while Cellulitis is a bacterial skin infection that spreads to the deeper layers of the skin including the dermis and subcutaneous tissues Superficial fungal infection that causes hypo- or hyperpigmentation pathed on the trunk or back is called? ---------CORRECT ANSWER-----------------Tinea versicolor
What is the Woods Lamp used for? ---------CORRECT ANSWER----------------- Illuminate fungi, bacterial disorders, pigmentation problems Where is Tineas Faciei located? ---------CORRECT ANSWER-----------------The face Where is Tinea cruris? ---------CORRECT ANSWER-----------------groin, jock itch A 45 year old woman comes in with a shiny flat topped purple reticulated scales on her tongue, wrists and hands. She says that it is very itchy. What could this be? ---------CORRECT ANSWER-----------------Lichen Planus Marley is a 60 year old Caucasian Man who loves to run marathons while living in Texas. He came in for a rough patch on the top of his head. It's raised, not painful or itchy. He confessed that sometime he forgets to use sunscreen on his bald spot. What could this be? ---------CORRECT ANSWER-----------------Actinic Keratosis Grouped vesicle on erythematous base, erosions crating, pain, tenderness, paresthesia and burning sensation found on the mouth or genitals. What could this be? ---------CORRECT ANSWER-----------------Herpes Simplex
What age should you start testing for visual acuity in children? ---------CORRECT ANSWER-----------------Age 3 or 4 depending on development What test is used for testing peripheral vision? ---------CORRECT ANSWER------------ -----Confrontation Test What term refers to the construction of the pupils when a patient focuses on an object held about 10cm away from the nose? ---------CORRECT ANSWER-------------- ---Accommodation How do you perform a corneal light reflex test? ---------CORRECT ANSWER----------- ------Shine a light on the middle of the patients nose between the eyes. Check for symmetry in the light reflex of the eye. What does Asymmetry in a Corneal Light Reflex Test suggest? ---------CORRECT ANSWER-----------------It's suggest that Extraoccular muscles are not intact Esotropia ---------CORRECT ANSWER-----------------inward turning of the eye
Exotropia ---------CORRECT ANSWER-----------------outward turning of the eye Hypertropia ---------CORRECT ANSWER-----------------upward deviation of one eye Hypotropia ---------CORRECT ANSWER-----------------downward deviation of one eye How do you test the function of Field of Gaze and test cranial nerves 3, 4, and 6? - --------CORRECT ANSWER-----------------Ask the patient to follow your finger, pen, or car as you move it in and H pattern to evaluate all fields of gaze. Assess for smoothness of movement and symmetry What is a Hordeolum? ---------CORRECT ANSWER-----------------stye What might you see in a patients eye with Marfans, Turner's or minicycline exposure? ---------CORRECT ANSWER-----------------Blue sclera If a patient come in with Scleral Icterus, what might you want to test for? --------- CORRECT ANSWER-----------------Test for Liver Disease
A patient presents with a dark brown spot in the iris which has just appeared within the last few months. What could this indicate? ---------CORRECT ANSWER--- --------------Melanoma of the eye What is the name for clumped proteins that appear in the lens of the eye usually due to aging? ---------CORRECT ANSWER-----------------Cataracts What exam is used to monitor for Diabetic Retinopathy? ---------CORRECT ANSWER-----------------Fundoscopic Exam Tonsil Grading: Grade 1 ---------CORRECT ANSWER-----------------Tonsils are barely visible Tonsil Grading: Grade 2 ---------CORRECT ANSWER-----------------Tonsils are more visible but not touching the uvula Tonsil Grading: Grade 3 ---------CORRECT ANSWER-----------------Tonsils are almost touching the uvula Tonsil Grading: Grade 4 ---------CORRECT ANSWER-----------------"Kissing tonsils" tonsils touching each other
When asking the patient to open their mouth and say "ahh" what do we look for and what Cranial Nerves are we testing? ---------CORRECT ANSWER----------------- We want the soft palate and the uvula to rise symmetrically Cranial nerves IX and X Glossopharyngeal and Vagus In Pediatrics Assessment, unilateral discharge in the nose could indicate what? ---- -----CORRECT ANSWER-----------------Presence of a foreign body in a nostril At what age do sinuses develop? ---------CORRECT ANSWER-----------------Age 7- 8 years What are the characteristics of Ménière's disease? ---------CORRECT ANSWER------- ----------A chronic inner ear disorder Vertigo Hearing loss Tinnitus Aural Fullness
