NUR 300 Exam 2

1.

1 point

A patient has blurred peripheral vision. You suspect glaucoma and test the visual fields. A person with normal vision would see your finger moving temporally at:

50 degrees

60 degrees

90 degrees

180 degrees

2.

1 point

The second heart sound is a result of:

opening of the mitral and tricuspid valves

closing the mitral and tricuspid valves

opening of the aortic and pulmonic valves

closing of the aortic and pulmonic valves

3.

1 point

Use of the ophthalmoscope: an interruption of the red reflex occurs when:

there is an opacity in the cornea or lens

the patient has pathology of the optic tract

the blood vessels and tortuous

the pupils are constricted

4.

1 point

The isthmus of the thyroid gland lies just below the:

mandible

cricoid cartilage

hyoid cartilage

thyroid cartilage

5.

1 point

The retinal structures viewed through the ophthalmoscope are:

the optic disc, retinal vessels, general background and macula

the cornea, lens, choroid and ciliary body

the optic papilla, sclera, retina and iris

the pupil, sclera, ciliary body and macula

6.

1 point

While viewing with the otoscope, the examiner instructs the person to hold the nose and swallow. During this maneuver, the eardrum should:

flutter

retract

bulge

remain immobile

7.

1 point

During the otoscope examination of a child younger than 3 years, the examiner:

pulls the pinna up and back

pulls the pinna down

holds the pinna gently but firmly in its normal position

tilts the head slightly toward the examiner

8.

1 point

A person is known to be blind in the left eye. What happens to the pupils when the right eye is illuminated by a penlight beam?

no response in both

both pupils constrict

right pupil contricts, left has no response

left pupil constricts, right has no response

9.

1 point

Be alert to symptoms that may constitute an eye emergency. Identify the symptoms that should be referred immediately:

floaters

epiphora

sudden onset of vision change

photophobia

10.

1 point

Before examining the ear with the otoscope, the ______ should be palpated for tenderness

helix, external auditory meatus and lobule

mastoid process, tympanic membrane and malleus

pinna, pars flaccida, and antitragus

pinna, tragus and mastoid process

11.

1 point

The six muscles that control eye movement are innervated by cranial nerves:

II, III, V

IV, VI, VII

III, IV, VI

II, III, VI

12.

1 point

The sensation of vertigo is the result of:

otitis media

pathology in the semicircular canals

pathology in the cochlea

4th cranial nerve damage

13.

1 point

The examiner suspects an infant's head is of abnormal size and can use which procedure to verify these findings?

palpation

measuring tape

observing for symmetry of facial features

noting absence of the tonic neck reflex

14.

1 point

The precordium is:

a synonym for the mediastinum

the area on the chest where the apical pulse is felt

the area on the chest overlying the heart and great vessels

a synonym for the area where the superior and inferior vena cava return unoxygenated blood to the right side of the heart

15.

1 point

It is normal to palpate a few lymph nodes in the neck of a healthy person. What are the characteristics of these nodes?

mobile, soft, non-tender

large, clumped, tender

matted, fixed, tender, hard

matted, fixed, nontender

16.

1 point

Several changes occur in the eye with the aging process. The thickening and yellowing of the lens is referred to as:

presbyopia

floaters

macular degeneration

senile cataract

17.

1 point

When the ear is being examined with an otoscope, the patient's head should be:

tilted toward the examiner

tilted away from the examiner

as vertical as possible

tilted down

18.

1 point

Upon examination, the fontanels should feel:

tense or bulging

depressed or sunken

firm, slightly concave and well defined

pulsating

19.

1 point

Select the best description of the tricuspid valve:

left semilunar valve

right atrioventricular valve

left atrioventricular valve

right semilunar valve

20.

1 point

Sensorineural hearing loss may be related to:

a gradual nerve degeneration

foreign bodies

impacted cerumen

perforated tympanic membrane

21.

1 point

The examiner records "positive consensual light reflex." This is:

the convergence of the axes of the eyeballs

the simultaneous constriction of the other pupil when one eye is exposed to bright light

a reflex direction of the eye toward an object attracting a person's attention

the adaptation of the eye for near vision

22.

1 point

Upon examination of the tympanic membrane, visualization of which of the following findings indicates the infection of acute purulent otitis media?

absent light reflex, bluish drum, oval dark areas

absent light reflex, reddened drum, bulging drum

oval dark areas on drum

absent light reflex, air-fluid leel, or bubbles behind drum

retracted drum, very prominent landmarks

23.

1 point

When assessing hearing acuity in a 6 month old child, the examiner should:

use an audiometer

observe for shyness and withdrawal

watch for head turning when saying the childs name

test the startle (Moro) reflex

24.

1 point

Risk reduction for acute otitis media includes:

use of pacifiers

increasing group daycare

avoid breastfeeding

eliminating smoking in the house and car

25.

1 point

Select the symptom that is least likely to indicate a possible malignancy:

history of radiation therapy to head, neck, or upper chest

history of using chewing tobacco

history of large alcohol consumption

tenderness

26.

1 point

Cephalhematoma is associated with:

subperiosteal hemorrhage

increased intracranial pressure

downs syndrome

mental retardation

27.

1 point

Select the statement that is true regarding cluster headaches

may be precipitated by alcohol and daytime napping

usual occurence is two per month, each lasting 1 to 3 days

characterized as throbbing

tend to be supraorbital, retro-orbital, or frontotemporal

28.

1 point

The function of the pulmonic valve is to:

divide the left atrium and left ventricle

guard the opening between the right atrium and right ventricle

protect the orfice between the right ventricle and the pulmonary artery

guard the entrance to the aorta from the left ventricle

29.

1 point

When using the ophthalmoscope, you would:

remove your own glasses and approach the patients left eye with your right eye

leave light on in the examining room and remove glasses from the patient

remove glasses and set the diopter setting at 0

use the smaller white light and instruct the patient to focus on the ophthalmoscope

30.

1 point

Normal cervical lymph nodes are:

smaller than 1 cm

warm to palpation

fixed

warm

31.

1 point

The corneal reflex is mediated by cranial nerves:

II and III

II and VI

V and VII

VI and IV

32.

1 point

In examining a young adult woman, you observe her tympanic membrane to be yellow in color. You suspect she has:

serumen in the middle ear

blood in the middle ear

infection of the drumhead

jaundice

33.

1 point

Conjunctivitis is always associated with:

absent red reflex

reddened conjunctiva

impairment of vision

fever

34.

1 point

A throbbing, unilateral pain associated with nausea, vomiting, and photophobia is a characteristic of:

cluster headache

subarachnoid hemorrhage

migraine headache

tension headache

35.

1 point

A common cause of a conductive hearing loss is:

impacted cerumen

acute rheumatic fever

a CVA

otitis externa

36.

1 point

Providing resistance while the patient shrugs the shoulders is a test of the status of cranial nerve:

II

V

IX

XI

37.

1 point

The examiner has estimated the jugular venous pressure. Identify the finding that is abnormal:

patient elevated to 30 degrees, internal jugular vein pulsation at 1 cm above sternal angle

patient elevated to 30 degrees, internal jugular vein pulsation at 2 cm above sternal angle

patient elevated to 40 degrees, internal jugular vein pulsation at 1 cm above sternal angle

patient elevated to 45 degrees, internal jugular vein pulsation at 4 cm above sternal angle

38.

1 point

Visual acuity is assessed with:

the Snellen eye chart

an ophthalmoscope

the Hirschberg test

the confrontation test

39.

1 point

Darwin's tubercle is:

an overgrowth of scar tissue

a blocked sebaceous gland

a sign of gout called tophi

a congenital, painless nodule at the helix

40.

1 point

In examining the ear of an adult, the canal is straightened by pulling the auricle:

down and forward

down and back

up and back

up and forward

41.

1 point

If the thyroid gland is enlarged bilaterally, which of the following maneuvers is appropriate?

check for deviation of the trachea

listen for a bruit over the carotid arteries

listen for a murmur over the aortic area

listen for a bruit over the thyroid lobes

42.

1 point

Atrial systole occurs:

during ventricular systole

during ventricular diastole

concurrently with ventricular systole

independently of ventricular function

43.

1 point

What is the cause of the red reflex?

petechial hemorrhages in the sclera

diabetic retinopathy

light reflecting from the retina

blood in the vitreous

44.

1 point

Identify the facial bone that articulates at a joint instead of a suture:

zygomatic

maxilla

nasal

mandible

45.

1 point

Bell's palsy is characterized by:

unilateral paralysis of half of the face

bulging eyeballs

a face that appears masklike

a puffy, edematous face

46.

1 point

The hearing receptors are located in the:

vestibule

semicircular canals

middle ear

cochlea

47.

1 point

The palpebral fissure is:

the border between the cornea and sclera

the open space between the eyelids

the angle where the eyelids meet

visible on the upper and lower lids at the inner canthus

48.

1 point

Using the otoscope, the tympanic membrane is visualized. The color of a normal membrane is:

deep pink

creamy white

pearly gray

dependent upon the ethnicity of the individual

49.

1 point

Identify the blood vessel that runs diagonally across the sternomastoid muscle:

temporal artery

carotid artery

external jugular vein

internal jugular vein

50.

1 point

A patient with a head injury has clear, watery drainage from the ear; the examiner should:

place a cotton ball loosely at the entrance to the ear canal

assess for the presence of glucose in the drainage

perform pneumatic otoscope to assess for drum hypomobility

assess for the presence of a tympanostomy tube in the ear