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Columbia NURS244 – Health Assessment and Health Promotion

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_____________________________________

Write a page paper – Describe how to elicit the consentual light response and what you
observe: (3 points)

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