Exam 2 / HA 1215/ Galveston College/2022
1. A patient's laboratory data reveal an elevated thyroxin (T4) level. The nurse would proceed with an examination of the ___________ gland.
2. The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
3. A woman ...
a patients laboratory data reveal an elevated thyroxin t4 level the nurse would proceed with an examination of the
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Galveston College
RNSG 1215 / HA 1215 (HA1215_RNSG1215)
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Exam 2 / HA 1215/ Galveston College/2022
1. A patient's laboratory data reveal an elevated thyroxin (T4) level. The nurse
would proceed with an examination of the ___________ gland.
- Thyroid
2. The nurse is aware that the four areas in the body where lymph nodes are
accessible are the:
- Head and neck, arms, inguinal area , and axillae
3. A woman comes to the clinic and states, "I've been sick for so long! My eyes
have gotten so puffy, and my eyebrows and hair have become coarse and dry."
The nurse will assess for other signs and symptoms of:
- Myxedema
4. During an examination, the nurse knows that the best way to palpate the lymph
nodes in the neck is described by which statement?
- Using gentle pressure, palpate with both hands to compare the two sides.
5. During a well-baby checkup, a mother is concerned because her 2-month-old
infant cannot hold her head up when she is pulled to a sitting position. Which
response by the nurse is appropriate?
- Head control is usually achieved by 4 months of age
6. A mother asks when her newborn infants eyesight will be developed. The nurse
should reply:
- By approximately 3 months of age, infants develop more coordinated eye
movements and can fixate on an object.
7. A 52-year-old patient describes the presence of occasional floaters or spots
moving in front of his eyes.
- Know that floaters are usually insignificant and are caused by condensed
vitreous fibers.
8. The nurse is preparing to assess the visual acuity of a 16-year-old patient. How
should the nurse proceed?
- Use the Snellen chart positioned 20 feet away from the patient.
9. During an examination of the eye, the nurse would expect what normal finding
when assessing the lacrimal apparatus?
- Absence of drainage from the punch when pressing against the inner orbital
rim.
10. A 2-week- old infant can fixate on an object but cannot follow a light or bright toy.
The nurse would:
- Consider this a normal finding.
, 11. By 2 to 4 weeks an infant can fixate on an object. By the age of 1 month, the
infant should fixate and follow a bright light or toy.
- Test for color vision once between the ages of 4 and 8 years.
12. A patient comes to the emergency department after a boxing match, and his left
eye is swollen almost shut.. He has bruises on his face and neck. He says he is
worried because he can't see well from his left eye. The physician suspects
retinal damage. The nurse recognizes that signs of retinal detachment include:
- Shadow or diminished vision in one quadrant oe one half of the visual field.
13. A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that
she has been having trouble reading the paper, sewing, and even seeing the
faces of her grandchildren. On examination, the nurse notes that she has some
loss of central vision but her peripheral vision is normal. These findings suggest
that she may have:
- Macular degeneration
14. A patient comes into the emergency department after an accident at work. A
machine blew dust into his eyes, and he was not wearing safety glasses. The
nurse examines his cones by shining a light from the side across the cornea.
What findings would suggest that he has suffered a corneal abrasion?
- Shattered look to the light rays reflecting off the cornea
15. In performing an examination of a 3-year-old child with a suspected ear infection,
the nurse would..
- Perform the otoscopic examination at the end of the assessment.
16. The nurse is preparing to perform an otoscopic examination of a newborn infant.
Which statement is true regarding this examination?
- The normal membrane may appear thick and opaque
17. The mother of a 2-year-old toddler is concerned about the upcoming placement
of tympanostomy tubes in her sons ears. The nurse would include which of these
statements in the teaching plan?
- The purpose of the tubes is to decrease the pressure and allow for drainage
18. The nurse is performing an assessment on a 65-year-old man. He reports a
crusty nodule behind the pinna it intermittently bleeds and has not healed over
the past 6 months. On physical assessment, the nurse finds an ulcerated crusted
nodule with an indurated base. The preliminary analysis in this situation is that
this:
- Could be potential carcinoma, and the patient should be referred for a biopsy.
19. The nurse is conducting a child safety class for new mothers. Which factor
places young children at risk for ear infection? - Passive cigarette smoke
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