NURS 203 EXAM 2
When testing visual acuity using the Snellen chart, how many feet should the nurse have the patient stand from the chart?
A. 15 feet
B. 20 feet
C. 30 feet
D. 10 feet - Answer- B
The Rosenbaum Pocket Vision Screener is used to test each eye separately for:
A. Far vision...
NURS 203 EXAM 2
When testing visual acuity using the Snellen chart, how many feet should the nurse
have the patient stand from the chart?
A. 15 feet
B. 20 feet
C. 30 feet
D. 10 feet - Answer- B
The Rosenbaum Pocket Vision Screener is used to test each eye separately for:
A. Far vision
B. Color blindness
C. Near vision
D. Intermediate vision - Answer- C
The Confrontation Screening test is used to test:
A. Peripheral vision
B. Color vision
C. Retina Accommodation
D. Central vision - Answer- A
The exposure of the sclera above the iris when the patient is asked to follow the
nurse's finger in a smooth movement from ceiling to floor is called:
A. Esotropia
B. Strabismus
C. Lid lag
D. Nystagmus - Answer- C
While assessing the eye of an adult client, the nurse observes a sustained
involuntary rhythmic jerking moment of the eyes horizontally. The nurse would
document the client has:
A. Strabismus
B. Exotropia
C. Nystagmus
D. Phoria - Answer- C
The sharply well defined, yellow to creamy pink area of the retina through which
blood vessels enter and exit the eye and through which the optic nerve enters the
eye is called:
A. Optic disc
B. Lens
C. Fundus
D. Fovea centralis - Answer- A
When looking in the right eye of the patient, it is best for the nurse to hold the
ophthalmoscope in her:
A. Neither hand- ophthalmoscope is heavy and always sits on a table
B. Does not matter
,C. Right hand
D. Left hand - Answer- C
The gradual loss of clarity of the eye lens resulting from a clouding of the lens that
can become partially or totally opaque leading to a reduction in the ability of an
elderly patient to see is called a:
A. Ptosis
B. Cataract
C. Blepharitis
D. Pterygium - Answer- B
When the nurse records a patient's visual acuity as 20/100 it means that the patient
can read at 100 feet what a person with "normal" vision can read at 20 feet.
A. True
B. False - Answer- B
The nurse must always perform a complete funduscopic examination in a newborn
within 24 hours of birth.
A. True
B. False - Answer- A
Newborns are obligatory nose breathers, so nasal patency must be assessed at
birth.
A. True
B. False - Answer- A
When performing the whispered voice test, how far should the nurse stand from the
patient's ear that is being tested?
A. 1 to 2 feet
B. 10 feet
C. 1 to 2 yards
D. 1 to 2 inches - Answer- A
The nurse is preparing to examine the ears of an adult client with an otoscope. The
nurse should plan to:
A. Use a speculum that measures 10 mm in diameter
B. Firmly pull the auricle out, up, and back
C. Release the auricle during the examination
D. Ask the client to tilt the head slightly forward - Answer- B
Cyanosis (bluish purple lips) results from:
A. Scarlet fever
B. Anemia
C. Allergy
D. Respiratory or cardiovascular disease - Answer- D
Sense of smell is tested by recognition of different odors. The nurse is testing cranial
nerve:
A. IV
B. II
, C. I
D. III - Answer- C
A full mouth of teeth in an adult numbers:
A. 24
B. 28
C. 32
D. 20 - Answer- C
A healthy tympanic membrane of the ear should be what color?
A. Pink
B. Pearly gray
C. Off-white
D. Red - Answer- B
Taste buds sensitive to the primary sensations of sour, sweet, salty, and bitter are
located on specific areas of the:
A. Hard palate
B. Mucous membranes of the jaws
C. Floor of the mouth
D. Tongue - Answer- D
Enlarged tonsils which nearly touch the uvula in the back of the throat would be
classified in size as being:
A. 1+
B. 3+
C. 4+
D. 2+ - Answer- B
When properly performed what should the nurse expect to happen when she
stimulates the Glossopharyngeal and Vagus nerves in the throat?
A. Violent coughing
B. Hiccups
C. Gagging
D. Vomiting - Answer- C
What sound is usually associated with percussion over the abdomen?
A. hyperresonance
B. reverberated
C. hollow
D. tympany - Answer- D
Clubbing of the fingers and/or toes is described as:
A. Pitting edema of the distal joints
B. Scarring of the proximal nailbeds
C. Asymmetrical swelling and discoloration
D. Enlargement of the terminal phalanges - Answer- D
At any age, which of the following is an indicator of respiratory disease?
A. Vocal hoarseness
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