Answer Key

#1 An 85-year-old man has come in for a physical examination, and the nurse notes that he uses a cane. When documenting general appearance, the nurse will document this information under the section that covers: B -- mobility
#2 The nurse is performing a vision examination. Which of the following charts is most widely used for vision examinations? A -- Snellen
#3 After the health history has been obtained, and before beginning the physical examination, the nurse should ask the patient to first: A -- empty the bladder
#4 While the nurse palpates the maxillary sinuses, the patient tells the nurse that he has some tenderness in that area. The nurse should proceed by: D -- transilluminating the sinuses
#5 A patient states 'whenever I open my mouth real wide, I feel this popping sensation in front of my ears.' To further examine this, the nurse would: D -- place a finger on his temporomandibular joint and ask him to open and close his mouth.
#6 The nurse has just completed an examination of a patient's extraocular muscles. When documenting the findings, the nurse would note the assessment of which cranial nerves? D -- III, IV, VI
#7 A patient's uvula rises midline when she says 'ahh' and she has a positive gag reflex. The nurse has just tested which cranial nerves? A -- IX, X
#8 During an examination, the nurse notices that a patient is unable to stick out his tongue. Which cranial nerve is involved with successful performance of this action? D -- XII
#9 A patient is unable to shrug her shoulders against the nurse's resistant hands. What cranial nerve is involved with successful shoulder shrugging? C -- XI
#10 During an examination, a patient has just successfully completed the finger-to-nose and the rapid-alternating-movements tests and is able to run each heel down the opposite shin. The nurse will conclude that the patient's: D -- cerebellar function is intact.
#11 Congenitl deformity of the foot in which it is plantar flexed and inverted. C -- talipes equinovarus
#12 A 5-year-old child is in the clinic for a checkup. The nurse would expect him to: B -- be able to sit on the examination table
#13 When the nurse performs the confrontation test, the nurse has assessed: D -- visual fields
#14 Which of the following statements is true regarding the complete physical assessment? B -- The patient should be in the sitting position for examination of the head and neck.
#15 A patient tells the nurse that 'sometimes I wake up at night and I have real trouble breathing. I have to sit up in bed to get a good breath.' When documenting this information, the nurse would note: C -- paroxysmal nocturnal dyspnea.