||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
||The nurse is performing a vision examination. Which of the following charts is most widely used for vision examinations?
||A -- Snellen
||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
||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
|| 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.
||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
||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
||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
|| 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
||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.
||Congenitl deformity of the foot in which it is plantar flexed and inverted.
||C -- talipes equinovarus
|| 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
||When the nurse performs the confrontation test, the nurse has assessed:
||D -- visual fields
||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.
||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.