NR509 Advanced Health Assessment Questions and Correct Answers.Very first step Introduce yourself!First Exam Head and face Head and Face Step #1 Inspect facial skin (note abnormal lesions) Head and Face Step #2 Inspect head for size, symmetry, midline position Head and Face Step #3 Palpate lymph nodes of head and neck Lymph nodes of head and neck Preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior cervical, posterior cervical, supraclavicular Head and Face Step #4 CN 5 CN 5 Name Trigeminal CN 5 Assessment
Motor: Palpate over masseter muscle as pt clenches jaw
Sensory: light touch sensation to forehead, cheeks, chin, nose (pt closes eyes, identifies where they are touched) Head and Face Step #5 CN 7 CN 7 Name Facial CN 7 Assessment Inspect face for symmetry (smile, frown, raise eyebrows, puff cheeks, pucker lips) Second Exam Ear Ear Step #1 Inspect outer ear for skin lesions and symmetry Ear Step #2 Inspect auditory canal and TM (otoscope) Ear Step #3 Palpate pinnae and tragus for nodules and tenderness Ear Step #4 CN 8 CN 8 Name Acoustic CN 8 Assessment Whisper test (pt covers opposite ear, I cover my mouth and whisper 3 words out of pt's sight, pt repeats words back; one ear at a time) 1 / 2
Third Exam Eye Eye Step #1 Inspects sclera and conjunctiva Eye Step #2 CN 2 CN 2 Name Optic CN 2 Assessment Assess gross visual acuity and peripheral/central vision (cover 1 eye at a time, then open both; wiggle fingers in periphery: "Tell me when you can see my fingers.") Check pupillary response to light (PERRL) Eye Step #3
CN 3, 4, 6
CN 3 Name Oculomotor CN 4 Name Trochlear CN 6 Name Abducens CN 3, 4, 6 Assessment Test for conjugate gase with EOM (star or H pattern) Fourth Exam Nose Nose Step #1 Inspect nose midline and straight Nose Step #2 Assess nasal turbinates and septum (light source): "Pink, moist, septum without deviation" Nose Step #3 Palpate frontal and maxillary sinuses Fifth Exam Throat and mouth Throat and Mouth Step #1 Inspect lips, teeth, gums, buccal mucosa, palate, tongue, floor of the mouth, posterior pharynx, tonsils (grade tonsils if present, 0-5) Throat and Mouth Step #2 CN 9 and 10 CN 9 Name Glossopharyngeal CN 9 Assessment Gag reflex (NOT TESTED FOR IMMERSION) CN 10 Name Vagus CN 10 Assessment Say "Aaaahh" and soft palate/uvula rise symmetrically with phonation
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