1) The nurse is testing the six cardinal fields of gaze. The nurse knows that is testing which cranial nerves? a) II, IV, VI b) III, V, VII c) III, IV, VI d) III, V, VI 2) A client tells the nurse they see halos around light. Which question should the nurse ask the client? a) "Do you take any routine medications?" b) "Do you wear corrective lenses?" c) "Have you experienced any eye trauma?" d) "When was your last eye examination?" 3) During an eye assessment, a young adult client reports difficulty seeing items within close range. This assessment data is consistent with which factor? a) Aging b) Presbyopia c) Hyperopia d) Astigmatism 4) A nurse is asking the patient to follow the pencil that is moved centrally toward the bridge of the patient’s nose. Which test is the nurse performing? a) Cover-uncover test b) Test for nystagmus c) Corneal light reflex d) Test for convergence 5) A nurse is assessing an 80- year old patient and notices that the patient's lower lashes are not visible because the lid margin has turned inward. How would the nurse document this finding? a) Ectropion b) Entropion c) Ptosis d) Exophthalmos 6) The nurse is performing an fundoscopic exam on her patient. The nurse visualizes the following "cotton wool" spots on examination. The nurse recognizes this finding as:  a) Hypertensive retinopathy b) Diabetic retinopathy c) Age- related macular degeneration d) Glaucoma 7) A patient is having difficulty focusing on near and far objects. The patient is said to be having problems with: a) Pupillary constriction b) Pupillary dilation c) Accommodation d) Convergence 8) The nurse notes that the top of the patient's ear pinnae are at the level of the outer canthus of the eye. The nurse recognizes this finding as: a) Down syndrome b) Normal c) Hyperthyroidism d) Hypothyroidism 9) A patient presents with lesions that are elevated, fluid-filled, oval shaped, with translucent walls approximately 0.75 cm in size. The nurse documents this finding as: a) Vesicular b) Nodules c) Pustules d) Bullae 10) A nurse is caring for a patient following a motor vehicle accident. While the patient is laying on the stretcher, the nurse notes clear fluid draining from the left ear. The nurse knows this is due to: a) Otitis media b) Cerebrospinal fluid draining c) Otitis externa d) Barotrauma 11) A nurse is performing a whisper test, and the patient fails the test. Which of the following results of the whisper test made the nurse conclude that the patient's hearing acuity is poor? a) The patient repeats the initial sequence of numbers and letters accurately b) The patient repeats three out of six-letter-number combinations correctly c) The patient reports four out of six letter-number combinations correctly d) The patient repeats four out of six letter-number combinations incorrectly 12) A nurse is assessing a patient who presented with fever, malaise and throat pain. The nurse examines the patient’s throat and finds the tonsils inflamed and are between the tonsillar pillars and the uvula. Which of the following is the correct tonsils grading? a) 1+ b) 2+ c) 3+ d) 4+ 13) To approach a deaf client, what should the nurse do FIRST? a) Knock on the room's door loudly b) Close and open the vertical blinds rapidly c) Talk while walking into the room d) Get the client's attention 14) The emergency department triage nurse is assessing a child who has a history of a cough and nasal congestion for the last three days. When assessing patency of the nares, the nurse notes that the child is unable to breathe through the right nostril. Which interpretation of the assessment data by the nurse is the most appropriate? a) Produced by severe nasal inflammation or obstruction. b) Normal for a child. c) A result of chronic allergies. d) A result of sinusitis. 15) A client presents in the healthcare provider's office with complaints of headache and malaise. During the assessment, the nurse notes the client is experiencing severe pain when palpating behind the ears. Based on this data, which diagnosis does the nurse anticipate? a) Sinusitis. b) Mastoiditis. c) Chronic allergies. d) Anemia. 16) A nurse is assessing a pregnant patient. On assessment of the mouth, the nurse notes her patient has an enlargement of the gums. The nurse knows this finding is: a) Cleft lip b) Gingivitis c) Gingival hyperplasia d) Aphthous Ulcers 17) As a nurse enters the room of their patient complaining of nasal congestion, they note that the client has noisy breathing. The nurse knows this finding means: a) The presence of obstruction or infection b) Normal c) Needs immediate provider notification d) Epistaxis

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