Exam 10: Head, Eyes, Ears, Nose, and Throat

Which finding warrants a referral for additional evaluation?

During symptom analysis, the nurse helps the patient distinguish between dizziness and vertigo. Which description by the patient indicates dizziness?

Which finding on assessment of a patient's eyes should the nurse document as abnormal?

What technique does a nurse use when palpating the right lobe of a patient's thyroid gland using the posterior approach?

How does the nurse perform a Rinne test of hearing function?

The nurse palpates the patient's jaw movement, placing two fingers in front of each ear and asking the patient to slowly open and close the mouth. What additional request does the nurse ask the patient to do to assess the jaw?

When using an ophthalmoscope to examine the internal eye, how does the nurse distinguish the retinal arteries from the retinal veins?

On inspection of the external eye structures of an African-American patient, the nurse notices the sclerae are not white, but appear a darker shade with tiny black dots of pigmentation near the limbus. How does the nurse document this finding?

While taking a history, the nurse observes that the patient's facial cranial nerves (CN VII) are intact based on which behaviors of the patient?

What instructions does the nurse give the patient before using the Snellen visual acuity chart?

A patient is in a sitting position as the nurse palpates the temporal arteries and feels smooth, bilateral pulsations. What is the appropriate action for the nurse at this time?

What instruction does a nurse give a patient to facilitate palpation of the right lobe of the thyroid gland?

Which finding indicates that this patient has a sensorineural hearing loss?

A patient complains of right ear pain. What findings does the nurse anticipate on inspecting the patient's ears?

What findings does the nurse expect when assessing the ears of a healthy adult? (Select all that apply.)

The nurse is taking a health history on a patient who reports frequent stabbing headaches occurring once a day lasting about an hour. Which statement by the patient is most indicative of cluster headaches?

What instructions does the nurse give the patient before palpating the right supraclavicular lymph nodes?

A nurse assesses neck range of movement of several adults. Which patient has an expected range of motion of the neck?

During an eye assessment, the nurse asks the patient to keep the head stationary and by moving the eyes only follow the nurse's finger as it moves side to side, up and down, and obliquely. This assessment technique collects what data about which cranial nerves? (Select all that apply.)

During an examination of the head and neck of a healthy adult, the nurse expects which findings? (Select all that apply.)