Head & Neck Assessment
A patient comes in with a stiff neck and headache, the nurse asks them to put their chin to their chest. What is the nurse testing for?
What is Meningitis
What ethnicity has a higher risk for Glaucoma?
African Americans
The most efficient method and is also the normal pathway for sounds to travel into our ears
What is Air Conduction
What grade on the tonsil grading scale is a normal finding?
What is absent or +1
A patient complains of not being able to smell anything. What cranial nerve is this affecting?
What is Cranial Nerve I (olfactory)
A patient comes in excessively sweating and seems anxious, he says his heart feels like it's "fluttering" and he has had frequent bowel movements. What diagnosis does this patient most likely have?
What is hyperthyroidism
A pregnant patient comes in with complaints of vision changes. What should the nurse tell her?
What is this is a normal occurrence in pregnant women
Completely bypasses the outside structures of the ear and gives the vibrations or sound waves through the skull into the inner ear
Bone conduction
A 10 year old boy and his Mom come in, the Mom tells the nurse "his teacher says that he constantly is getting in trouble at school and is also not doing well on his school work. When he comes home, all he wants to do is lay around and not do anything, he doesn't even want to eat." What is the nurse is suspecting he has what diagnosis?
What is Day Time Obstructive Sleep Apnea
What 2 cranial nerves are affected when a patient has trouble swallowing?
What is Cranial nerve VIII (Vestibulocochlear) and cranial nerve IX (vagus)
A patient comes in feeling fatigue, is having muscle cramps and says she hasn't had a bowel movement in a week. The nurse notices swelling in the face, hands, and legs. What diagnosis does this patient most likely have?
What is hypothyroidism
The test where the nurse moves their fingers from the periphery towards the front of the patient and takes note of when the patient first notices the fingers moving
What is Kinetic Confrontation
Patient comes in complaining of a "buzzing" sound in both ears, what is this patient most likely experiencing?
What is Tinnitus
What 2 things can cause swollen lymph nodes?
What is cancer and infection
Which of the 3 cranial nerves effects eye movement?
What is cranial nerve III (oculomotor), Cranial nerve IV (trochlear), and Cranial nerve VI (abducens)
If the nurse is using a Snellen chart on the patient, what is the nurse testing for?
What is central and distance vision
The patient has a diagnosis of acute glaucoma. What should the nurse educate the patient on if this diagnosis goes untreated?
What is it can lead to permanent vision loss
Patient comes in and states "everything feels like it's spinning", she also states "I can't keep anything down it always comes back up". What diagnosis is this patient most likely experiencing?
What is Ménière's disease
The nurse walks into a elderly patients room and notices redness and swelling around the mouth. What is this called?
What is Angular Cheilitis
If the patient can shrug their shoulders against resistance of the nurse's hands and also rotate their head, what cranial nerve is working correctly?
What is cranial nerve XI (spinal accesory)
What test should the nurse perform if the patient has trouble seeing close up?
What is a Jaeger test
What does PERRLA stand for?
What is Pupils, Equal, Round, Reactivity, Light, Accommodation
What is a tympanic rupture also known as?
Hemotympanum
What kind of patient's is thrush found in?
What is any immunocompromised individual
When you test for consensual and direct light to the pupils what cranial nerves are you testing?
Cranial nerve II (optic) and Cranial nerve III (oculomotor)