Head and Neck
Sinus and Mouth
Eyes
Ears
Cranial Nerves
100
Causes large swelling at the base of the neck and tight feeling in throat, difficulty swallowing, hoarseness.
What is a goiter
100
Commonly due to dry mucous membranes and nose picking
What is a nose bleed.
100
Test to assess parallel alignment of the eyes.
What is corneal light reflex
100
Gradual hearing loss after the age of 50
What is presbycussis
100
To test, ask client to close eyes, occlude one nostril, sniff and identify smell
What is CNI- Olfactory
200
This facial artery should be nontender and elastic
What is the temporal artery
200
Thin watery, clear sinus drainage
What is rhinorrhea
200
The normal consensual pupillary response
What is constriction
200
Should be pearly gray shiny and translucent
What is tympanic membrane
200
Test with six cardinal fields of gaze
What is CN II, IV and VI- Oculomotor, trochlear and abducens
300
Headache commonly caused by ingestion of alcohol.
What is cluster headache
300
The most common site of oral cancer.
What is underneath the tongue
300
Typically round, flat and evenly colored
What is the iris
300
Client maintains position for 20 seconds without swaying
What is the Romberg test
300
Test by the dull/sharp test for sensory, for motor, ask client to clench teeth
What is Trigeminal CN V
400
Abnormality of the head/face that occurs with hyperthyroidism.
What is exophthalmos
400
May be enlarged to 1+ in healthy adults.
What is tonsils
400
_______is clear, moist and smooth, and ______ is white
What is conjuctiva and sclera
400
Client will report lateralization of sound to the good ear.
What is sensorineural hearing loss
400
Test by asking client to shrug shoulders against resistance.
What is CN XI- Spinal Accessory
500
Nursing diagnosis for individual with eye trauma
What is (Answer will vary) Acute pain related to injury from eye trauma.
500
A red glow transilluminates the frontal sinuses.
What is normal finding for frontal or maxillary sinus
500
Also known as pinpoint pupils
What is miosis
500
Red, bulging ear drum absent light reflex
What is acute otitis media
500
Test by eliciting the client's gag reflex.
What is CN IX and X- Glossopharyngeal and Vagus
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