Assess
Diagnosis
Planning
Implement
Evaluation
100

Give an example of a nurse utilizing "asking for clarification" as communication technique.

"What do you mean by you get dizzy when you lean over?"

100
How would you determine which client is a priority when beginning a new shift?
Urgency of the patients and their problems. 
100

How do you test cardinal fields of vision?

Using both eyes move your fingers into the 6 fields of vision. 

100

Where will be palpate for the sinuses?

Above the eyes and around the nose and under the cheek bones. 

100

A patient complains they are unable to see anything on their left side. What is the medical term for this?

Hemianopsia. 

200

What is included in the family history as part of the comprehensive health history?

Hx diseases, allergies

200
Please give an example of a short-term goal.

The client will maintain a pain of 0-4 throughout hospitalization.

200
What is open-angled glaucoma?
Patient cannot see peripherally. Over the age of 50.  
200

What are we testing when we take a q-tip and touch the eye ball?

Corneal reflex

200

What is mydriasis?

Dilation of the pupil.

300

What are some ways you can assure your patient knows you are actively listening to them?

eye contact, asking questions, body language
300

What is the function of cranial nerve VIII?

Vestibulocochlear nerve, maintaining balance and sound
300

What are the Rinne and Weber test testing?

Bone and air conduction. The air conduction is sound as we normally hear it and bone conduction is vibrations on the bone that makes sound. The air should be longer than bone conduction. 

300
You are examining a patient and notice +4 tonsils. What may this patient be as risk for?

Ineffective airway clearance. 

300
What is a common finding in pregnant women when they have dark patches over their cheeks and nose?

Chloasma

400
What is a focused health history?

history of the chief complaint or immediate needs of the patient

400

What is presbyopia?

Age-related farsightedness

400

What term is used for excessive constriction of the pupil of the eye?

Miosis

400
What is plagiocephaly?

Flattening of the back of the head. 

400

What might a sunken fontanel on a infant signify?

dehydration.

500

Which step of the nursing process is when the nurse establishes client-centered goals and expected outcomes?

Planning

500

How is peripheral vision tested?

Have the patient cover one eye at a time then move your finger out of their field of gaze

500
You are performing a red reflex test and only 1 eye is positive. What should you do next?

Perform a full health history, visual and neuro assessment, and report the findings to the physician. 

500
When a patient is suspected of having thrush, what should the nurse do?

Take a sample of the tissue and notify the provider. 

500

When a patient reports pain when shallowing, is afebrile, and has throat redness what might you suspect?

pharyngitis. 

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