Hair Skin Nails
The nurse suspects melanoma. Which test would you expect to have ordered?
Biopsy
What lymph node is located under the chin and how do you assess it?
What is submental and you use one had to palpate with finger pads
The student nurse is assessing the eyes on the patient. The sclera is visible all around. What is this called?
What is expothalmous
What is the other name for the ear drum
What is the tympanic membrane
Which cranial nerve assess for smell?
What is CN I, olfactory
List 6 items that over the function of the skin.
protection, temperature regulation,identification, communication, wound repair, absorption and excretion, production of vitamin D and sensory perception
What are the characteristics you are assessing for when feeling the lymph nodes?
What is size, shape delineation, mobility, consistency, tenderness and edema
What is a painful nodule on the eye called?
What is a sty
The nurse is assessing a 8 year old for an ear ache. Which assessment would indicate that the patient has swimmers ear?
What is pain at the tragus.
How do you assess the sinus cavities above the eye brow?
What is use your penlight below the eyebrow and look for a red glow.
What type of skin cancer grows the fastest?
Melanoma
During the inspection of the thyroid, what instructions are given to the patient?
What is the nurse asks the patient to swallow
When using an opthalmoscope, which hand and eye do your use?
What is right hand and right eye or left hand and left eye
Describe the appearance of the normal tympanic membrane.
What is pearly white
When you are assessing the sinus cavities, what does it mean if you do not see a red glow?
What is congestion in the cavity or thickened mucosa
List the risk factors of skin cancer.
family history, atypical moles, 50 or more moles, red or light hair, light eye color, exposure to UV
seatbelt at all times/car seat/booster seat, helmet when riding a bike, small children should sit in back seat
Pupils measure 2 cm. What is the term that is associated with this assessment finding?
What is anisocoria
The student nurse is assessing hearing. He is using a tuning fork and states that AC is greater than BC. What is the name for this test and is this a normal finding?
What is Rinne test and yes, this is a normal finding
The patient comes into the clinic with a chief complain of nasal drainage and congestion. The nurse notes that the nasal drainage is clear. What would this indicate?
What is allergies
Where is the best area of the body to assess for skin turgor?
What is below the clavicle
Name the lymph node located behind the ear.
What is postauricular
What does the Snellen chart result of 20/15 mean?
What is the person can see at 15 feet what the perfect vision person can see in 20 feet
Which cranial nerve is assessing the gag reflex?
What is cranial nerve X (vagal nerve).
When assessing the nose, name what the nurse is assessing in the inspection portion of the assessment.
What is mucosa, deptem, turbinates patency of each nare.