This is the normal finding when the nurse palpates the temporal artery.
What is: Elastic and non-tender
100
Three risk factors for head and neck injuries
What is:
- high-risk sports
- violence
- falls
- radiation to upper body (thyroid cancer risk)
100
Purpose of the extraocular muscles
What is:
Control the direction of eye movement
100
Describes normal alignment of the ear with the eyes
What is: The pinna is in alignment with a line drawn from the corner of the eye. (Low-set ears can be a sign of Down's Syndrome.)
200
Lacrimal apparatus consists of these two primary structures
What is:
- lacrimal gland (tear glands)
- lacrimal duct (drains tears through puncta into nose)
200
The lymph nodes of the neck are non-palpable by the nurse. This is the nurse's interpretation.
What is: Normal Finding
200
Three characteristics of the face assessed through inspection
What is:
- symmetry and features
- movement and expression
- skin condition
- hair distribution
200
Terminology to describe drooping of the eyelid
What is Ptosis
200
This sign on palpation of the auricle or tragus is a sign of otitis externa, or external ear inflammation.
What is: Tenderness
300
Three normal findings of the pupil on inspection
What is - black, equal, round, smooth
300
Some cerumen is visualized along the auditory canal.
What is: Normal finding
300
Three abnormal findings when palpating the temporomandibular (TMJ)joint
What is:
- Limited ROM
- tenderness
- swelling
- crepitation
300
Description of consensual pupillary reflex
What is: When shining a penlight on the pupil of one eye, the pupil of the other eye will constrict.
300
Two tests done with a tuning fork to assess the type of hearing loss
What is Weber and Rinne tests
400
This structure separates the outer ear from the middle ear
What is Tympanic Membrane
400
In inspecting and palpating the thyroid gland during swallowing, this finding is normal.
What is: Rises with swallowing
400
The four movements that should be assessed for Range of Motion of the neck
What is:
- Flexion
- Extension
- Lateral abduction
- Rotation
400
Terminology to describe a deviation from normal smooth extraocular movements
What is Nystagmus (jerky eye movements)
400
Description of the Romberg test
What is: Have client stand with feet together, first with eyes open, then with eyes closed for 20 sec. (protect from falling). Observe for swaying or loss of balance.
500
Describes the anatomical location of the thyroid gland
What is: Butterfly-shaped endocrine gland at the base of the neck, with the isthmus lying across the front of the trachea, and each lobe lying behind the sternomastoid muscles.
500
Four abnormal findings during palpation of lymph nodes of the head and neck.
What is
- enlarged (> 1 cm, may have irregular borders)
- fixed to tissue (non-mobile)
- hard, firm
- pain on palpation
- confluent (they run into each other, enlarged)
500
In palpating the thyroid gland, three findings that are normal
What is:
- midline (symmetrical)
- smooth and without nodules
- nontender
- firm, not enlarged
500
The meaning of the documentation PERRLA
What is: Pupils Equal, Round, Reactive to Light, and Accommodation
500
In using an otoscope to inspect the tympanic membrane of an adult, this describes the nurse's positioning of the pinna.
What is: Pull out, up, and back on the pinna to straighten the external auditory canal.