Immersion NR 509 Chamberlain Latest Update, Questions and Answers with Verified Solutions

Document Content and Description Below

Immersion NR 509 Chamberlain Latest Update, Questions and Answers with Verified Solutions 1 inspection of face/head Correct Answer- note the face is symmetrical without discoloration or lesions. n... ext I inspect the head noting it is midline and symmetrical. 2 palpating lymph nodes for tenderness and enlargement. Correct Answer- begin with pre articular, in front of the ears, move to postauricular, behind the ears. Then occipital, at the base of the posterior scalp, the tonsils lymph nodes, near the angle of the jaw. Then the submandibular and submental nodes. Next palpate the anterior cervical and posterior lymph nodes. And lastly the supraclavicular lymph nodes. Note that there is no swelling and they are equal bilat. 3 Test cranial nerve #5 the trigeminal nerve. Correct Answer- Motor component. I will palpate over the massiter muscle while she clenches her jaw. Note distortions and strength. Sensory- I will have her close her eyes and tell me where I am touching. (touch areas of face) 4 Test CN #7 facial nerve Correct Answer- I will have her do some facial expressions. raise eyebrows, smile, frown, puff out cheeks, pucker lips. Note symmetry and strength of these. 5 Inspect EARS Correct Answer- Look for swelling, redness, nodules, symmetry. inspect the auditory canal for redness, clear, no swelling, no drainage, no cerumen, Tympanic membrane pearly gray, no effusion. 6 Palpate Ears Correct Answer- palp pinnas for nodules or tenderness. palp tragus 7 Test CN #8 vestibulocochlear nerve Correct Answer- Perform whisper test. cover one ear then the other. provider covers mouth. 8 Inspect EYES Correct Answer- Look at lids, conjunctiva- pink, clear, no lesions, no drainag; sclera- white 9 Test CN #2 Optic Nerve which controls central, peripheral vision and pupil response Correct Answer- Snellen eye chart- have pt cover one eye, read the lowest line, cover the other eye and read lowest line, read lowest line with both eyes "20/20 in right, left and both eyes." Test peripheral vision with hands at side of head. "peripheral vision is intact". Check pupillary response to light. "pupils are 2-3mm are reactive and appropriate response to light" 10 Test CN #3 occulomotor, CN #4 Trochlear and CN #6 Abducens which control extraocular movement Correct Answer- "Follow my finger with just eyes# and move in "H" pattern. "All EOMs intact" 11 Nose exam inspect Correct Answer- symmetrical and no deformities. Use otoscope push nose to side and up. "Turbinates mucous membranes are pink and moist. No bogginess no drainage. not obstructed septum is straight" 12 palpate the sinuses Correct Answer- Frontal and maxillary for tenderness 13 inspect throat and mouth Correct Answer- "Lips are pink moist symmetrical, teeth no decay or cracks, gums and buccal mucosa are pink and healthy no lesions, hard and soft palates intact pink and moist, tongue pink moist and smooth, floor of mouth no nodules pink. Posterior pharynx is pink no postnasal drainage, grade tonsils." 14 Test CN #9 glossalpharyngeal, #10 vagus and #12 hypoglossal Correct Answer- #9 gag reflex is not tested. The CN #10 vague nerve tested by "open, say AAH, the uvula rises symmetrically with phonation". CN #12 hypoglossal stick tongue out and move side to side. CN is intact." 15 palpation of TmJ Correct Answer- do not feel crepitus clicking and no tenderness 16 Inspection of neck Correct Answer- symmetrical midline 17 palpation of neck and Thyroid Correct Answer- Palpate the trachea "it is midline". Thyroid gland is found by locating the crichoid process and the suprasternal notch. Put fingers on the trachea on one side while retracting the skin on the other side. Have the patient swallow. "normal size no goiter no nodules" 18 Palpate the carotid arteries Correct Answer- normal 2+ 19 Auscultate the carotid arteries Correct Answer- with the bell and have patient hold breath. "no bruits noted" 20 Test ROM of neck Correct Answer- Flex chin to chest, extend look at the ceiling, lateral flexion put ear to shoulder, and rotation look over your shoulder. 21 CN #11 spinal accessory nerve Correct Answer- shrug shoulders against resistance [Show More]

Last updated: 1 year ago

Preview 1 out of 6 pages