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ATI RN · Health Assessment · NCLEX Practice Questions Health Assessment

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

When assessing pupillary light reflex, which of the following techniques should the nurse use?

A. Shine a penlight from directly in front of the patient, and inspect for pupillary constriction.

B. Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction.

C. Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction.

D. Ask the patient to focus on a distant object. Then ask the patient to follow the penlight to about 7 cm (2Â¾ in.) from the nose.

Expert Explanatory Rationale

Correct Answer: Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction.

Question 2 of 5

When examining an older adult, which of the following findings would the nurse recognize as related to the aging process?

A. Teeth that appear shorter

B. Tongue that looks smoother in appearance

C. Buccal mucosa that is beefy red in appearance

D. A small, painless lump on the dorsum of the tongue

Expert Explanatory Rationale

Correct Answer: Teeth that appear shorter

Question 3 of 5

Which of the following statements regarding visual pathways and visual fields is true?

A. The right side of the brain interprets vision for the right eye.

B. The image formed on the retina is upside down and reversed from its actual appearance in the outside world.

C. Light rays are refracted through the transparent media of the eye before striking the pupil.

D. The light impulses are conducted through the optic nerve to the temporal lobes of the brain.

Expert Explanatory Rationale

Correct Answer: The image formed on the retina is upside down and reversed from its actual appearance in the outside world.

Question 4 of 5

During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly and would further assess for:

A. exophthalmos.

B. bowed long bones.

C. coarse facial features.

D. an acorn-shaped cranium.

Expert Explanatory Rationale

Correct Answer: coarse facial features.

Question 5 of 5

The salivary gland that is located in the cheek in front of the ear is the:

A. parotid gland.

B. Stenson's gland.

C. sublingual gland.

D. submandibular gland.

Expert Explanatory Rationale

Correct Answer: parotid gland.

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