Questions for Assessment PDF

**Section 1: Assessment of Neck, Thyroid, and Lymph Nodes** 1. **Which of the following symptoms may indicate thyroid disease in a patient?** - A. Itchy skin - B. Enlarged lymph nodes - **C. Intolerance to cold or heat** - D. Sudden weight loss\ **Answer:**...

**Section 1: Assessment of Neck, Thyroid, and Lymph Nodes** 1. **Which of the following symptoms may indicate thyroid disease in a patient?** - A. Itchy skin - B. Enlarged lymph nodes - **C. Intolerance to cold or heat** - D. Sudden weight loss\ **Answer:** C 2. **When inspecting the neck for symmetry, which of the following muscles divides the neck into two triangles?** - **A. Sternocleidomastoid muscle** - B. Trapezius muscle - C. Platysma muscle - D. Deltoid muscle\ **Answer:** A 3. **During palpation of the thyroid gland, what is the normal finding?** - **A. The thyroid gland is not palpable** - B. The thyroid gland is tender on palpation - C. The thyroid gland is easily visible - D. The thyroid gland should have nodules\ **Answer:** A 4. **Which method is typically used for palpating the thyroid gland?** - A. While the patient is lying supine - **B. While standing behind the patient** - C. Using a stethoscope - D. Palpating the thyroid with the patient in a prone position\ **Answer:** B 5. **Which of the following is a normal finding when palpating lymph nodes in an adult?** - A. Soft, tender lymph nodes - B. Enlarged, palpable lymph nodes - **C. Non-palpable lymph nodes** - D. Firm, immobile lymph nodes\ **Answer:** C 6. **Which lymph node is located at the base of the skull?** - **A. Occipital** - B. Submandibular - C. Submental - D. Preauricular\ **Answer:** A 7. **What is the most likely cause of enlarged, tender lymph nodes in the neck?** - A. Cancer - **B. Infection** - C. Dehydration - D. Hypothyroidism\ **Answer:** B 8. **What is an expected age-related change in the thyroid gland of an older adult?** - A. Increased thyroid function - **B. Atrophy of the thyroid gland** - C. Enlargement of the thyroid gland - D. Visible goiter formation\ **Answer:** B 9. **When palpating the lymph nodes, which of the following characteristics should the nurse assess?** - A. Only the size - **B. Size, shape, and tenderness** - C. Color and temperature - D. Mobility and texture only\ **Answer:** B 10. **A patient reports difficulty swallowing and has an enlarged thyroid gland. What is the nurse's priority action?** - A. Document the finding and reassure the patient - B. Auscultate the thyroid for bruits - **C. Refer the patient for further evaluation** - D. Perform a thyroid function test\ **Answer:** C **Section 2: Assessment of the Eye** 11. **What does 20/40 vision on the Snellen chart mean?** - A. The patient has perfect vision - **B. The patient sees at 20 feet what a normal person sees at 40 feet** - C. The patient has better than normal vision - D. The patient needs to stand closer than 40 feet to see\ **Answer:** B 12. **Which test is used to assess the cardinal fields of vision?** - A. Snellen chart test - B. PERRLA assessment - **C. Follow-the-object test** - D. Rinne test\ **Answer:** C 13. **Which of the following is considered an abnormal finding during a physical assessment of the conjunctiva?** - A. Clear and shiny conjunctiva - **B. Pale or jaundiced conjunctiva** - C. Transparent and smooth conjunctiva - D. Well-lubricated conjunctiva\ **Answer:** B 14. **Which term refers to age-related difficulty with seeing near objects?** - A. Diplopia - **B. Presbyopia** - C. Myopia - D. Glaucoma\ **Answer:** B 15. **Which of the following findings during an eye assessment would require further evaluation?** - A. Equal, round pupils reacting to light - **B. Cloudy cornea** - C. Sclera appearing white - D. Conjunctiva clear and pink\ **Answer:** B 16. **What does the acronym PERRLA stand for in an eye assessment?** - A. Pupils, Equal, React, Redness, Lateral, Accommodation - **B. Pupils, Equal, Round, Reactive to Light and Accommodation** - C. Pupils, Enlarge, Round, Reactive, Low light, Accommodation - D. Pupils, Engorged, React, Right, Left, Accommodation\ **Answer:** B 17. **Which condition involves drooping of the eyelid?** - A. Strabismus - **B. Ptosis** - C. Exophthalmos - D. Astigmatism\ **Answer:** B 18. **Which finding indicates normal accommodation during a PERRLA assessment?** - **A. Pupils constrict when looking at a near object** - B. Pupils dilate when exposed to light - C. Pupils remain the same size when switching focus - D. Only one pupil reacts to light\ **Answer:** A 19. **What might halos around lights indicate in a patient?** - A. Cataracts - B. Retinal detachment - **C. Glaucoma** - D. Corneal abrasion\ **Answer:** C 20. **Which is an expected change in the eye of an older adult?** - A. Increased tear production - **B. Development of arcus senilis** - C. Decreased risk for cataracts - D. Improved near vision\ **Answer:** B - **Section 3: Assessment of the Ear** 21. **Which test compares air conduction to bone conduction in hearing assessment?** - A. Whisper test - B. Weber test - **C. Rinne test** - D. Audiometry\ **Answer:** C 22. **What does the Rinne test evaluate?** - **A. Conduction of sound through air versus bone** - B. Equilibrium and balance - C. Fluid levels in the middle ear - D. Tympanic membrane mobility\ **Answer:** A 23. **What should the tympanic membrane normally look like?** - A. Yellow and cloudy - **B. Pearly gray and semi-transparent** - C. Bright red and bulging - D. White with visible blood vessels\ **Answer:** B 24. **What type of hearing loss occurs when there is damage to the cochlear nerve?** - A. Conductive hearing loss - B. Mixed hearing loss - **[C. Sensorineural hearing loss]** - D. Functional hearing loss\ **Answer:** C 25. **What is the purpose of the whispered voice test?** - A. To assess the tympanic membrane - B. To test for bone conduction hearing loss - C. To evaluate the patient's ability to hear high-pitched sounds - **D. To determine hearing acuity in each ear**\ **Answer:** D 26. **Which of the following conditions is associated with a gradual loss of hearing in older adults, particularly with high-frequency sounds?** - A. Otitis media - **B. Presbycusis** - C. Meniere's disease - D. Tinnitus\ **Answer:** B 27. **A patient with conductive hearing loss would have which of the following findings on the Weber test?** - **A. Louder sound in the affected ear** - B. Softer sound in the unaffected ear - C. Equal sound in both ears - D. No sound heard\ **Answer:** A 28. **During ear inspection, the nurse notes increased accumulation of cerumen in an older adult. What should the nurse suspect?** - A. Otitis media - **B. Conductive hearing loss** - C. Sensorineural hearing loss - D. Tinnitus\ **Answer:** B 29. **Which condition might cause the tympanic membrane to appear red and bulging?** - **A. Otitis media** - B. Otosclerosis - C. Cerumen impaction - D. Presbycusis\ **Answer:** A 30. **Which age-related change is commonly seen in the external ear of older adults?** - A. Thinning of the tympanic membrane - B. Calcification of the ossicles - **C. Sagging of ear tissue and increased cerumen production** - D. Increased sensitivity to high-frequency sounds