WorksheetsWeek 5 Review
Total questions: 14
Worksheet time: 11mins
PERRLA refers to:
Motor Function
Order of Assessment
Level of Consciousness
Pupillary Response
What all will the nurse assess when assessing the ears ?
Ear: external structure, alignment, position, drainage, tenderness
External structure
Alignment & Position
Hearing
Drainage
Tenderness
What is the term for involuntary shaking movement of the eyeball in a horizontal, vertical, rotary or mixed direction ?
Nystagmus
Myopia
Hyperopia
Starbismus
The nurse is performing an eye assessment on a client. Which finding confirms normal accommodation during visual assessment?
Both pupils constrict when a light is shined at one eye.
The client blinks in response to a threatening movement.
Both pupils constrict when focusing on an object being moved in toward the nose.
The client is able to hold an upward gaze without moving the head for 15 seconds.
A female client visits the clinic and tells the nurse that she frequently experiences severe recurring headaches that sometimes last for several days and are accompanied by nausea and vomiting. The nurse determines that the type of headache the client is describing is a:
cluster headache
migraine headache
tension headache
tumor-related headache
The nurse is preparing to examine an adult client’s eyes, using a Snellen chart. The nurse should:
instruct the client to begin reading from the bottom of the chart
position the client 20 feet away from the chart
ask the client to remove his glasses
ask the client to read each line with both eyes open
What nerve is purely sensory and transmits impulses for the sense of balance and transmits impulses for sense of hearing?
Olfactory
Optic
Hypoglossal
Vestibulocochlear
Moves eyes laterally away from the nose
Abducens - VI
Facial - VII
Trigeminal - V
Accessory - XI
Eye movement down and in
Occulomotor - III
Trochlear - IV
Trigeminal - V
Abducens - VI
Taste sensation on the anterior 2/3 of the tongue
facial
trigeminal
glossopharyngeal
hypoglossal
Taste sensation on the posterior 1/3 of the tongue and allows us to taste bitter and sour
facial
trigeminal
glossopharyngeal
hypoglossal
Spinal nerves can be
only sensory
only motor
Always Both (mixed)
Shrugs the shoulders
Accessory - XI
Facial - VII
Vagus - X
Trigeminal - V
Slows the heart rate
Glossopharyngeal - IX
Vagus - X
Accessory - XI
Hypoglossal - XII
