SUMMATIVE TEST NCMA 111

• A 65-year-old male patient presents with difficulty in speaking and swallowing. On examination, his face appears asymmetrical, with drooping of the right side and weakness in his right arm and leg. What is the most likely because of his symptoms?

  Parotitis

  Bell's Palsy

  Stroke   

  Facial nerve injury 
• A 35-year-old woman presents with sudden-onset drooping of the left side of her face. She reports difficulty closing her left eye and notices increased tearing on that side. There is no associated weakness in her limbs. What is the most likely diagnosis? Bell's Palsy
• Lisa describes her headache as a dull, pressure-like pain that affects both sides of her head. She feels like her head is in a vice. What type of headache is Lisa likely experiencing? Tension Headache
• Mary, a 70-year-old woman, has difficulty reading small text up close. She also experiences occasional headaches after prolonged reading sessions. What vision condition is Mary most likely experiencing? Presbyopia
• An adult client visits the clinic and tells the nurse that he has been experiencing double vision for the past few days. The nurse refers the client to a physician for evaluation of possible ________

  increased intracranial pressure
• The nurse is examining an adult client’s eyes. The nurse has explained the positions test to the client. The nurse determines that the client needs further instructions when the client says that the positions test ________

  requires the covering of each eye separately.
• An adult client tells the nurse that he has been experiencing gradual vision loss. The nurse should:

  Check the client’s blood pressure 
• Which of the following scores for distance vision indicates the patient with the poorest vision?

  20/100 
• You asked the client to follow the movement of your penlight to assess the ocular muscles. When you asked the client to look up, you are assessing the:

  Superior rectus 
• The nurse is caring for a healthy adult client with no history of vision problems. The nurse should tell the client that a thorough eye examination is recommended every:

   2 years 
• Presbyopia or impaired near vision is indicated when the client moves the chart away from the eyes to focus on the print. It is caused by:

  decreased accommodation 
• An adult client tells the nurse that she frequently experiences burning and itching of both eyes. The nurse should assess the client for

  allergies
• An adult client visits the clinic and tells the nurse that he has had excessive tearing in his left eye. The nurse should assess the client’s eye for:

  lacrimal obstruction 
• In performing Weber test, Nurse Nicole must instruct the client to;

    the client hears the sound better in one ear or the same in both ears 
• The nurse notices that the patient has 3cm size of the Left ear. The nurse will correlate this as: Microtia
• The nurse is preparing to examine the ears of an adult client with an otoscope. The nurse should plan to:  firmly pull the auricle out, up, and back. 
• Which of the following describes Sensorineural Hearing Loss? air conduction sound is heard longer than bone conduction sound (AC > BC) if anything is heard at all 
• When Nurse Kenneth inspects the auricle, tragus, and lobule. He note size, shape, and position and indicated which finding as normal? Older client often has elongated earlobes with linear wrinkles 
• A nurse should evaluate any malformation of the ear to the Genitourinary system for the reason that:  Ears and GU parts both develop on the 8th week of gestation 
• While assessing the ears of an adult client, the nurse observes bloody drainage in the client’s ear. The nurse should  refer the client to a physician 
• Clients with ear infections may experience nausea and dizziness. Other causes of earache or otalgia may be due to: sinus infections 
• Nurse Andre shared that he assessed his  4 year-old client having a button-like battery stucked in her ear. The most appropriate action is to: Refer to the physician 
• An adult client visits the clinic and complains of tinnitus. The nurse should ask the client if she has been_____ taking antibiotics 
• The nurse is assessing the nares to evaluate the site of epistaxis. The most common site of bleeding is which of the following?  Kiesselbach plexus 
• The nurse is assessing an adult client’s oral cavity for possible oral cancer. The nurse should explain to the client that the most common site of oral cancer is the  area underneath the tongue
• After assessing the throat, the nurse documents the client’s tonsils as 3+. This means that the tonsils are touching the uvula 
• ALL BUT ONE should be prepared when examining the nose, mouth and throat: opthalmoscope
• The nurse is assessing a patient who has been taking antibiotics for 10 days. Oral assessment is important because of the increased risk for which of the following? Candida albicans 
• Hoarseness is associated with allergies, hypothyroidism, overuse of the voice, smoking or inhaling other irritants, and cancer of the larynx. Nurse Mau should refer the client for further evaluation if: Hoarseness lasts 2 weeks or longer 
• Mr. Asikawa has a large tumor in his left lung. Which assessment technique would be used to determine the size of this tumor?  Percussion 
• Decreased tongue strength may occur with a defect of the cranial nerve which is: Hypoglossal nerve 
• Blood in the sputum is seen with more serious respiratory conditions. This is called: Hemoptysis 
• When the nurse assesses a client with respiratory symptoms, which of the following complaints should be evaluated first? Dyspnea 
• On auscultation of a patient’s lungs, the nurse hears low-pitched, bubbling sound. Which term does the nurse use to document this finding? Crackles 
• Which of the following is an accurate description of vesicular breath sounds? They are soft, low-pitched sounds heard best over the base of the lungs during respiration. Inspiration is longer than expiration.
• During inspection of the respiratory system the nurse documents which finding as abnormal?

  Client raises both shoulders while breathing 
• A 92-year-old woman with a history of COPD presents with excessive secretions that she experiences difficulty. Which is the most appropriate Nursing Diagnosis?   Ineffective airway clearance 
• If a nurse hears a high-pitched, musical sound during auscultation, it should be interpreted as: Wheezes
• While assessing an adult client, the client tells the nurse that she “has had difficulty catching her breath since yesterday.” The nurse should assess the client further for signs and symptoms of: infection 
• Atomic Aro, 61, arrives at the outpatient clinic complaining of shortness of breath with bubbling sounds upon auscultation. . This means that the nurse auscultated _______ Crackles