Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

CHAPTER 25 HEALTH ASSESSMENT 147

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g.Lesion

h.Turgor

i.Bruits

PART B

13. Yellow color


14. Redness


15. Dusky, blue color


16. Purplish discoloration


17. Diseased or injured tissue


18. Paleness


19. Elasticity of the skin


20. Very small hemorrhagic spots
    Match each nerve listed in Part A with its
    function listed in Part B.
    PART A
    a.Olfactory (I) nerve
    b.Optic (II) nerve
    c.Oculomotor (III), trochlear (IV), and abducens
    (VI) nerves
    d.Trigeminal (V) nerve
    e.Facial (VII) nerve
    f.Acoustic (VIII) nerve
    g.Glossopharyngeal (IX) nerve
    h.Vagus (X) nerve
    i.Accessory (XI) nerve
    j.Hypoglossal (XII) nerve
    PART B


21. A sensory nerve that is tested by assess-
    ing hearing ability


22. A sensory nerve whose function is
    vision. Vision is tested for acuity and
    visual fields.


23. A sensorimotor nerve that is assessed
    by observing the facial muscles for devi-
    ation of the jaw to one side and by pal-
    pating facial muscles for tone while the
    patient clenches the jaw


24. A motor nerve that affects the movement
    and strength of the tongue


25. A sensory nerve whose function is the
    sense of smell


26. Motor nerves that control the movement
    of the eyes through the cardinal fields of

gaze; pupil size, shape, response to light,

and accommodation; and opening of the

upper eyelids

27. A sensorimotor nerve that innervates
    the muscles of the face and functions to
    provide the taste sensation of the ante-
    rior two thirds of the tongue


28. A motor nerve that is assessed by asking
    the patient to open the mouth and say
    “aaah” as the upward movement of the
    soft palate is observed


29. A motor nerve that controls the
    movement of the head and shoulders
    Match the positions listed in Part A with their
    description and function listed in Part B.
    PART A
    a.Sitting position
    b.Supine position
    c.Dorsal recumbent position
    d.Sims’ position
    e.Prone position
    f.Lithotomy position
    g.Knee–chest position
    h.Standing position
    PART B


30. The patient kneels, using the knees and
    chest to bear the weight of the body. The
    position is used to assess the rectal area.


31. The patient lies on the left or right side
    with the lower arm behind the body and
    the upper arm bent at the shoulder and
    elbow. The knees are both bent, with the
    uppermost leg at a more acute angle.
    The position is used to assess the rectum
    or vagina.


32. The patient is in the dorsal recumbent
    position with the buttocks at the edge of
    the examining table and feet supported
    in stirrups. This position is used to assess
    the female rectum and genitalia.


33. The patient may sit upright in a chair or
    on the side of the examining table or
    bed. This position allows visualization
    of the upper body and facilitates lung
    expansion. It is used to take vital signs
    and assess the head, neck, posterior and
    anterior thorax and lungs, breasts, heart,
    and upper extremities.

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