Question

1. what should be assessed during a heent (head, eyes, ears, nose, and throat) exam? select all that apply.

☑ pupillary reaction
□ ability to hear whispered words
□ neck flexion
☑ palpable lymph nodes

1. which statements are true about auscultating respiratory sounds?

□ normal bronchial sounds are harsh, high - pitched, and loud.
□ normal bronchovesicular are the softest and lowest in pitch.
□ normal sounds in one area can be abnormal and indicative of a problem if they are heard in another area.
□ normal vesicular sounds are medium in loudness and medium in pitch.

1. which adventitious sound is the most serious and requires immediate attention?

○ rhonchi
○ coarse crackles
● stridor
○ wheezes

1. which findings require notifying the provider immediately?

☑ blood pressure <90/60 or >160/110
□ open ulcer to the right large toe
☑ blood glucose over 400
□ elevated oral temperature

Explanation:

1. A HEENT exam assesses all these: pupillary reaction (eyes), whispered speech test (ears), neck flexion (head/neck structure), and palpable lymph nodes (throat/neck).
2. Bronchial sounds are harsh/high-pitched; sounds in atypical areas are abnormal. Bronchovesicular sounds are medium, vesicular are soft/low-pitched.
3. Stridor is a high-pitched sound from upper airway obstruction, a life-threatening emergency needing immediate care.
4. Extremes of blood pressure and severely elevated blood glucose are acute, potentially life-threatening findings requiring urgent provider notification.

Answer:

1. A. Pupillary reaction, B. Ability to hear whispered words, C. Neck flexion, D. Palpable lymph nodes
2. A. Normal bronchial sounds are harsh, high-pitched, and loud., C. Normal sounds in one area can be abnormal and indicative of a problem if they are heard in another area.
3. C. Stridor
4. A. Blood pressure <90/60 or >160/110, C. Blood glucose over 400