A 78-year-old patient tells the nurse he is having trouble hearing high-frequency sounds- particularly in large groups. He cannot always tell where the sound is coming from, words often sound “mixed up”. What might the nurse suspect as the cause for this change?

During a pediatric health history, name the components of the adolescent HEEADSSS method of interviewing that maximizes communication and topics to cover with youths? 

An 18 month old child is brought to the pediatric unit pre-operatively for insertion of tympanostomy tubes post a history of multiple ear infections. What is the best way for the nurse to proceed as the parents and child arrive to the room?

A client comes to the clinic complaining of severe headaches. The client has a long history of migraines. The client is currently complaining of severe light sensitivity. Which medical term would the nurse chart in the electronic medical record to describe this light sensitivity? 

To test peripheral vision in an older 80-year old who wants to continue to drive his car, the nurse should use which assessment skill?

A 75-year-old client comes to a nurse for information on why he is getting shorter as he ages. The nurse would explain that decreased height occurs with aging because:

A nurse is beginning their clinical shift in a Neurological ICU unit. The Glasgow Coma Scale (GCS) is used daily as part of the neurological physical exam. The nurse understands the following assessments are included in the GCS scale: Choose all that apply?

In completing a neurologic assessment of a one-month-old infant, the nurse notes a lack of response to noise or stimulation. The mother reports that in the last few days, “the baby has been sleeping all day and when he does awake-all he does is cry!” The nurse hears that the infant’s cry is high pitched and shrill. When asked, the mother says this “cry is different from the baby’s general cries and she has a hard time getting him to stop crying.” What is the most appropriate action by the nurse?

A 72-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having trouble reading the newspaper, sewing, and even seeing the faces of her grandchildren. On examination, the nurse notes that she has loss of central vision but her peripheral vision is normal. These findings suggest?

The nurse is testing Mrs. M’s visual acuity with the Snellen chart. Mrs. M’s distant vision is noted as 20/40. This value means: