Physical Examination Study Set 1
Nursing
Quiz 13 :
Head, Face, and Neck, Including Regional Lymphatics
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A physician tells the nurse that a patient's vertebra prominens is tender and asks the nurse to reevaluate the area in 1 hour.The area of the body the nurse will assess is the area:
Free
Multiple Choice
Answer:
Answer:
C
The C7 vertebra has a long spinous process,called the vertebra prominens,that is palpable when the head is flexed.
A mother brings her 2-month-old daughter in for an examination and says,"My daughter rolled over against the wall and now I have noticed that she has this spot that is soft on the top of her head.Is there something terribly wrong?" The nurse's best response would be:
Free
Multiple Choice
Answer:
Answer:
D
Membrane-covered "soft spots" allow for growth of the brain during the first year.They gradually ossify;the triangular-shaped posterior fontanel is closed by 1 to 2 months,and the diamond-shaped anterior fontanel closes between 9 months and 2 years.
The nurse notices that a patient's palpebral fissures are not symmetrical.On examination,the nurse may find that there has been damage to cranial nerve:
Free
Multiple Choice
Answer:
Answer:
C
Facial muscles are mediated by cranial nerve (CN)VII;asymmetry of palpebral fissures may be due to CN VII damage (Bell's palsy).
A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.The nurse suspects:
Multiple Choice
Answer:
When examining the face,the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.
Multiple Choice
Answer:
A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head.The nurse suspects damage to cranial nerve (CN)_____ and proceeds with the examination by _____.
Multiple Choice
Answer:
When examining a patient's cranial nerve (CN)function,the nurse remembers that the muscles in the neck that are innervated by CN XI are the:
Multiple Choice
Answer:
A patient's laboratory data reveal an elevated thyroxine level.The nurse would proceed with an examination of the _____ gland.
Multiple Choice
Answer:
A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger.During the assessment,the finding that leads the nurse to suspect that this may not be a cancerous thyroid nodule is that the lump (nodule):
Multiple Choice
Answer:
The nurse notices that a patient's submental lymph nodes are enlarged.In an effort to identify the cause of the node enlargement,the nurse would assess the patient's:
Multiple Choice
Answer:
The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
Multiple Choice
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A mother brings her newborn in for an assessment and asks,"Is there something wrong with my baby? His head seems so big." The nurse recognizes that which statement is true regarding the relative proportions of the head and trunk of the newborn?
Multiple Choice
Answer:
A patient,an 85-year-old woman,is complaining about the fact that the bones in her face have become more noticeable.What explanation should the nurse give to her?
Multiple Choice
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A patient presents with excruciating headache pain on one side of his head,especially around his eye,forehead,and cheek that lasts about 1/2 to 2 hours,occurring once or twice each day.The nurse should suspect:
Multiple Choice
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A patient complains that while studying for an examination he began to notice a severe headache in the frontotemporal area of his head that is throbbing and is somewhat relieved when he lies down.He tells the nurse that his mother also had these headaches.The nurse suspects that he may be suffering from:
Multiple Choice
Answer:
A 19-year-old college student is brought to the emergency department with a severe headache he describes as "Like nothing I've ever had before." His temperature is 104° F,and he has a stiff neck.The nurse looks for other signs and symptoms of which problem?
Multiple Choice
Answer:
During a well-baby check,the nurse notices that a 1-week-old infant's face looks small compared with his cranium,which seems enlarged.On further examination,the nurse also notices dilated scalp veins and downcast,or "setting sun," eyes.The nurse suspects which condition?
Multiple Choice
Answer:
The nurse needs to palpate the temporomandibular joint for crepitation.This joint is located just below the temporal artery and anterior to the:
Multiple Choice
Answer:
A patient has come in for an examination and states,"I have this spot in front of my ear lobe here on my cheek that seems to be getting bigger and is tender.What do you think it is?" The nurse notes swelling below the angle of the jaw and suspects that it could be an inflammation of his:
Multiple Choice
Answer:
A male patient with a history of AIDS has come in for an examination and he states,"I think that I have the mumps." The nurse would begin by examining the:
Multiple Choice
Answer:
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