Question 1

The nurse is aware that the four areas in the body where lymph nodes are accessible are the:

Accepted Answer

Nodes are located throughout the body,but they are accessible to examination only in four areas: head and neck,arms,inguinal region,and axillae.

Question 2

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?

Accepted Answer

The facial bones and orbits appear more prominent in the aging adult,and the facial skin sags owing to decreased elasticity,decreased subcutaneous fat,and decreased moisture in the skin.

Question 3

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?

Accepted Answer

During the fetal period,head growth predominates.Head size is greater than chest circumference at birth,and the head size grows during childhood,reaching 90% of its final size when the child is age 6 years.

Question 4

A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.The nurse suspects:

Accepted Answer

Facial sensations of pain or touch are mediated by cranial nerve (CN)V,which is the trigeminal nerve.Bell's palsy is associated with CN VII damage.Frostbite and scleroderma are not associated this problem.

Question 5

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:

Accepted Answer

Swelling with the parotid gland occurs below the angle of the jaw and is most visible when the head is extended.Painful inflammation occurs with mumps,and swelling also occurs with abscesses or tumors.Swelling occurs anterior to the lower ear lobe.

Question 6

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:

Accepted Answer

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.

Question 7

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):

Accepted Answer

Painless,rapidly growing nodules may be cancerous,especially the appearance of a single nodule in a young person.However,cancerous nodules tend to be hard and fixed to surrounding structures,not mobile.

Question 8

When examining the face,the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.

Accepted Answer

Two pairs of salivary glands accessible to examination on the face are the parotid glands,which are in the cheeks over the mandible,anterior to and below the ear;and the submandibular glands,which are beneath the mandible at the angle of the jaw.The parotid glands are not normally palpable.

Question 9

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:

Accepted Answer

The parotid gland may become swollen with the onset of mumps,and parotid enlargement has been found with HIV.

Question 10

The nurse needs to palpate the temporomandibular joint for crepitation.This joint is located just below the temporal artery and anterior to the:

Accepted Answer

The temporomandibular joint is just below the temporal artery and anterior to the tragus.

Question 11

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:

Accepted Answer

The major neck muscles are the sternomastoid and the trapezius.They are innervated by CN XI,the spinal accessory.

Question 12

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:

Accepted Answer

Cluster headaches produce pain around the eye,temple,forehead,and cheek and are unilateral and always on the same side of the head.They are excruciating and occur once or twice per day and last 1/2 to 2 hours each.

Question 13

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 _____.

Accepted Answer

The major neck muscles are the sternomastoid and the trapezius.They are innervated by CN XI,the spinal accessory.The innervated muscles assist with head rotation and head flexion,movement of the shoulders,and extension and turning of the head.

Question 14

A patient's laboratory data reveal an elevated thyroxine level.The nurse would proceed with an examination of the _____ gland.

Accepted Answer

The thyroid gland is a highly vascular endocrine gland that secretes thyroxine (T₄)and tri-iodothyronine (T₃).The other glands do not secrete thyroxine.

Question 15

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:

Accepted Answer

Migraine headaches tend to be supraorbital,retro-orbital,or frontotemporal with a throbbing quality.They are of a severe quality and are relieved by lying down.Migraines are associated with family history of migraines.

Question 16

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:

Accepted Answer

When nodes are abnormal,the nurse should check the area they drain for the source of the problem.Explore the area proximal (upstream)to the location of the abnormal node.

Question 17

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?

Accepted Answer

Acute onset of neck stiffness and pain along with headache and fever occurs with meningeal inflammation.A severe headache in an adult or child who has never had it before is a red flag.Head injury and cluster or migraine headaches are not associated with a fever or stiff neck.

Question 18

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?

Accepted Answer

Hydrocephalus occurs with obstruction of drainage of cerebrospinal fluid that results in excessive accumulation,increasing intracranial pressure,and enlargement of the head.The face looks small compared with the enlarged cranium,and dilated scalp veins and downcast,or "setting sun," eyes are noted.Craniotabes is a softening of the skull's outer layer.Microcephaly is an abnormally small head.A caput succedaneum is edematous swelling and ecchymosis of the presenting part of the head caused by birth trauma.

Question 19

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:

Accepted Answer

The C7 vertebra has a long spinous process,called the vertebra prominens,that is palpable when the head is flexed.

Question 20

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:

Accepted Answer

Facial muscles are mediated by cranial nerve (CN)VII;asymmetry of palpebral fissures may be due to CN VII damage (Bell's palsy).

Quiz 13: Head, Face, and Neck, Including Regional Lymphatics

The nurse is aware that the four areas in the body where lymph nodes are accessible are the:

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?

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?

A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.The nurse suspects:

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:

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:

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) :

When examining the face,the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.

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:

The nurse needs to palpate the temporomandibular joint for crepitation.This joint is located just below the temporal artery and anterior to the:

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:

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:

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 _.

A patient's laboratory data reveal an elevated thyroxine level.The nurse would proceed with an examination of the _____ gland.

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:

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?

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?

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:

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:

Quiz 13: Head, Face, and Neck, Including Regional Lymphatics

The nurse is aware that the four areas in the body where lymph nodes are accessible are the:

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?

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?

A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.The nurse suspects:

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:

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:

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) :

When examining the face,the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.

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:

The nurse needs to palpate the temporomandibular joint for crepitation.This joint is located just below the temporal artery and anterior to the:

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:

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:

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 _____.

A patient's laboratory data reveal an elevated thyroxine level.The nurse would proceed with an examination of the _____ gland.

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:

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?

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?

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:

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:

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 _.