HEALTH ASSESSMENT MIDTERM EXAM -
Test Bank Questions Chapter 11, 12, 13, 14
(HEENT)
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:
A) just above the diaphragm
B) just lateral to the knee cap
C) at the level of the C7 vertebrae
D) at the level of the T11 vertebrae
C) at the level of the C7 vertebrae
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 something terribly wrong?" The nurses best response would be:
A) perhaps that could be a result of your dietary intake during pregnancy
B) your baby made have craniosynostosis, a disease of the sutures of the brain
C) the soft spot may be an indication of cretinism or congenital hypothyroidisms
D) that soft spot is normal, and actually allows for growth of the brain during the first year of your
baby's life
D) that soft spot is normal, and actually allows for growth of the brain during the first year of your
baby's life
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,The nurse notices that a patient's palpebral fissures are not symmetric. On examination, the
nurse may find that damage has occurred to which cranial nerve (CN)?
A) CN III
B) CN V
C) CN VII
D) CN VIII
C) CN VII (facial nerve)
A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.
The nurse suspects:
A) Bell's palsy
B) damage to the trigeminal nerve
C) frostbite with resultant paresthesia to the cheeks
D) scleroderma
B) damage to the trigeminal nerve
When examining the face of a patient, the nurse is aware that the two pairs of salivary glands
that are accessible to examination are ___ and ___ glands.
A) occipital, submental
B) parotid, jugulodigastric
C) parotid, submandibular
D) submandibular, occipital
C) parotid, submandibular
A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her
head. The nurse suspects damage to CN ___ and proceeds with examination by:
A) CN XI, palpating the anterior and posterior triangles
B) CN XI, asking the patient to shrug her shoulders against resistance
C) CN XII, percussing the sternocleidomastoid and submandibular neck musles
D) CN XII, assessing for a positive Romberg sign
B) CN XI, asking the patient to shrug her shoulders against resistance
When examining a patient's CN function, the nurse remembers that the muscles in the neck that
are innervated by CN XI are the:
A) sternomastoid and trapezius
B) spinal accessory and omohyoid
C) trapezius and sternomandibular
D) sternomandibular and spinal accessory
A) sternomastoid and trapezius
,A patients laboratory data reveal an elevated thyroxine (T4) level. The nurse would proceed with
an examination of the _____ gland.
A) thyroid
B) parotid
C) adrenal
D) parathyroid
A) thyroid
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):
A) is tender
B) is mobile and not hard
C) disappears when the patient smiles
D) is hard and fixed to the surrounding structures
B) is mobile and not hard
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) infraclavicular area
B) supraclavicular area
C) area distal to the enlarged node
D) area proximal to the enlarged node
D) area proximal to the enlarged node
The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
A) head, breast, groin and abdomen
B) arms, breast, inguinal area, legs
C) head and neck, arms, breast and axillae
D) head and neck, arms, inguinal area, and axillae
D) head and neck, arms, inguinal area, and axillae
A mother brings her newborn in for an assessment and asks: "Is there something wrong with my
baby? His head seems so big." Which statement is TRUE regarding the relative proportions of
the head and trunk of the newborn?
A) at birth, the head is one fifth of the total length
B) head circumference should be greater than the chest circumference at birth
C) the head size reaches 90% of its final sim when the child is 3 years old
, D) when the anterior fontanel closes at 2 months, the head will be more proportioned to the
body
B) head circumference should be greater than the chest circumference at birth
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 her?
A) diets low in protein and high in carbohydrates may cause enhanced facial bones
B) bones can become more noticeable if the person does not use a dermatologically approved
moisturizer
C) more noticeable facial bones are probably due to combination of factors related to aging
which as decreased elasticity, subcutaneous fat, and moisture in her skin
D) facial skin becomes more elastic with age, this increased elasticity cause the skin to be more
taught, drawing attention to the facial bones
C) more noticeable facial bones are probably due to combination of factors related to aging
which as decreased elasticity, subcutaneous fat, and moisture in her skin
A patient reports excruciating headache pain on one side of his head, especially around his eye,
forehead, and cheek that has laster approximately to 2 hours, occurring once or twice each day.
The nurse should suspect:
A) hypertension
B) cluster headaches
C) tension headaches
D) migraine headaches
B) cluster headaches
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
A) hypertension
B) cluster headaches
C) tension headaches
D) migraine headaches
D) migraine headaches
A 19 year-old college student is brought to emergency department with a severe headache he
describes as "like nothing I have ever had before". His temperature is 40C, and he had a stiff
neck. The nurse looks for other signs and symptoms of which problem?
A) head injury
B) cluster headache
