1. A physician tells the nurse that a patients 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 vertebra.
d. At the level of the T11 vertebra.: C
2. 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 may have craniosynostosis, a disease of the sutures of the brain.
c. That soft spot may be an indication of cretinism or congenital hypothy-
roidism.
d. That soft spot is normal, and actually allows for growth of the brain during
the first year of your babys life: D
3. The nurse notices that a patients palpebral fissures are not symmetric. On
examination, the nurse may find that damage has occurred to which cranial
nerve (CN)?
a. III
b. V
c. VII
d. VIII: C
, health assessment final - jarvis test bank
4. A patient is unable to differentiate between sharp and dull stimulation to
both sides of her face. The nurse suspects:
a. Bell palsy.
b. Damage to the trigeminal nerve.
c. Frostbite with resultant paresthesia to the cheeks.
d. Scleroderma.: B
5. When examining the face of a patient, the nurse is aware that the two pairs
of salivary glands that are accessible to examination are the ___________ and
___________ glands.
a. Occipital; submental
b. Parotid; jugulodigastric
c. Parotid; submandibular
d. Submandibular; occipital: C
6. 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 the examination by _____________.
a. XI; palpating the anterior and posterior triangles
b. XI; asking the patient to shrug her shoulders against resistance
c. XII; percussing the sternomastoid and submandibular neck muscles
d. XII; assessing for a positive Romberg sign: B
7. When examining a patients CN function, the nurse remembers that the
muscles in the neck that are innervated by CN XI are the:
a. Sternomastoid and trapezius.
, health assessment final - jarvis test bank
b. Spinal accessory and omohyoid.
c. Trapezius and sternomandibular.
d. Sternomandibular and spinal accessory.: A
8. 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
9. A patient says that she has recently noticed a lump in the front of her
neck below her Adams 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
10. The nurse notices that a patients submental lymph nodes are enlarged.
In an effort to identify the cause of the node enlargement, the nurse would
assess the patients:
a. Infraclavicular area.
b. Supraclavicular area.
c. Area distal to the enlarged node.
d. Area proximal to the enlarged node.: D
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