ATI TESTING QUESTIONS EXAM 3 HEALTH ASSESSMENT
LATEST 2026/2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+
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:
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. ......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:
A)
"Perhaps that could be a result of your dietary intake during
pregnancy."
B)
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"Your baby may have craniosynostosis, a disease of the sutures of the
brain."
C)
"That 'soft spot' you are referring to may be an indication of cretinism
or congenital hypothyroidism."
D)
"That 'soft spot' is normal, and actually allows for growth of the brain
during the first year of your baby's life." ......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:
A)
III.
B)
V.
C)
VII.
D)
VIII. ......ANSWER......C
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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:
A)
Bell's palsy.
B)
damage to the trigeminal nerve.
C)
frostbite with resultant paresthesia to the cheeks.
D)
scleroderma. ......ANSWER......B
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.
When examining the face, the nurse is aware that the two pairs of
salivary glands that are accessible to examination are the _____
glands.
A)
occipital and submental
B)
parotid and jugulodigastric
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C)
parotid and submandibular
D)
submandibular and occipital ......ANSWER......C
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.
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)
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 ......ANSWER......B
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.
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