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health assessment final - jarvis test bank exam questions and answers

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health assessment final - jarvis test
bank exam questions and answers

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. - Answer-D

A 19-year-old college student is brought to the emergency department with a severe
headache he describes as, Like nothing Ive ever had before. His temperature is 40
C, and he has a stiff neck. The nurse looks for other signs and symptoms of which
problem?

a. Head injury

b. Cluster headache

c. Migraine headache

d. Meningeal inflammation - Answer-D

During a well-baby checkup, the nurse notices that a 1-week-old infants 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. Craniotabes

b. Microcephaly

c. Hydrocephalus

d. Caput succedaneum - Answer-C

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

a. Hyoid bone.

,b. Vagus nerve.

c. Tragus.

d. Mandible. - Answer-C

A patient has come in for an examination and states, I have this spot in front of my
ear lobe 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. Thyroid gland.

b. Parotid gland.

c. Occipital lymph node.

d. Submental lymph node. - Answer-B

A male patient with a history of acquired immunodeficiency syndrome (AIDS) has
come in for an examination and he states, I think that I have the mumps. The nurse
would begin by examining the:

a. Thyroid gland.

b. Parotid gland.

c. Cervical lymph nodes.

d. Mouth and skin for lesions. - Answer-B

The nurse suspects that a patient has hyperthyroidism, and the laboratory data
indicate that the patients T4 and T3 hormone levels are elevated. Which of these
findings would the nurse most likely find on examination?

a. Tachycardia

b. Constipation

c. Rapid dyspnea

d. Atrophied nodular thyroid gland - Answer-A

A visitor from Poland who does not speak English seems to be somewhat
apprehensive about the nurse examining his neck. He would probably be more
comfortable with the nurse examining his thyroid gland from:

a. Behind with the nurses hands placed firmly around his neck.

, b. The side with the nurses eyes averted toward the ceiling and thumbs on his neck.

c. The front with the nurses thumbs placed on either side of his trachea and his head
tilted forward.

d. The front with the nurses thumbs placed on either side of his trachea and his head
tilted backward. - Answer-C

A patients thyroid gland is enlarged, and the nurse is preparing to auscultate the
thyroid gland for the presence of a bruit. A bruit is a __________ sound that is heard
best with the __________ of the stethoscope.

a. Low gurgling; diaphragm

b. Loud, whooshing, blowing; bell

c. Soft, whooshing, pulsatile; bell

d. High-pitched tinkling; diaphragm - Answer-C

The nurse notices that an infant has a large, soft lump on the side of his head and
that his mother is very concerned. She tells the nurse that she noticed the lump
approximately 8 hours after her babys birth and that it seems to be getting bigger.
One possible explanation for this is:

a. Hydrocephalus.

b. Craniosynostosis.

c. Cephalhematoma.

d. Caput succedaneum - Answer-C

A mother brings in her newborn infant for an assessment and tells the nurse that she
has noticed that whenever her newborns head is turned to the right side, she
straightens out the arm and leg on the same side and flexes the opposite arm and
leg. After observing this on examination, the nurse tells her that this reflex is:

a. Abnormal and is called the atonic neck reflex.

b. Normal and should disappear by the first year of life.

c. Normal and is called the tonic neck reflex, which should disappear between 3 and
4 months of age.

d. Abnormal. The baby should be flexing the arm and leg on the right side of his
body when the head is turned to the right. - Answer-C

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