jarvis health assessment final test bank exam questions with correct answers

jarvis health assessment final test bank exam
questions with correct answers
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. |- |VERIFIED |ANSWER✔✔-C



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 |hypothyroidism.



d. |That |soft |spot |is |normal, |and |actually |allows |for |growth |of |the |brain |during |the |first |year |of |your |
babys |life |- |VERIFIED |ANSWER✔✔-D



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 |- |VERIFIED |ANSWER✔✔-C



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. |- |VERIFIED |ANSWER✔✔-B



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 |- |VERIFIED |ANSWER✔✔-C

,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 |- |VERIFIED |ANSWER✔✔-B



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.



b. |Spinal |accessory |and |omohyoid.



c. |Trapezius |and |sternomandibular.



d. |Sternomandibular |and |spinal |accessory. |- |VERIFIED |ANSWER✔✔-A



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 |- |VERIFIED |ANSWER✔✔-A



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. |- |VERIFIED |ANSWER✔✔-B



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. |- |VERIFIED |ANSWER✔✔-D



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



a. |Head, |breasts, |groin, |and |abdomen.