Jarvis - Health Assessment Final Test Questions and Answers Fully Solved Graded A+
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. - Answers C
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 - Answers 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. - Answers 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 - Answers 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 - Answers 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. - Answers 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 - Answers 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. - Answers 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. - Answers 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.
b. Arms, breasts, inguinal area, and legs.
c. Head and neck, arms, breasts, and axillae.
d. Head and neck, arms, inguinal area, and axillae. - Answers D
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.
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. - Answers C
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 - Answers 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. - Answers 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 - Answers 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 - Answers 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. - Answers 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 - Answers 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. - Answers 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. - Answers 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.
b. Arms, breasts, inguinal area, and legs.
c. Head and neck, arms, breasts, and axillae.
d. Head and neck, arms, inguinal area, and axillae. - Answers D
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.
