NURS 5463: Head, Neck, and Thyroid Assessment Review – Chapter 11 Exam Questions on Thyroid Disorders, Facial Features, and Headache Evaluation Complete Verified Questions Provided with A+ Graded Rationales Latest Updated 2026 I

NURS 5463: Head, Neck, and Thyroid Assessment Review – Chapter 11 Exam Questions on Thyroid Disorders, Facial Features, and Headache Evaluation Complete Verified Questions Provided with A+ Graded Rationales Latest Updated 2026 In which group would a slight enlargement of the thyroid gland on ultrasound be considered a normal finding? A. Infants B. Adolescents C. Pregnant women D. Frail elderly C. Pregnant women The fetal thyroid gland becomes functional in the second trimester. Before this time, the mother is the source of thyroid hormone, and pregnant women require increased iodine intake. As long as adequate iodine intake is maintained, the size of the thyroid will not change on physical examination. A slight enlargement may be detectible on ultrasound. Which approach provides the most objective basis for determining if a patient is developing a facies associated with a particular condition or syndrome? A. Ask the patient to describe recent changes in appearance. B.Ask a family member of the patient if any changes in appearance have been noted. C. Ask the patient to show you an old photograph of himself or herself. D. Ask the patient about any changes in body image or self-esteem. C. Ask the patient to show you an old photograph of himself or herself. Facies is defined as an expression or appearance of the face and features of the head and neck that, when considered together, is characteristic of a clinical condition or syndrome. One way to better appreciate these changes is to ask the patient to provide an old photograph of himself or herself. Which question is most appropriate to ask a female patient with a suspected thyroid problem? A. "How much alcohol do you drink?" B. "Has your sleep pattern or energy level changed?" C. "Do you have morning headaches?" D. "Do you use birth control?" B. "Has your sleep pattern or energy level changed?" A change in mood and energy, irritability, nervousness, lethargy, and disinterest are a few problems a patient with thyroid problems may have. Mr. Bowers is a 55-year-old patient who presents to your office. On examination, you note a mass filling the area of the suprasternal notch at the anterior base of the neck; the mass glides upward when the patient swallows. Which condition is consistent with this finding? A. Enlarged thyroid B. Enlarged trachea C. Localized infection D. Tracheal tugging A. Enlarged thyroid Marked edema of the neck may be associated with local infections (e.g., cervical lymphadenitis). A mass filling the base of the neck or visible thyroid tissue that glides upward when the patient swallows may indicate an enlarged thyroid. Mr. Wilson is a 68-year-old gentleman who presents to your office for a routine examination. Which finding would be considered an expected effect of aging? A. Narrowed palpebral fissures B. Pulsating fontanels C. Uneven movement of the tongue D. Fibrosis of the thyroid gland D. Fibrosis of the thyroid gland The rate of T4 production and degradation gradually decreases with aging, and the thyroid gland becomes more fibrotic. Ms. Jones is a 25-year-old patient who presents to your office with a complaint of severe pulsating headaches accompanied by nausea, vomiting, and scotoma. Which type of headache would you conclude that Ms. Jones has? A. Temporal B. Migraine C. Cluster D. Traumatic B. Migraine Migrane is a type of headache (pain in the head) that presents as pulsating or throbbing, accompanied by nausea, vomiting, and scotoma. A 6-month-old infant is brought to the clinic for immunizations. While examining the baby, the examiner notes that the anterior fontanel has not closed. What is the significance of this finding? A. This indicates a slight developmental delay. B. This suggests a nutritional deficiency. C. This is consistent with hydrocephaly. D. This is a norma