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NUR 230 Exam 2 Concepts of Nursing Childbearing
and Child Caring Family Test Bank with Verified
Answers and Detailed Rationales Grade A – Galen
1. What are the major lymph node locations in the head and neck?
Correct Answer: Preauricular, Postauricular, Occipital, Submental,
Submandibular, Tonsillar (Jugulodigastric), Superficial cervical, Deep
cervical, Posterior cervical, Supraclavicular.
Rationale:
1. Preauricular nodes are located in front of the ear (mastoid bone).
2. Postauricular nodes are located behind the ear.
3. Occipital nodes are at the base of the skull at the back of the head.
4. Submental nodes are under the chin.
5. Submandibular nodes are under the mandible between the jaw and chin.
6. Tonsillar nodes are under the posterior angle of the jaw.
7. Superficial cervical nodes are on the superior aspect of the sternomastoid
muscle under the ears.
8. Deep cervical nodes are along the sternomastoid muscle to the clavicle.
9. Posterior cervical nodes are between the trapezius and sternomastoid muscles
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in the lower neck.
10. Supraclavicular nodes are above the clavicle.
2. What is the order of assessment for the head, face, and neck?
Correct Answer: Inspection, Palpation, Auscultation (when examining
carotids or thyroid for bruit).
Rationale:
1. Inspection is always the first assessment technique.
2. Palpation follows inspection.
3. Auscultation is performed when a bruit is suspected (carotids, thyroid).
3. What are common concerns/complaints of the head, face, and neck?
Correct Answer: Head pain or lumps; jaw tightness or pain; head injury;
facial muscle twitching or droop; pain; neck pain or stiffness; neck mass,
lumps, or tenderness.
Rationale:
1. Head pain may indicate tension headache, migraine, or more serious
conditions.
2. Facial droop may indicate Bell's palsy or stroke.
3. Neck masses may indicate lymphadenopathy or thyroid enlargement.
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4. How do you inspect and palpate the face?
Correct Answer: Symmetry – compare eyebrows, nasolabial folds, sides
of mouth; head position, trachea. Expression (CN VII – Facial). Ask to
smile, frown, etc. Abnormal facial structures – deformities, nodules,
masses, hair distribution, lesions. Palpation performed when assessing
sinuses or facial glands. Touch sensation of face (CN V – Trigeminal).
Rationale:
1. Facial symmetry is assessed for CN VII function.
2. Expression is controlled by CN VII (Facial nerve).
3. Touch sensation is controlled by CN V (Trigeminal nerve).
5. How do you inspect the neck, trachea, lymph nodes, and thyroid
gland?
Correct Answer: Inspect in neutral position; inspect neck in
hyperextension; inspect neck when swallowing; inspect range of motion;
assess for masses, lesions, limited movements; lymph nodes should not
be visible; palpate for neck suppleness and muscle strength against
resistance; palpate for crepitus; palpate lymph nodes; palpate trachea
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for lateral deviation; palpate thyroid gland for enlargement; auscultate
thyroid for bruit if enlarged.
Rationale:
1. The thyroid moves with swallowing (CN IX – glossopharyngeal).
2. Tracheal deviation indicates a mass or tension pneumothorax.
3. Crepitus indicates air trapped in subcutaneous tissue.
6. What should be assessed during a lymph node examination?
Correct Answer: Size, shape, mobility, consistency (soft or hard),
tenderness, warmth, redness or red streaks, lymphadenopathy.
Rationale:
1. Lymph nodes >1 cm, fixed, irregular, hard, or rubbery require emergency
investigation for cancer.
2. Tender nodes usually indicate infection.
3. Hard, non-tender nodes may indicate malignancy.
7. What are the major lymph node locations in the body?
Correct Answer: Preauricular (in front of ear); Posterior auricular
(behind ear); Occipital (at base of skull); Submental (under chin);
Submandibular (under mandible); Tonsilar (under posterior angle of
NUR 230 Exam 2 Concepts of Nursing Childbearing
and Child Caring Family Test Bank with Verified
Answers and Detailed Rationales Grade A – Galen
1. What are the major lymph node locations in the head and neck?
Correct Answer: Preauricular, Postauricular, Occipital, Submental,
Submandibular, Tonsillar (Jugulodigastric), Superficial cervical, Deep
cervical, Posterior cervical, Supraclavicular.
Rationale:
1. Preauricular nodes are located in front of the ear (mastoid bone).
2. Postauricular nodes are located behind the ear.
3. Occipital nodes are at the base of the skull at the back of the head.
4. Submental nodes are under the chin.
5. Submandibular nodes are under the mandible between the jaw and chin.
6. Tonsillar nodes are under the posterior angle of the jaw.
7. Superficial cervical nodes are on the superior aspect of the sternomastoid
muscle under the ears.
8. Deep cervical nodes are along the sternomastoid muscle to the clavicle.
9. Posterior cervical nodes are between the trapezius and sternomastoid muscles
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in the lower neck.
10. Supraclavicular nodes are above the clavicle.
2. What is the order of assessment for the head, face, and neck?
Correct Answer: Inspection, Palpation, Auscultation (when examining
carotids or thyroid for bruit).
Rationale:
1. Inspection is always the first assessment technique.
2. Palpation follows inspection.
3. Auscultation is performed when a bruit is suspected (carotids, thyroid).
3. What are common concerns/complaints of the head, face, and neck?
Correct Answer: Head pain or lumps; jaw tightness or pain; head injury;
facial muscle twitching or droop; pain; neck pain or stiffness; neck mass,
lumps, or tenderness.
Rationale:
1. Head pain may indicate tension headache, migraine, or more serious
conditions.
2. Facial droop may indicate Bell's palsy or stroke.
3. Neck masses may indicate lymphadenopathy or thyroid enlargement.
,3|Page
4. How do you inspect and palpate the face?
Correct Answer: Symmetry – compare eyebrows, nasolabial folds, sides
of mouth; head position, trachea. Expression (CN VII – Facial). Ask to
smile, frown, etc. Abnormal facial structures – deformities, nodules,
masses, hair distribution, lesions. Palpation performed when assessing
sinuses or facial glands. Touch sensation of face (CN V – Trigeminal).
Rationale:
1. Facial symmetry is assessed for CN VII function.
2. Expression is controlled by CN VII (Facial nerve).
3. Touch sensation is controlled by CN V (Trigeminal nerve).
5. How do you inspect the neck, trachea, lymph nodes, and thyroid
gland?
Correct Answer: Inspect in neutral position; inspect neck in
hyperextension; inspect neck when swallowing; inspect range of motion;
assess for masses, lesions, limited movements; lymph nodes should not
be visible; palpate for neck suppleness and muscle strength against
resistance; palpate for crepitus; palpate lymph nodes; palpate trachea
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for lateral deviation; palpate thyroid gland for enlargement; auscultate
thyroid for bruit if enlarged.
Rationale:
1. The thyroid moves with swallowing (CN IX – glossopharyngeal).
2. Tracheal deviation indicates a mass or tension pneumothorax.
3. Crepitus indicates air trapped in subcutaneous tissue.
6. What should be assessed during a lymph node examination?
Correct Answer: Size, shape, mobility, consistency (soft or hard),
tenderness, warmth, redness or red streaks, lymphadenopathy.
Rationale:
1. Lymph nodes >1 cm, fixed, irregular, hard, or rubbery require emergency
investigation for cancer.
2. Tender nodes usually indicate infection.
3. Hard, non-tender nodes may indicate malignancy.
7. What are the major lymph node locations in the body?
Correct Answer: Preauricular (in front of ear); Posterior auricular
(behind ear); Occipital (at base of skull); Submental (under chin);
Submandibular (under mandible); Tonsilar (under posterior angle of
