EXAM
Exam Solution zm
Health Assessment Test Bank (Exam 4) 2026 A+ GRAD
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E ASSURED COMPLETE SOLUTIONS AND VERIFIED ANS
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WERS (3F9E1) zm
QUESTION 1 zm
FOR CHAPTERS 13, 14, 15, 16, 17, 18, 19, 20, & 21 -
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FOCUS ON THE AGING ADULT; SKIP OR DELETE ANY OTHER QUESTIONS NOT RELATE
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D TO THE OLDER ADULT!
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ANSWER
SKIP OR DELETE ANY OTHER QUESTIONS NOT RELATED TO THE OLDER ADULT!
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QUESTION 2 zm
BEGINNING OF CHAPTER 14 - zm zm zm zm
HEAD, FACE, AND NECK, AND REGIONAL LYMPHATICS ***FOCUS ONLY ON THE AGING
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ADULT QUESTIONS!! zm
ANSWER
BEGINNING OF CHAPTER 14 - HEAD, FACE, AND NECK, AND REGIONAL LYMPHATICS
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 3 zm
A physician tells the nurse that a patient's vertebra prominens is tender and asks the
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nurse to reevaluate the area in 1 hour. What area of the body will the nurse assess?
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a. At the level of the C7 vertebra
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b. At the level of the T11 vertebra
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c. At the level of the L5 vertebra
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d. At the level of the S3 vertebra
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ANSWER
ANS: A The C7 vertebra has a long spinous process, called the vertebra prominens, which is palpabl
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e when the head is flexed.
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,QUESTION 4 zm
The nurse notices that a patient's palpebral fissures are not symmetric. On examinatio
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n, the nurse may find that damage has occurred to which cranial nerve (CN)?
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a. V zm
b. VII
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c. XIzm
d. XIII
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ANSWER
ANS: B Facial muscles are mediated by CN VII; asymmetry of palpebral fissures may be attributable
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to damage to CN VII (Bell palsy). Cranial nerve V, the trigeminal nerve, mediates facial sensations of
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mpain and touch. Cranial nerve XI is the spinal accessory nerve that innervates the sternomastoid an
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d trapezius muscles of the neck. There is no cranial nerve XIII (only 12 cranial nerves).
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 5 zm
When examining the face of a patient, what are the two pairs of salivary glands that a
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re accessible for examination?
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a. Occipital; submental
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b. Parotid; submandibular
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c. Submandibular; occipital
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d. Sublingual; parotid
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ANSWER
ANS: B The two pairs of salivary glands accessible to examination on the face are the parotid glands
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, which are in the cheeks over the mandible, anterior to and below the ear; and the submandibular
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glands, which are beneath the mandible at the angle of the jaw. The parotid glands are normally no
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npalpable. The occipital and submental are lymph nodes, not glands and the sublingual glands lie on
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mthe floor of the mouth, so are not readily accessible for examination. The two pairs of salivary glan
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ds that are accessible for examination on the face are the parotid glands, which are in the cheeks o
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ver the mandible, anterior to and below the ear; and the submandibular glands, which are beneath t
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he mandible at the angle of the jaw.
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QUESTION 6 zm
When examining a patient's CN function, what muscles should the nurse assess to asse
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ss the function of CN XI?
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a. Sternomastoid and trapezius
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b. Spinal accessory and omohyoid
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c. Trapezius and sternomandibular
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d. Sternomandibular and spinal accessory
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ANSWER
,ANS: A The muscles innervated by CN XI are the sternomastoid and the trapezius muscles in the ne
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ck. Options B, C, and D are incorrect because the spinal accessory is not a muscle but the name of
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CN XI and there is no sternomandibular muscle.
zm zm zm zm zm zm zm
QUESTION 7 zm
A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should
zm zm zm zm zm zm zm zm zm zm zm zm z
mthe nurse assess?
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a. Thyroid
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b. Parotid
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c. Adrenal
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d. Parathyroid
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ANSWER
ANS: A The thyroid gland is a highly vascular endocrine gland that secretes T4 and triiodothyronine
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
m(T3). The other glands do not secrete T4. The parotid glands are salivary glands and secrete saliva.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
The adrenal glands secrete corticosteroids, not T4, and the parathyroid glands control the body's cal
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
cium. The gland that secretes thyroxine, or T4, is the thyroid gland. The thyroid gland is a highly va
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
scular endocrine gland that secretes thyroxine (T4) and triiodothyronine (T3).
zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
A patient says that she has recently noticed a lump in the front of her neck below her
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
m"Adam's apple" that seems to be getting bigger. During the assessment, what finding
zm zm zm zm zm zm zm zm zm zm zm zm zm
would lead the nurse to suspect that this may not be a cancerous thyroid nodule?
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a. It is tender.
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b. It is mobile and soft.
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c. It disappears when the patient smiles.
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d. It is hard and fixed to the surrounding structures.
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ANSWER
ANS: B Painless, rapidly growing nodules may be cancerous, especially the appearance of a single no
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
dule in a young person. However, cancerous nodules tend to be hard and fixed to surrounding struc
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tures, not mobile. zm zm
QUESTION 9 zm
The nurse notices that a patient's submental lymph nodes are enlarged. In an effort to
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identify the cause of the node enlargement, what should the nurse assess?
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a. Infraclavicular area
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b. Supraclavicular area
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c. Area distal to the enlarged node
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d. Area proximal to the enlarged node
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ANSWER
, ANS: D When nodes are abnormal, the nurse should check the area into which they drain for the so
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
urce of the problem. The area proximal (upstream) to the location of the abnormal node should be
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
explored.
QUESTION 10 zm
The nurse is explaining to a student nurse the four areas in the body where lymph no
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
des are accessible. Which areas should the nurse include in her explanation to the stu
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
dent?
a. Head, breasts, groin, and abdomen
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b. Arms, breasts, inguinal area, and legs
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c. Head and neck, arms, breasts, and axillae
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d. Head and neck, arms, inguinal area, and axillae
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ANSWER
ANS: D Nodes are located throughout the body, but they are accessible to examination only in four
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
areas: head and neck, arms, inguinal region, and axillae.
zm zm zm zm zm zm zm zm
QUESTION 11 zm
A patient reports excruciating headache pain on one side of his head, especially aroun
zm zm zm zm zm zm zm zm zm zm zm zm zm
d his eye, forehead, and cheek that has lasted approximately 1 2 to 2 hours, occurring
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once or twice each day. What should the nurse suspect?
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a. Hypertension
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b. Cluster headaches
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c. Tension headaches
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d. Migraine headaches
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ANSWER
ANS: B Cluster headaches produce pain around the eye, temple, forehead, and cheek and are unilate
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ral and always on the same side of the head. They are excruciating and occur once or twice per day
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
and last 1 2 to 2 hours each. Although hypertension may cause headaches, the blood pressure need
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s to be severely elevated and would likely not occur once or twice a day and last for 1 2 to 2 hour
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s. Tension headaches are occipital, frontal, or with bandlike tightness. Migraine headaches are supra
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orbital, retro-orbital, or frontotemporal.
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QUESTION 12 zm
A patient complains that while studying for an examination he began to notice a sever
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e headache in the frontotemporal area of his head that is throbbing and is somewhat
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
relieved when he lies down. He tells the nurse that his mother also had these headac
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hes. What should the nurse suspect?
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a. Hypertension
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b. Cluster headaches
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Exam Solution zm
Health Assessment Test Bank (Exam 4) 2026 A+ GRAD
zm zm zm zm zm zm zm zm
E ASSURED COMPLETE SOLUTIONS AND VERIFIED ANS
zm zm zm zm zm zm
WERS (3F9E1) zm
QUESTION 1 zm
FOR CHAPTERS 13, 14, 15, 16, 17, 18, 19, 20, & 21 -
zm zm zm zm zm zm zm zm zm zm zm zm
FOCUS ON THE AGING ADULT; SKIP OR DELETE ANY OTHER QUESTIONS NOT RELATE
zm zm zm zm zm zm zm zm zm zm zm zm zm
D TO THE OLDER ADULT!
zm zm zm zm
ANSWER
SKIP OR DELETE ANY OTHER QUESTIONS NOT RELATED TO THE OLDER ADULT!
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
BEGINNING OF CHAPTER 14 - zm zm zm zm
HEAD, FACE, AND NECK, AND REGIONAL LYMPHATICS ***FOCUS ONLY ON THE AGING
zm zm zm zm zm zm zm zm zm zm zm zm zm
ADULT QUESTIONS!! zm
ANSWER
BEGINNING OF CHAPTER 14 - HEAD, FACE, AND NECK, AND REGIONAL LYMPHATICS
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 3 zm
A physician tells the nurse that a patient's vertebra prominens is tender and asks the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
nurse to reevaluate the area in 1 hour. What area of the body will the nurse assess?
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a. At the level of the C7 vertebra
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b. At the level of the T11 vertebra
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c. At the level of the L5 vertebra
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d. At the level of the S3 vertebra
zm zm zm zm zm zm zm
ANSWER
ANS: A The C7 vertebra has a long spinous process, called the vertebra prominens, which is palpabl
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e when the head is flexed.
zm zm zm zm zm
,QUESTION 4 zm
The nurse notices that a patient's palpebral fissures are not symmetric. On examinatio
zm zm zm zm zm zm zm zm zm zm zm zm
n, the nurse may find that damage has occurred to which cranial nerve (CN)?
zm zm zm zm zm zm zm zm zm zm zm zm zm
a. V zm
b. VII
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c. XIzm
d. XIII
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ANSWER
ANS: B Facial muscles are mediated by CN VII; asymmetry of palpebral fissures may be attributable
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
to damage to CN VII (Bell palsy). Cranial nerve V, the trigeminal nerve, mediates facial sensations of
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mpain and touch. Cranial nerve XI is the spinal accessory nerve that innervates the sternomastoid an
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
d trapezius muscles of the neck. There is no cranial nerve XIII (only 12 cranial nerves).
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 5 zm
When examining the face of a patient, what are the two pairs of salivary glands that a
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
re accessible for examination?
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a. Occipital; submental
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b. Parotid; submandibular
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c. Submandibular; occipital
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d. Sublingual; parotid
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ANSWER
ANS: B The two pairs of salivary glands accessible to examination on the face are the parotid glands
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
, which are in the cheeks over the mandible, anterior to and below the ear; and the submandibular
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
glands, which are beneath the mandible at the angle of the jaw. The parotid glands are normally no
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
npalpable. The occipital and submental are lymph nodes, not glands and the sublingual glands lie on
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mthe floor of the mouth, so are not readily accessible for examination. The two pairs of salivary glan
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ds that are accessible for examination on the face are the parotid glands, which are in the cheeks o
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ver the mandible, anterior to and below the ear; and the submandibular glands, which are beneath t
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he mandible at the angle of the jaw.
zm zm zm zm zm zm zm
QUESTION 6 zm
When examining a patient's CN function, what muscles should the nurse assess to asse
zm zm zm zm zm zm zm zm zm zm zm zm zm
ss the function of CN XI?
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a. Sternomastoid and trapezius
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b. Spinal accessory and omohyoid
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c. Trapezius and sternomandibular
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d. Sternomandibular and spinal accessory
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ANSWER
,ANS: A The muscles innervated by CN XI are the sternomastoid and the trapezius muscles in the ne
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ck. Options B, C, and D are incorrect because the spinal accessory is not a muscle but the name of
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
CN XI and there is no sternomandibular muscle.
zm zm zm zm zm zm zm
QUESTION 7 zm
A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should
zm zm zm zm zm zm zm zm zm zm zm zm z
mthe nurse assess?
zm zm
a. Thyroid
zm
b. Parotid
zm
c. Adrenal
zm
d. Parathyroid
zm
ANSWER
ANS: A The thyroid gland is a highly vascular endocrine gland that secretes T4 and triiodothyronine
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
m(T3). The other glands do not secrete T4. The parotid glands are salivary glands and secrete saliva.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
The adrenal glands secrete corticosteroids, not T4, and the parathyroid glands control the body's cal
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
cium. The gland that secretes thyroxine, or T4, is the thyroid gland. The thyroid gland is a highly va
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
scular endocrine gland that secretes thyroxine (T4) and triiodothyronine (T3).
zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
A patient says that she has recently noticed a lump in the front of her neck below her
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
m"Adam's apple" that seems to be getting bigger. During the assessment, what finding
zm zm zm zm zm zm zm zm zm zm zm zm zm
would lead the nurse to suspect that this may not be a cancerous thyroid nodule?
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a. It is tender.
zm zm zm
b. It is mobile and soft.
zm zm zm zm zm
c. It disappears when the patient smiles.
zm zm zm zm zm zm
d. It is hard and fixed to the surrounding structures.
zm zm zm zm zm zm zm zm zm
ANSWER
ANS: B Painless, rapidly growing nodules may be cancerous, especially the appearance of a single no
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
dule in a young person. However, cancerous nodules tend to be hard and fixed to surrounding struc
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tures, not mobile. zm zm
QUESTION 9 zm
The nurse notices that a patient's submental lymph nodes are enlarged. In an effort to
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
identify the cause of the node enlargement, what should the nurse assess?
zm zm zm zm zm zm zm zm zm zm zm zm
a. Infraclavicular area
zm zm
b. Supraclavicular area
zm zm
c. Area distal to the enlarged node
zm zm zm zm zm zm
d. Area proximal to the enlarged node
zm zm zm zm zm zm
ANSWER
, ANS: D When nodes are abnormal, the nurse should check the area into which they drain for the so
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
urce of the problem. The area proximal (upstream) to the location of the abnormal node should be
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
explored.
QUESTION 10 zm
The nurse is explaining to a student nurse the four areas in the body where lymph no
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
des are accessible. Which areas should the nurse include in her explanation to the stu
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
dent?
a. Head, breasts, groin, and abdomen
zm zm zm zm zm
b. Arms, breasts, inguinal area, and legs
zm zm zm zm zm zm
c. Head and neck, arms, breasts, and axillae
zm zm zm zm zm zm zm
d. Head and neck, arms, inguinal area, and axillae
zm zm zm zm zm zm zm zm
ANSWER
ANS: D Nodes are located throughout the body, but they are accessible to examination only in four
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
areas: head and neck, arms, inguinal region, and axillae.
zm zm zm zm zm zm zm zm
QUESTION 11 zm
A patient reports excruciating headache pain on one side of his head, especially aroun
zm zm zm zm zm zm zm zm zm zm zm zm zm
d his eye, forehead, and cheek that has lasted approximately 1 2 to 2 hours, occurring
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
once or twice each day. What should the nurse suspect?
zm zm zm zm zm zm zm zm zm zm
a. Hypertension
zm
b. Cluster headaches
zm zm
c. Tension headaches
zm zm
d. Migraine headaches
zm zm
ANSWER
ANS: B Cluster headaches produce pain around the eye, temple, forehead, and cheek and are unilate
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ral and always on the same side of the head. They are excruciating and occur once or twice per day
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
and last 1 2 to 2 hours each. Although hypertension may cause headaches, the blood pressure need
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s to be severely elevated and would likely not occur once or twice a day and last for 1 2 to 2 hour
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
s. Tension headaches are occipital, frontal, or with bandlike tightness. Migraine headaches are supra
zm zm zm zm zm zm zm zm zm zm zm zm zm
orbital, retro-orbital, or frontotemporal.
zm zm zm
QUESTION 12 zm
A patient complains that while studying for an examination he began to notice a sever
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e headache in the frontotemporal area of his head that is throbbing and is somewhat
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
relieved when he lies down. He tells the nurse that his mother also had these headac
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hes. What should the nurse suspect?
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a. Hypertension
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b. Cluster headaches
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