ADVANCED HEALTH ASSESSMENT AND
DIAGNOSTIC REASONING 4TH EDITION
COMPLETE TEST BANK WITH ANSWERS
◉ 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 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 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. 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 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 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. 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
DIAGNOSTIC REASONING 4TH EDITION
COMPLETE TEST BANK WITH ANSWERS
◉ 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 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 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. 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 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 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. 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
