5TH EDITION
• AUTHOR(S)RICHARD L. DRAKE
TEST BANK
1
Reference: Ch. 1 — The Body — Anatomical Position &
Directional Terms
Stem: A nurse documents a deep laceration as located on the
"anterolateral aspect of the right thigh." A new graduate asks
what that description means relative to the patient's anatomy.
Which interpretation is most accurate for safe handoff
communication?
A. On the front and toward the outer side of the right thigh.
B. On the back and toward the inner side of the right thigh.
C. On the front and toward the inner side (medial) of the right
thigh.
D. On the back and toward the outer side of the right thigh.
Correct answer: A
,Correct Answer Rationale (3–4 sentences):
"Anterior" = front; "lateral" = toward the outer side. The term
"anterolateral" therefore localizes the wound to the front and
outer aspect of the thigh. This precise directional language
aligns with Gray’s emphasis on using standard anatomical
position terminology to avoid miscommunication during clinical
care.
Incorrect Answer Rationales (1–3 sentences each):
B. Describes posterior + medial — contradicts "anterolateral."
C. Medial (inner) contradicts "lateral" in the stem.
D. Posterior contradicts "anterior"; so this is anatomically
incorrect.
Teaching Point: Use anatomical position terms
(anterior/posterior, medial/lateral) for precise handoffs.
Citation: Drake, R. L. (2024). Gray’s Anatomy for Students (5th
Ed.). Ch. 1.
2
Reference: Ch. 1 — The Body — Planes and Sections
Stem: A patient’s CT abdomen is reported as “axial slices.” A
nursing student asks which plane these images correspond to
and why that is important when correlating CT images with
surface findings. Which answer is best?
,A. Transverse (horizontal) plane — it provides cross-sectional
views useful for localizing lesions relative to anterior/posterior
structures.
B. Coronal (frontal) plane — it slices the body into left and right
halves to show anterior structures.
C. Sagittal plane — it divides the body into upper and lower
parts and is best for cross-sections.
D. Oblique plane — it always aligns with the patient’s axial
skeleton for best bone detail.
Correct answer: A
Correct Answer Rationale (3–4 sentences):
Axial (transverse) images are horizontal cross-sections that
separate superior and inferior and are standard for CT. They
show the relationship of structures in anterior–posterior and
medial–lateral axes, enabling correlation of surface findings
(e.g., palpable mass) with internal anatomy. Gray’s describes
axial/transverse sections as the default for most CT series.
Incorrect Answer Rationales:
B. Coronal divides anterior/posterior but into front/back, not
left/right halves — incorrect plane name and description.
C. Sagittal divides left/right, not superior/inferior; so this
mislabels the plane.
D. Oblique slices are angled and not the standard CT axial
series; statement about axial skeleton is inaccurate.
Teaching Point: CT axial slices = transverse plane; correlate
cross-sections with surface landmarks.
, Citation: Drake, R. L. (2024). Gray’s Anatomy for Students (5th
Ed.). Ch. 1.
3
Reference: Ch. 1 — Imaging — Modalities & Clinical Uses
Stem: An elderly patient arrives with sudden severe headache
and decreased consciousness after a fall. Which imaging study
should the nurse anticipate first to rapidly detect an acute
intracranial hemorrhage and why?
A. Non-contrast CT head — it rapidly identifies acute blood as
hyperdense.
B. MRI brain with contrast — it provides immediate
hemorrhage detection and is fastest.
C. Ultrasound of the skull — it is portable and highly sensitive
for acute intracranial bleeding.
D. PET scan — it provides metabolic imaging helpful in acute
hemorrhage.
Correct answer: A
Correct Answer Rationale (3–4 sentences):
Non-contrast CT is the fastest and most reliable initial test for
detecting acute intracranial hemorrhage; fresh blood appears
hyperdense on CT. MRI can detect subacute/chronic changes
but is slower and often unavailable emergently. Gray’s
emphasizes modality selection based on tissue contrast and
clinical urgency.