health assessment final - jarvis test bank complete questions
and correct detailed answers
1. A physician tells the nurse that a patients vertebra prominens is tender and
asks the nurse to reevaluate the area in 1 hour. The area of the body the nurse
will assess is:
a. Just above the diaphragm.
b. Just lateral to the knee cap.
c. At the level of the C7 vertebra.
d. At the level of the T11 vertebra.: C
2. 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 hypothy-
roidism.
d. That soft spot is normal, and actually allows for growth of the brain during
the first year of your babys life: D
3. 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
, health assessment final - jarvis test bank complete questions
and correct detailed answers
d. VIII: C
4. 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.: B
5. 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: C
6. 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: B
, health assessment final - jarvis test bank complete questions
and correct detailed answers
7. 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.: A
8. 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
d. Parathyroid: A
9. A patient says that she has recently noticed a lump in the front of her neck be-
low her Adams apple that seems to be getting bigger. During the assessment,
the finding that leads the nurse to suspect that this may not be a cancerous
thyroid nodule is that the lump (nodule):
a. Is tender.
b. Is mobile and not hard.
c. Disappears when the patient smiles.
d. Is hard and fixed to the surrounding structures.: B
10. The nurse notices that a patients submental lymph nodes are enlarged. In
an effort to identify the cause of the node enlargement, the nurse would assess
, health assessment final - jarvis test bank complete questions
and correct detailed answers
the patients:
a. Infraclavicular area.
b. Supraclavicular area.
c. Area distal to the enlarged node.
d. Area proximal to the enlarged node.: D
11. The nurse is aware that the four areas in the body where lymph nodes are
accessible are the:
a. Head, breasts, groin, and abdomen.
b. Arms, breasts, inguinal area, and legs.
c. Head and neck, arms, breasts, and axillae.
d. Head and neck, arms, inguinal area, and axillae.: D
12. A mother brings her newborn in for an assessment and asks, Is there some-
thing wrong with my baby? His head seems so big. Which statement is true
regarding the relative proportions of the head and trunk of the newborn?
a. At birth, the head is one fifth the total length.
b. Head circumference should be greater than chest circumference at birth.
c. The head size reaches 90% of its final size when the child is 3 years old.
d. When the anterior fontanel closes at 2 months, the head will be more
proportioned to the body.: B
13. A patient, an 85-year-old woman, is complaining about the fact that the
bones in her face have become more noticeable. What explanation should the
nurse give her?
and correct detailed answers
1. A physician tells the nurse that a patients vertebra prominens is tender and
asks the nurse to reevaluate the area in 1 hour. The area of the body the nurse
will assess is:
a. Just above the diaphragm.
b. Just lateral to the knee cap.
c. At the level of the C7 vertebra.
d. At the level of the T11 vertebra.: C
2. 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 hypothy-
roidism.
d. That soft spot is normal, and actually allows for growth of the brain during
the first year of your babys life: D
3. 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
, health assessment final - jarvis test bank complete questions
and correct detailed answers
d. VIII: C
4. 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.: B
5. 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: C
6. 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: B
, health assessment final - jarvis test bank complete questions
and correct detailed answers
7. 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.: A
8. 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
d. Parathyroid: A
9. A patient says that she has recently noticed a lump in the front of her neck be-
low her Adams apple that seems to be getting bigger. During the assessment,
the finding that leads the nurse to suspect that this may not be a cancerous
thyroid nodule is that the lump (nodule):
a. Is tender.
b. Is mobile and not hard.
c. Disappears when the patient smiles.
d. Is hard and fixed to the surrounding structures.: B
10. The nurse notices that a patients submental lymph nodes are enlarged. In
an effort to identify the cause of the node enlargement, the nurse would assess
, health assessment final - jarvis test bank complete questions
and correct detailed answers
the patients:
a. Infraclavicular area.
b. Supraclavicular area.
c. Area distal to the enlarged node.
d. Area proximal to the enlarged node.: D
11. The nurse is aware that the four areas in the body where lymph nodes are
accessible are the:
a. Head, breasts, groin, and abdomen.
b. Arms, breasts, inguinal area, and legs.
c. Head and neck, arms, breasts, and axillae.
d. Head and neck, arms, inguinal area, and axillae.: D
12. A mother brings her newborn in for an assessment and asks, Is there some-
thing wrong with my baby? His head seems so big. Which statement is true
regarding the relative proportions of the head and trunk of the newborn?
a. At birth, the head is one fifth the total length.
b. Head circumference should be greater than chest circumference at birth.
c. The head size reaches 90% of its final size when the child is 3 years old.
d. When the anterior fontanel closes at 2 months, the head will be more
proportioned to the body.: B
13. A patient, an 85-year-old woman, is complaining about the fact that the
bones in her face have become more noticeable. What explanation should the
nurse give her?
