Shadow Health EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

EXAM

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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
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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).
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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
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mthe floor of the mouth, so are not readily accessible for examination. The two pairs of salivary glan
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ds that are accessible for examination on the face are the parotid glands, which are in the cheeks o
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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.
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QUESTION 7 zm




A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should
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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
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m(T3). The other glands do not secrete T4. The parotid glands are salivary glands and secrete saliva.
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The adrenal glands secrete corticosteroids, not T4, and the parathyroid glands control the body's cal
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cium. The gland that secretes thyroxine, or T4, is the thyroid gland. The thyroid gland is a highly va
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scular endocrine gland that secretes thyroxine (T4) and triiodothyronine (T3).
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QUESTION 8 zm




A patient says that she has recently noticed a lump in the front of her neck below her
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m"Adam's apple" that seems to be getting bigger. During the assessment, what finding
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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
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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
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urce of the problem. The area proximal (upstream) to the location of the abnormal node should be
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explored.



QUESTION 10 zm




The nurse is explaining to a student nurse the four areas in the body where lymph no
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des are accessible. Which areas should the nurse include in her explanation to the stu
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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
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areas: head and neck, arms, inguinal region, and axillae.
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QUESTION 11 zm




A patient reports excruciating headache pain on one side of his head, especially aroun
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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
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ral and always on the same side of the head. They are excruciating and occur once or twice per day
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and last 1 2 to 2 hours each. Although hypertension may cause headaches, the blood pressure need
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s to be severely elevated and would likely not occur once or twice a day and last for 1 2 to 2 hour
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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
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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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