NR 304/ NR304 CHAMBERLAIN COLLEGE OF
NURSING - ALL SETS: NR 304 + NR 302
PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS
A 19-year-old college student is brought to the emergency
department with a severe headache he describes as "Like
nothing I've ever had before." His temperature is 104° F, and he
has a stiff neck. What do these signs and symptoms suggest?
1.
Head injury
2.
Cluster headache
3.
Migraine headache
4.
Meningeal inflammation
ANS:4
Acute onset of neck stiffness and pain along with headache and
fever occurs with meningeal inflammation. A severe headache
in an adult or child who has never had it before is a red flag.
A patient's thyroid is enlarged, and the nurse is preparing to
auscultate the thyroid for the presence of a bruit. A bruit is a:
1.
low gurgling sound best heard with the diaphragm of the
stethoscope.
2.
,loud, whooshing, blowing sound best heard with the bell of the
stethoscope.
3.
soft, whooshing, pulsatile sound best heard with the bell of the
stethoscope.
4.
high-pitched tinkling sound best heard with the diaphragm of the
stethoscope.
ANS: 3
If the thyroid gland is enlarged, auscultate it for the presence of
a bruit, which is a soft, pulsatile, whooshing, blowing sound
heard best with the bell of the stethoscope.
A visitor from Poland who does not speak English seems to be
somewhat apprehensive about the nurse examining his neck. He
would probably be most comfortable with the nurse examining
his thyroid:
1.
from behind with the nurse's hands placed firmly around his
neck.
2.
from the side with the nurse's eyes averted toward the ceiling
and thumbs on his neck.
3.
from the front with the nurse's thumbs placed on either side of
his trachea and his head tilted forward.
4.
from the front with the nurse's thumbs placed on either side of
his trachea and his head tilted backward.
,ANS: 3
Examining this patient's thyroid from the back may be unsettling
for him. It would be best to examine his thyroid using the
anterior approach, asking him to tip his head forward and to the
right and then the left.
A male patient with a history of AIDS has come in for an
examination and he states, "I think that I have the mumps." The
nurse would begin by examining the:
1.
thyroid gland.
2.
parotid gland.
3.
cervical lymph nodes.
4.
mouth and skin for lesions.
ANS: 2
The parotid gland may become swollen with the onset of
mumps, and parotid enlargement has been found with HIV.
A patient has come in for an examination and states, "I have this
spot in front of my ear lobe here on my cheek that seems to be
getting bigger and is real tender. What do you think it is?" The
nurse notes swelling below the angle of the jaw and suspects
that it could be an inflammation of his:
1.
thyroid gland.
2.
, parotid gland.
3.
occipital lymph node.
4.
submental lymph node.
ANS: 2
Swelling with the parotid gland occurs below the angle of the
jaw and is most visible when the head is extended. Painful
inflammation occurs with mumps, and swelling also occurs with
abscesses or tumors. Swelling occurs anterior to the lower ear
lobe.
A woman comes to the clinic and states, "My eyes have gotten
so puffy, and my eyebrows and hair have become coarse and
dry." The nurse suspects:
1.
cachexia.
2.
cretinism.
3.
myxedema.
4.
scleroderma.
ANS: 3
Myxedema (hypothyroidism) is a deficiency of thyroid hormone
that, when severe, causes a nonpitting edema or myxedema. The
patient will have a puffy edematous face especially around eyes
NURSING - ALL SETS: NR 304 + NR 302
PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS
A 19-year-old college student is brought to the emergency
department with a severe headache he describes as "Like
nothing I've ever had before." His temperature is 104° F, and he
has a stiff neck. What do these signs and symptoms suggest?
1.
Head injury
2.
Cluster headache
3.
Migraine headache
4.
Meningeal inflammation
ANS:4
Acute onset of neck stiffness and pain along with headache and
fever occurs with meningeal inflammation. A severe headache
in an adult or child who has never had it before is a red flag.
A patient's thyroid is enlarged, and the nurse is preparing to
auscultate the thyroid for the presence of a bruit. A bruit is a:
1.
low gurgling sound best heard with the diaphragm of the
stethoscope.
2.
,loud, whooshing, blowing sound best heard with the bell of the
stethoscope.
3.
soft, whooshing, pulsatile sound best heard with the bell of the
stethoscope.
4.
high-pitched tinkling sound best heard with the diaphragm of the
stethoscope.
ANS: 3
If the thyroid gland is enlarged, auscultate it for the presence of
a bruit, which is a soft, pulsatile, whooshing, blowing sound
heard best with the bell of the stethoscope.
A visitor from Poland who does not speak English seems to be
somewhat apprehensive about the nurse examining his neck. He
would probably be most comfortable with the nurse examining
his thyroid:
1.
from behind with the nurse's hands placed firmly around his
neck.
2.
from the side with the nurse's eyes averted toward the ceiling
and thumbs on his neck.
3.
from the front with the nurse's thumbs placed on either side of
his trachea and his head tilted forward.
4.
from the front with the nurse's thumbs placed on either side of
his trachea and his head tilted backward.
,ANS: 3
Examining this patient's thyroid from the back may be unsettling
for him. It would be best to examine his thyroid using the
anterior approach, asking him to tip his head forward and to the
right and then the left.
A male patient with a history of AIDS has come in for an
examination and he states, "I think that I have the mumps." The
nurse would begin by examining the:
1.
thyroid gland.
2.
parotid gland.
3.
cervical lymph nodes.
4.
mouth and skin for lesions.
ANS: 2
The parotid gland may become swollen with the onset of
mumps, and parotid enlargement has been found with HIV.
A patient has come in for an examination and states, "I have this
spot in front of my ear lobe here on my cheek that seems to be
getting bigger and is real tender. What do you think it is?" The
nurse notes swelling below the angle of the jaw and suspects
that it could be an inflammation of his:
1.
thyroid gland.
2.
, parotid gland.
3.
occipital lymph node.
4.
submental lymph node.
ANS: 2
Swelling with the parotid gland occurs below the angle of the
jaw and is most visible when the head is extended. Painful
inflammation occurs with mumps, and swelling also occurs with
abscesses or tumors. Swelling occurs anterior to the lower ear
lobe.
A woman comes to the clinic and states, "My eyes have gotten
so puffy, and my eyebrows and hair have become coarse and
dry." The nurse suspects:
1.
cachexia.
2.
cretinism.
3.
myxedema.
4.
scleroderma.
ANS: 3
Myxedema (hypothyroidism) is a deficiency of thyroid hormone
that, when severe, causes a nonpitting edema or myxedema. The
patient will have a puffy edematous face especially around eyes
