Unit 7: HEENT Assessment (Head, Face, Neck, Nose,
Mouth, and Throat) questions with verified answers
A 16-year-old client in their yearly physical is sneezing and tells the
nurse that they don't want to go outside anymore. How should the nurse
respond? Ans✓✓✓"Tell me what happens when you go outside."
A client with a goiter states that she doesn't want to go out because
people stare at her. What is the best response by the nurse?
Ans✓✓✓"That must be very difficult for you."
A client with allergies asks the nurse how to prevent seasonal allergies at
home. Which responses provided by the nurse are correct? Ans✓✓✓-
Bathe after being outside.
-Keep doors and windows closed.
-Use a HEPA air filtration system.
A client with allergies reports their eyes hurt and itch. Their eyes are
reddened and puffy. Which nursing diagnosis would be most appropriate
when planning interventions for this client? Ans✓✓✓Acute pain related
to inflammation
A client with hypothyroidism asked the nurse why the physician ordered
levothyroxine for them. Which response provided by the nurse is
correct? Ans✓✓✓Levothyroxine replaces the missing hormones.
,A nurse cares for a 25-year-old client who is diagnosed with
Hashimoto's thyroiditis. The client asks, "What does this mean?" How
should the nurse respond correctly? Ans✓✓✓"This is an autoimmune
disease that damages the thyroid."
A nurse is caring for four clients who all have hypothyroidism. Which of
the clients should the nurse see first? Ans✓✓✓A 52-year-old with a
sudden drop in blood pressure
abnormal lymph nodes are Ans✓✓✓Firm, matted, and palapa nodes
Allergic Rhinitis Symptoms Ans✓✓✓Itchy eyes
Ear pressure
Fatigue
Red eyes
Swelling under eyes
An infant should be able to turn their head side to side by Ans✓✓✓2
WEEKS
Assessment of the Eyes Ans✓✓✓If a client has a vision of 20/40, it
means the client can see items clearly at 20 feet that most people can see
clearly at 40 feet.
, Assessment Skills hypothyroidism Ans✓✓✓In a client with
hypothyroidism, the nurse would expect to find facial edema, dry skin,
and weight gain.
Assessment tools Ans✓✓✓Tools needed to assess the eyes include:
Snellen eye chart
ophthalmoscope
opaque card or occluder
penlight
Tools needed to assess the ears include:
otoscope
Astigmatism Ans✓✓✓a condition in which the eye does not focus
properly because of uneven curvatures of the cornea
Candidiasis Ans✓✓✓yeast (fungal) infection
caput succedaneum Ans✓✓✓diffuse edema of the fetal scalp that
crosses the suture lines. reabsorbes within 1 to 3 days
Cephalhematoma Ans✓✓✓subperiosteal hemorrhage, a result of birth
trauma, appears several hours after birth and gradually increases in size;
will be reabsorbed during first few weeks of life without treatment
Mouth, and Throat) questions with verified answers
A 16-year-old client in their yearly physical is sneezing and tells the
nurse that they don't want to go outside anymore. How should the nurse
respond? Ans✓✓✓"Tell me what happens when you go outside."
A client with a goiter states that she doesn't want to go out because
people stare at her. What is the best response by the nurse?
Ans✓✓✓"That must be very difficult for you."
A client with allergies asks the nurse how to prevent seasonal allergies at
home. Which responses provided by the nurse are correct? Ans✓✓✓-
Bathe after being outside.
-Keep doors and windows closed.
-Use a HEPA air filtration system.
A client with allergies reports their eyes hurt and itch. Their eyes are
reddened and puffy. Which nursing diagnosis would be most appropriate
when planning interventions for this client? Ans✓✓✓Acute pain related
to inflammation
A client with hypothyroidism asked the nurse why the physician ordered
levothyroxine for them. Which response provided by the nurse is
correct? Ans✓✓✓Levothyroxine replaces the missing hormones.
,A nurse cares for a 25-year-old client who is diagnosed with
Hashimoto's thyroiditis. The client asks, "What does this mean?" How
should the nurse respond correctly? Ans✓✓✓"This is an autoimmune
disease that damages the thyroid."
A nurse is caring for four clients who all have hypothyroidism. Which of
the clients should the nurse see first? Ans✓✓✓A 52-year-old with a
sudden drop in blood pressure
abnormal lymph nodes are Ans✓✓✓Firm, matted, and palapa nodes
Allergic Rhinitis Symptoms Ans✓✓✓Itchy eyes
Ear pressure
Fatigue
Red eyes
Swelling under eyes
An infant should be able to turn their head side to side by Ans✓✓✓2
WEEKS
Assessment of the Eyes Ans✓✓✓If a client has a vision of 20/40, it
means the client can see items clearly at 20 feet that most people can see
clearly at 40 feet.
, Assessment Skills hypothyroidism Ans✓✓✓In a client with
hypothyroidism, the nurse would expect to find facial edema, dry skin,
and weight gain.
Assessment tools Ans✓✓✓Tools needed to assess the eyes include:
Snellen eye chart
ophthalmoscope
opaque card or occluder
penlight
Tools needed to assess the ears include:
otoscope
Astigmatism Ans✓✓✓a condition in which the eye does not focus
properly because of uneven curvatures of the cornea
Candidiasis Ans✓✓✓yeast (fungal) infection
caput succedaneum Ans✓✓✓diffuse edema of the fetal scalp that
crosses the suture lines. reabsorbes within 1 to 3 days
Cephalhematoma Ans✓✓✓subperiosteal hemorrhage, a result of birth
trauma, appears several hours after birth and gradually increases in size;
will be reabsorbed during first few weeks of life without treatment
