ATI Testing questions Exam 3 Health
Assessment With correct answers
A |physician |tells |the |nurse |that |a |patient's |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 |the |area:
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. |- |CORRECT |ANSWER✔✔-C
The |C7 |vertebra |has |a |long |spinous |process, |called |the |vertebra |prominens, |that |is |palpable |
when |the |head |is |flexed.
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 |there |something |terribly |wrong?" |The |nurse's |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' |you |are |referring |to |may |be |an |indication |of |cretinism |or |congenital |
hypothyroidism."
D)
,"That |'soft |spot' |is |normal, |and |actually |allows |for |growth |of |the |brain |during |the |first |year |of |
your |baby's |life." |- |CORRECT |ANSWER✔✔-D
Membrane-covered |"soft |spots" |allow |for |growth |of |the |brain |during |the |first |year. |They |
gradually |ossify; |the |triangular-shaped |posterior |fontanel |is |closed |by |1 |to |2 |months, |and |the |
diamond-shaped |anterior |fontanel |closes |between |9 |months |and |2 |years.
The |nurse |notices |that |a |patient's |palpebral |fissures |are |not |symmetrical. |On |examination, |the |
nurse |may |find |that |there |has |been |damage |to |cranial |nerve:
A)
III.
B)
V.
C)
VII.
D)
VIII. |- |CORRECT |ANSWER✔✔-C
Facial |muscles |are |mediated |by |cranial |nerve |(CN) |VII; |asymmetry |of |palpebral |fissures |may |be
|due |to |CN |VII |damage |(Bell's |palsy).
A |patient |is |unable |to |differentiate |between |sharp |and |dull |stimulation |to |both |sides |of |her |
face. |The |nurse |suspects:
A)
Bell's |palsy.
B)
damage |to |the |trigeminal |nerve.
C)
frostbite |with |resultant |paresthesia |to |the |cheeks.
D)
,scleroderma. |- |CORRECT |ANSWER✔✔-B
Facial |sensations |of |pain |or |touch |are |mediated |by |cranial |nerve |(CN) |V, |which |is |the |
trigeminal |nerve. |Bell's |palsy |is |associated |with |CN |VII |damage. |Frostbite |and |scleroderma |are |
not |associated |this |problem.
When |examining |the |face, |the |nurse |is |aware |that |the |two |pairs |of |salivary |glands |that |are |
accessible |to |examination |are |the |_____ |glands.
A)
occipital |and |submental
B)
parotid |and |jugulodigastric
C)
parotid |and |submandibular
D)
submandibular |and |occipital |- |CORRECT |ANSWER✔✔-C
Two |pairs |of |salivary |glands |accessible |to |examination |on |the |face |are |the |parotid |glands, |
which |are |in |the |cheeks |over |the |mandible, |anterior |to |and |below |the |ear; |and |the |
submandibular |glands, |which |are |beneath |the |mandible |at |the |angle |of |the |jaw. |The |parotid |
glands |are |not |normally |palpable.
A |patient |comes |to |the |clinic |complaining |of |neck |and |shoulder |pain |and |is |unable |to |turn |her |
head. |The |nurse |suspects |damage |to |cranial |nerve |(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 |- |CORRECT |ANSWER✔✔-B
The |major |neck |muscles |are |the |sternomastoid |and |the |trapezius. |They |are |innervated |by |CN |
XI, |the |spinal |accessory. |The |innervated |muscles |assist |with |head |rotation |and |head |flexion, |
movement |of |the |shoulders, |and |extension |and |turning |of |the |head.
When |examining |a |patient's |cranial |nerve |(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. |- |CORRECT |ANSWER✔✔-A
The |major |neck |muscles |are |the |sternomastoid |and |the |trapezius. |They |are |innervated |by |CN |
XI, |the |spinal |accessory.
A |patient's |laboratory |data |reveal |an |elevated |thyroxine |level. |The |nurse |would |proceed |with |
an |examination |of |the |_____ |gland.
A)
thyroid |
B)
parotid |
C)
adrenal |
D)
Assessment With correct answers
A |physician |tells |the |nurse |that |a |patient's |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 |the |area:
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. |- |CORRECT |ANSWER✔✔-C
The |C7 |vertebra |has |a |long |spinous |process, |called |the |vertebra |prominens, |that |is |palpable |
when |the |head |is |flexed.
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 |there |something |terribly |wrong?" |The |nurse's |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' |you |are |referring |to |may |be |an |indication |of |cretinism |or |congenital |
hypothyroidism."
D)
,"That |'soft |spot' |is |normal, |and |actually |allows |for |growth |of |the |brain |during |the |first |year |of |
your |baby's |life." |- |CORRECT |ANSWER✔✔-D
Membrane-covered |"soft |spots" |allow |for |growth |of |the |brain |during |the |first |year. |They |
gradually |ossify; |the |triangular-shaped |posterior |fontanel |is |closed |by |1 |to |2 |months, |and |the |
diamond-shaped |anterior |fontanel |closes |between |9 |months |and |2 |years.
The |nurse |notices |that |a |patient's |palpebral |fissures |are |not |symmetrical. |On |examination, |the |
nurse |may |find |that |there |has |been |damage |to |cranial |nerve:
A)
III.
B)
V.
C)
VII.
D)
VIII. |- |CORRECT |ANSWER✔✔-C
Facial |muscles |are |mediated |by |cranial |nerve |(CN) |VII; |asymmetry |of |palpebral |fissures |may |be
|due |to |CN |VII |damage |(Bell's |palsy).
A |patient |is |unable |to |differentiate |between |sharp |and |dull |stimulation |to |both |sides |of |her |
face. |The |nurse |suspects:
A)
Bell's |palsy.
B)
damage |to |the |trigeminal |nerve.
C)
frostbite |with |resultant |paresthesia |to |the |cheeks.
D)
,scleroderma. |- |CORRECT |ANSWER✔✔-B
Facial |sensations |of |pain |or |touch |are |mediated |by |cranial |nerve |(CN) |V, |which |is |the |
trigeminal |nerve. |Bell's |palsy |is |associated |with |CN |VII |damage. |Frostbite |and |scleroderma |are |
not |associated |this |problem.
When |examining |the |face, |the |nurse |is |aware |that |the |two |pairs |of |salivary |glands |that |are |
accessible |to |examination |are |the |_____ |glands.
A)
occipital |and |submental
B)
parotid |and |jugulodigastric
C)
parotid |and |submandibular
D)
submandibular |and |occipital |- |CORRECT |ANSWER✔✔-C
Two |pairs |of |salivary |glands |accessible |to |examination |on |the |face |are |the |parotid |glands, |
which |are |in |the |cheeks |over |the |mandible, |anterior |to |and |below |the |ear; |and |the |
submandibular |glands, |which |are |beneath |the |mandible |at |the |angle |of |the |jaw. |The |parotid |
glands |are |not |normally |palpable.
A |patient |comes |to |the |clinic |complaining |of |neck |and |shoulder |pain |and |is |unable |to |turn |her |
head. |The |nurse |suspects |damage |to |cranial |nerve |(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 |- |CORRECT |ANSWER✔✔-B
The |major |neck |muscles |are |the |sternomastoid |and |the |trapezius. |They |are |innervated |by |CN |
XI, |the |spinal |accessory. |The |innervated |muscles |assist |with |head |rotation |and |head |flexion, |
movement |of |the |shoulders, |and |extension |and |turning |of |the |head.
When |examining |a |patient's |cranial |nerve |(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. |- |CORRECT |ANSWER✔✔-A
The |major |neck |muscles |are |the |sternomastoid |and |the |trapezius. |They |are |innervated |by |CN |
XI, |the |spinal |accessory.
A |patient's |laboratory |data |reveal |an |elevated |thyroxine |level. |The |nurse |would |proceed |with |
an |examination |of |the |_____ |gland.
A)
thyroid |
B)
parotid |
C)
adrenal |
D)
