Test Bank-Health Assesment final
review- exam 1 questions and
accurate answers
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. - ANS>>C
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 hypothyroidism.
d. That soft spot is normal, and actually allows for growth of the brain during the first
year of your babys life - ANS>>D
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
d. VIII - ANS>>C
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. - ANS>>B
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 - ANS>>C
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 - ANS>>B
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. - ANS>>A
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 - ANS>>A
A patient says that she has recently noticed a lump in the front of her neck below 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. - ANS>>B
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 the patients:
a. Infraclavicular area.
b. Supraclavicular area.
c. Area distal to the enlarged node.
d. Area proximal to the enlarged node. - ANS>>D
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. - ANS>>D
A mother brings her newborn in for an assessment and asks, Is there something 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?
review- exam 1 questions and
accurate answers
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. - ANS>>C
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 hypothyroidism.
d. That soft spot is normal, and actually allows for growth of the brain during the first
year of your babys life - ANS>>D
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
d. VIII - ANS>>C
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. - ANS>>B
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 - ANS>>C
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 - ANS>>B
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. - ANS>>A
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 - ANS>>A
A patient says that she has recently noticed a lump in the front of her neck below 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. - ANS>>B
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 the patients:
a. Infraclavicular area.
b. Supraclavicular area.
c. Area distal to the enlarged node.
d. Area proximal to the enlarged node. - ANS>>D
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. - ANS>>D
A mother brings her newborn in for an assessment and asks, Is there something 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?
