SUCCESS IN PRACTICAL VOCATIONAL
NURSING 8TH EDITION BY KNECHT
COMPREHENSIVE EXAM QUESTIONS AND
CORRECT ANSWERS GRADED A+
◉ 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 Answer: 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 Answer: 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. Answer: 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 Answer: 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 Answer: 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. Answer: 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 Answer: 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
NURSING 8TH EDITION BY KNECHT
COMPREHENSIVE EXAM QUESTIONS AND
CORRECT ANSWERS GRADED A+
◉ 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 Answer: 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 Answer: 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. Answer: 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 Answer: 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 Answer: 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. Answer: 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 Answer: 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
