302 exam 3 Questions with All Actual
Answers 2026 Updated.
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: - Answer
at the level of the C7 vertebra
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: - Answer "That 'soft
spot' is normal, and actually allows for growth of the brain during the first year of your baby's
life."
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)? - Answer VII
A patient is unable to differentiate between sharp and dull stimulation to both sides of her face.
The nurse suspects: - Answer damage to the trigeminal nerve.
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. - Answer
parotid and submandibular
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
_____________. - Answer XI; asking the patient to shrug her shoulders against resistance
When examining a patients CN function, the nurse remembers that the muscles in the neck that
are innervated by CN XI are the: - Answer sternomastoid and trapezius
A patients laboratory data reveal an elevated thyroxine (T4) level. The nurse would proceed with
an examination of the _____ gland. - Answer thyroid
A patient says that she has recently noticed a lump in the front of her neck below her "Adam's
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): - Answer
Is mobile and not hard
,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: - Answer area
proximal to the enlarged node.
The nurse is aware that the four areas in the body where lymph nodes are accessible are the: -
Answer head and neck, arms, inguinal area, and axillae.
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? - Answer Head circumference should be greater than chest
circumference at birth.
A patient, an 85-year-old woman, is complaining about the fact that the bones in her face have
become more noticeable. What explanation should the nurse give to her? - Answer More
noticeable facial bones are probably due to a combination of factors related to aging, such as
decreased elasticity, subcutaneous fat, and moisture in her skin.
A patient reports excruciating headache pain on one side of his head, especially around his eye,
forehead, and cheek that has lasted approximately to 2 hours, occurring once or twice each day.
The nurse should suspect: - Answer cluster headaches
A patient complains that while studying for an examination he began to notice a severe
headache in the frontotemporal area of his head that is throbbing and is somewhat relieved
when he lies down. He tells the nurse that his mother also had these headaches. The nurse
suspects that he may be suffering from: - Answer migraine headaches
A 19-year-old college student is brought to the emergency department with a severe headache
he describes as, Like nothing Ive ever had before. His temperature is 40 C, and he has a stiff
neck. The nurse looks for other signs and symptoms of which problem? - Answer Meningeal
inflammation
During a well-baby checkup, the nurse notices that a 1-week-old infants face looks small
compared with his cranium, which seems enlarged. On further examination, the nurse also
notices dilated scalp veins and downcast or setting sun eyes. The nurse suspects which
condition? - Answer Hydrocephalus
The nurse needs to palpate the temporomandibular joint for crepitation. This joint is located
just below the temporal artery and anterior to the: - Answer tragus
A patient has come in for an examination and states, I have this spot in front of my ear lobe on
my cheek that seems to be getting bigger and is 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: -
Answer parotid gland
A male patient with a history of acquired immunodeficiency syndrome (AIDS) has come in for an
examination and he states, I think that I have the mumps. The nurse would begin by examining
the: - Answer parotid gland
The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the
patients T4 and T3 hormone levels are elevated. Which of these findings would the nurse most
likely find on examination? - Answer tachycardia
A visitor from Poland who does not speak English seems to be somewhat apprehensive about
the nurse examining his neck. He would probably be more comfortable with the nurse
examining his thyroid gland from: - Answer the front where the nurses' thumbs places on
either side of his trachea and his heads lifted forward.
A patients thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland
for the presence of a bruit. A bruit is a __________ sound that is heard best with the
__________ of the stethoscope. - Answer Soft, whooshing, pulsatile; bell
The nurse notices that an infant has a large, soft lump on the side of his head and that his
mother is very concerned. She tells the nurse that she noticed the lump approximately 8 hours
after her babys birth and that it seems to be getting bigger. One possible explanation for this is: -
Answer Cephalhematoma.
A mother brings in her newborn infant for an assessment and tells the nurse that she has
noticed that whenever her newborns head is turned to the right side, she straightens out the
arm and leg on the same side and flexes the opposite arm and leg. After observing this on
examination, the nurse tells her that this reflex is: - Answer Normal and is called the tonic
neck reflex, which should disappear between 3 and 4 months of age.
During an admission assessment, the nurse notices that a male patient has an enlarged and
rather thick skull. The nurse suspects acromegaly and would further assess for: - Answer
Coarse facial features
When examining children affected with Down syndrome (trisomy 21), the nurse looks for the
possible presence of: - Answer ear dysplasia.
A patient visits the clinic because he has recently noticed that the left side of his mouth is
paralyzed. He states that he cannot raise his eyebrow or whistle. The nurse suspects that he
has: - Answer had a cerebrovascular accident (stroke).