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Chapter 13: Head, Face, and Neck, Including Regional
Lymphatics
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. 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:
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
The C7 vertebra has a long spinous process, called the vertebra prominens,
which is palpable when the head is flexed.
DIF: Cognitive Level: Applying (Application) REF: p. 251
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
2. 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
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’ 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.”
ANS: D
,Membrane-covered “soft spots” allow for growth of the brain during the first
year of life. 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.
DIF: Cognitive Level: Applying (Application) REF: p. 255
MSC: Client Needs: Health Promotion and Maintenance
3. The nurse notices that a patient’s 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
Facial muscles are mediated by CN VII; asymmetry of palpebral fissures may
be attributable to damage to CN VII (Bell palsy).
, DIF: Cognitive Level: Applying (Application) REF: p. 259
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
4. 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
Facial sensations of pain or touch are mediated by CN V, which is the
trigeminal nerve. Bell palsy is associated with CN VII damage. Frostbite and
scleroderma are not associated with this problem.
DIF: Cognitive Level: Applying (Application) REF: pp. 252-253
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
One Account Get all Test Banks
Chapter 13: Head, Face, and Neck, Including Regional
Lymphatics
Chapter 13: Head, Face, and Neck, Including Regional Lymphatics
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. 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:
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
The C7 vertebra has a long spinous process, called the vertebra prominens,
which is palpable when the head is flexed.
DIF: Cognitive Level: Applying (Application) REF: p. 251
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
2. 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
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’ 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.”
ANS: D
,Membrane-covered “soft spots” allow for growth of the brain during the first
year of life. 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.
DIF: Cognitive Level: Applying (Application) REF: p. 255
MSC: Client Needs: Health Promotion and Maintenance
3. The nurse notices that a patient’s 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
Facial muscles are mediated by CN VII; asymmetry of palpebral fissures may
be attributable to damage to CN VII (Bell palsy).
, DIF: Cognitive Level: Applying (Application) REF: p. 259
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
4. 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
Facial sensations of pain or touch are mediated by CN V, which is the
trigeminal nerve. Bell palsy is associated with CN VII damage. Frostbite and
scleroderma are not associated with this problem.
DIF: Cognitive Level: Applying (Application) REF: pp. 252-253
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
