Health assessment final - jarvis test
bank with 100% correct Answers –
2024!!!
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. - -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 - -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 - -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. - -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 - -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 - -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. - -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 - -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. - -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. - -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. - -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?
a. At birth, the head is one fifth the total length.
b. Head circumference should be greater than chest
circumference at birth.
bank with 100% correct Answers –
2024!!!
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. - -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 - -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 - -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. - -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 - -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 - -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. - -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 - -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. - -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. - -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. - -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?
a. At birth, the head is one fifth the total length.
b. Head circumference should be greater than chest
circumference at birth.
