Health Assessment Final - Jarvis
Test Bank/Latest Update
2024/96 Questions and Correct
Answers/Verified
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.
Test Bank/Latest Update
2024/96 Questions and Correct
Answers/Verified
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.
