Chapter 11: Head and Neck
MULTIPLE CHOICE
1. Which cranial nerves innervate the face?
a. II and V
b. III and VI
c. V and VII
d. VIII and IX
ANS: C
Facial nerves are controlled by cranial nerves V and VII; cranial nerves II, III, and VI control the
eyes, cranial nerve VIII deals with hearing, and cranial nerve IX deals with swallowing.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into
adolescence. Which structures disproportionately enlarge in the male during adolescence? a. Coronal
sutures
b. Hyoid and cricoid cartilages c. Mandible and maxilla bones d. Nose and thyroid cartilages
ANS: D
In adolescent males, the nose enlarges and the thyroid cartilage becomes the largest component of the
anterior lar n , kno n as the Adam s apple.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
, 3. Which of the following is an expected change in the assessment of the thyroid during pregnancy?
a. Palpation of the gland becomes difficult.
b. A bruit is auscultated.
c. Inspection reveals a goiter.
d. The gland is tender on palpation.
ANS: B
During pregnancy, the thyroid gland hypertrophies (not to the point of a goiter), palpation is easier
and, because the gland also has increased vascularity, bruits are common. It is an abnormal finding for
the thyroid to feel fibrotic, tender, or smaller.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On
examination, you noted a bruit heard over the thyroid. This is suggestive of: a. hypothyroidism.
b. hyperthyroidism.
c. thyroid cancer.
d. thyroid cyst.
ANS: B
Because of hypermetabolic states such as hyperthyroidism, a bruit may be heard as a result of the
increased blood flow to the area. Auscultating a bruit is not symptomatic of hypothyroidism, cancer, or
a cyst. A nodule is more indicative of cancer.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Ms. Galvan is a 22-year-old secretar ho comes to the clinic ith headaches of 6 eeks duration.
She tells the office assistant about her heavy schedule, including part-time work and evening classes.
Her vital signs are normal. Which information is most appropriate to Ms. Gal an s histor
?
a. Current medications b. Elimination patterns c. Immunization status d. Previous pregnancies
ANS: A
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MULTIPLE CHOICE
1. Which cranial nerves innervate the face?
a. II and V
b. III and VI
c. V and VII
d. VIII and IX
ANS: C
Facial nerves are controlled by cranial nerves V and VII; cranial nerves II, III, and VI control the
eyes, cranial nerve VIII deals with hearing, and cranial nerve IX deals with swallowing.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Mrs. Britton brings her 16-year-old son in with a complaint that he is not developing correctly into
adolescence. Which structures disproportionately enlarge in the male during adolescence? a. Coronal
sutures
b. Hyoid and cricoid cartilages c. Mandible and maxilla bones d. Nose and thyroid cartilages
ANS: D
In adolescent males, the nose enlarges and the thyroid cartilage becomes the largest component of the
anterior lar n , kno n as the Adam s apple.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
, 3. Which of the following is an expected change in the assessment of the thyroid during pregnancy?
a. Palpation of the gland becomes difficult.
b. A bruit is auscultated.
c. Inspection reveals a goiter.
d. The gland is tender on palpation.
ANS: B
During pregnancy, the thyroid gland hypertrophies (not to the point of a goiter), palpation is easier
and, because the gland also has increased vascularity, bruits are common. It is an abnormal finding for
the thyroid to feel fibrotic, tender, or smaller.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On
examination, you noted a bruit heard over the thyroid. This is suggestive of: a. hypothyroidism.
b. hyperthyroidism.
c. thyroid cancer.
d. thyroid cyst.
ANS: B
Because of hypermetabolic states such as hyperthyroidism, a bruit may be heard as a result of the
increased blood flow to the area. Auscultating a bruit is not symptomatic of hypothyroidism, cancer, or
a cyst. A nodule is more indicative of cancer.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. Ms. Galvan is a 22-year-old secretar ho comes to the clinic ith headaches of 6 eeks duration.
She tells the office assistant about her heavy schedule, including part-time work and evening classes.
Her vital signs are normal. Which information is most appropriate to Ms. Gal an s histor
?
a. Current medications b. Elimination patterns c. Immunization status d. Previous pregnancies
ANS: A
https://pasinggrades.com/
