HEALTH ASSESSMENT FINAL - JARVIS TEST BANK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

HEALTH ASSESSMENT FINAL - JARVIS TEST
BANK QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
A physician tells the nurse that a patients vertebra prominens is tender and asks the nurse to reevaluate
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the area in 1 hour. The area of the body the nurse will assess is:
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a. Just above the diaphragm.
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b. Just lateral to the knee cap.
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c. At the level of the C7 vertebra.
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d. At the level of the T11 vertebra. - ANSWER C
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A mother brings her 2-month-
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old daughter in for an examination and says, My daughter rolled over against the wall, and now I have n
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oticed that she has this spot that is soft on the top of her head. Is something terribly wrong? The nurses
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best response would be:
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a. Perhaps that could be a result of your dietary intake during pregnancy.
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b. Your baby may have craniosynostosis, a disease of the sutures of the brain.
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c. That soft spot may be an indication of cretinism or congenital hypothyroidism.
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d. That soft spot is normal, and actually allows for growth of the brain during the first year of your babys
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life - ANSWER D
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The nurse notices that a patients palpebral fissures are not symmetric. On examination, the nurse may fi
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nd that damage has occurred to which cranial nerve (CN)?
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,a. III
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b. V
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c. VII
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d. VIII - ANSWER C
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A patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The nur
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se suspects:
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a. Bell palsy.
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b. Damage to the trigeminal nerve.
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c. Frostbite with resultant paresthesia to the cheeks.
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d. Scleroderma. - ANSWER B
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When examining the face of a patient, the nurse is aware that the two pairs of salivary glands that are a
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ccessible to examination are the ___________ and ___________ glands.
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a. Occipital; submental
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b. Parotid; jugulodigastric
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c. Parotid; submandibular
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d. Submandibular; occipital - ANSWER C
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,A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The
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nurse suspects damage to CN ______ and proceeds with the examination by _____________.
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a. XI; palpating the anterior and posterior triangles
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b. XI; asking the patient to shrug her shoulders against resistance
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c. XII; percussing the sternomastoid and submandibular neck muscles
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d. XII; assessing for a positive Romberg sign - ANSWER B
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When examining a patients CN function, the nurse remembers that the muscles in the neck that are inn
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ervated by CN XI are the:
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a. Sternomastoid and trapezius.
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b. Spinal accessory and omohyoid.
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c. Trapezius and sternomandibular.
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d. Sternomandibular and spinal accessory. - ANSWER A
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A patients laboratory data reveal an elevated thyroxine (T4) level. The nurse would proceed with an exa
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mination of the _____ gland.
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a. Thyroid
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b. Parotid
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, c. Adrenal
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d. Parathyroid - ANSWER A
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A patient says that she has recently noticed a lump in the front of her neck below her Adams apple that
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seems to be getting bigger. During the assessment, the finding that leads the nurse to suspect that this
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may not be a cancerous thyroid nodule is that the lump (nodule):
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a. Is tender.
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b. Is mobile and not hard.
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c. Disappears when the patient smiles.
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d. Is hard and fixed to the surrounding structures. - ANSWER B
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The nurse notices that a patients submental lymph nodes are enlarged. In an effort to identify the cause
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of the node enlargement, the nurse would assess the patients:
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a. Infraclavicular area.
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b. Supraclavicular area.
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c. Area distal to the enlarged node.
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d. Area proximal to the enlarged node. - ANSWER D
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The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
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a. Head, breasts, groin, and abdomen.
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