Holistic Exam 2 questions with answers \| \| \| \| \|
(ch18) \|
The nurse is reviewing a client's electronic health record before assessing her
\| \| \| \| \| \| \| \| \| \| \| \|
mouth.
Which of the following diagnoses would the nurse recognize as an indication
\| \| \| \| \| \| \| \| \| \| \| \|
for
immediate medical follow-up? \| \|
A) Thrush
\|
B) Leukoplakia
\|
C) Gingivitis
\|
D) Canker sore - CORRECT ANSWERS ✔✔Leukoplakia
\| \| \| \| \| \|
(ch18)
In the course of the nurse's health interview, a client reports an occasional
\| \| \| \| \| \| \| \| \| \| \| \| \|
blockage in the upper portion of his nasal passage. What is the most
\| \| \| \| \| \| \| \| \| \| \| \| \|
pronounced effect that this will \| \| \| \|
have on the client?
\| \| \|
A) Decreased sense of taste
\| \| \| \|
B) Difficulty hearing
\| \|
C) Impaired sense of smell
\| \| \| \|
,D) Occasional dizziness - CORRECT ANSWERS ✔✔Impaired sense of smell
\| \| \| \| \| \| \| \| \|
(ch18) * \|
A client presents with a cluster of upper airway complaints that include
\| \| \| \| \| \| \| \| \| \| \| \|
rhinorrhea.
Which area of assessment would yield the most pertinent information to the
\| \| \| \| \| \| \| \| \| \| \| \|
etiology of \|
rhinorrhea?
A) History of allergies
\| \| \|
B) Incomplete immunization record
\| \| \|
C) History of epistaxis (nosebleeds)
\| \| \| \|
D) Prolonged tonsillar enlargement - CORRECT ANSWERS ✔✔History of
\| \| \| \| \| \| \| \| \|
allergies
(ch18)
When examining the mouth of an adult client with recent cognitive changes,
\| \| \| \| \| \| \| \| \| \| \| \|
the nurse \|
notes a distinct bluish-black line along the client's gum line. Which action
\| \| \| \| \| \| \| \| \| \| \| \|
should be the \| \|
Nurse's priority? \|
A) Determining whether the client is receiving phenytoin therapy
\| \| \| \| \| \| \| \|
B) Referring the client for further evaluation
\| \| \| \| \| \|
,C) Encouraging the client to enroll in a smoking cessation program
\| \| \| \| \| \| \| \| \| \|
D) Providing the client with information on proper mouth care - CORRECT
\| \| \| \| \| \| \| \| \| \| \| \|
ANSWERS ✔✔Referring the client for further evaluation
\| \| \| \| \| \|
(ch18)
While examining a client's mouth, the nurse notes the presence of
\| \| \| \| \| \| \| \| \| \| \|
fasciculations (fine \|
tremors) of the client's tongue. How should the nurse best respond to this
\| \| \| \| \| \| \| \| \| \| \| \| \|
assessment
finding?
A) Have the client provide a 24-hour diet recall.
\| \| \| \| \| \| \| \|
B) Review the client's medication regimen.
\| \| \| \| \|
C) Prepare the client for a thyroid screening.
\| \| \| \| \| \| \|
D) Assess the client's cranial nerve function. - CORRECT ANSWERS
\| \| \| \| \| \| \| \| \| \|
✔✔Assess the client's cranial nerve function
\| \| \| \| \|
(ch18)
A client has just been diagnosed with a sinus infection accompanied by large
\| \| \| \| \| \| \| \| \| \| \| \| \|
amounts of \|
exudate. Which of the following assessment findings should the nurse
\| \| \| \| \| \| \| \| \| \|
anticipate along \|
with this condition?
\| \|
A) Crepitus over the maxillary sinuses
\| \| \| \| \|
, B) Frontal sinuses nontender to palpation
\| \| \| \| \|
C) Red, tender tympanic membrane
\| \| \| \|
D) Increased amounts of saliva production - CORRECT ANSWERS
\| \| \| \| \| \| \| \| \|
✔✔Crepitus over the maxillary sinuses \| \| \| \|
(ch18) \|
The nurse is inspecting a client's tonsils and notes that they make contact
\| \| \| \| \| \| \| \| \| \| \| \| \|
with the \|
client's uvula. The nurse would document this finding as which of the
\| \| \| \| \| \| \| \| \| \| \| \|
following?
A) 1+ \|
B) 2+ \|
C) 3+ \|
D) 4+ - CORRECT ANSWERS ✔✔3+
\| \| \| \| \|
(ch18) * \|
A decrease in tongue strength is noted on examination of a client. The nurse
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
interprets this as indicating a problem with which cranial nerve?
\| \| \| \| \| \| \| \| \|
A) III \|
B) VI \|
C) VIII
\|
D) XII - CORRECT ANSWERS ✔✔XII
\| \| \| \| \|
(ch18) \|
The nurse is reviewing a client's electronic health record before assessing her
\| \| \| \| \| \| \| \| \| \| \| \|
mouth.
Which of the following diagnoses would the nurse recognize as an indication
\| \| \| \| \| \| \| \| \| \| \| \|
for
immediate medical follow-up? \| \|
A) Thrush
\|
B) Leukoplakia
\|
C) Gingivitis
\|
D) Canker sore - CORRECT ANSWERS ✔✔Leukoplakia
\| \| \| \| \| \|
(ch18)
In the course of the nurse's health interview, a client reports an occasional
\| \| \| \| \| \| \| \| \| \| \| \| \|
blockage in the upper portion of his nasal passage. What is the most
\| \| \| \| \| \| \| \| \| \| \| \| \|
pronounced effect that this will \| \| \| \|
have on the client?
\| \| \|
A) Decreased sense of taste
\| \| \| \|
B) Difficulty hearing
\| \|
C) Impaired sense of smell
\| \| \| \|
,D) Occasional dizziness - CORRECT ANSWERS ✔✔Impaired sense of smell
\| \| \| \| \| \| \| \| \|
(ch18) * \|
A client presents with a cluster of upper airway complaints that include
\| \| \| \| \| \| \| \| \| \| \| \|
rhinorrhea.
Which area of assessment would yield the most pertinent information to the
\| \| \| \| \| \| \| \| \| \| \| \|
etiology of \|
rhinorrhea?
A) History of allergies
\| \| \|
B) Incomplete immunization record
\| \| \|
C) History of epistaxis (nosebleeds)
\| \| \| \|
D) Prolonged tonsillar enlargement - CORRECT ANSWERS ✔✔History of
\| \| \| \| \| \| \| \| \|
allergies
(ch18)
When examining the mouth of an adult client with recent cognitive changes,
\| \| \| \| \| \| \| \| \| \| \| \|
the nurse \|
notes a distinct bluish-black line along the client's gum line. Which action
\| \| \| \| \| \| \| \| \| \| \| \|
should be the \| \|
Nurse's priority? \|
A) Determining whether the client is receiving phenytoin therapy
\| \| \| \| \| \| \| \|
B) Referring the client for further evaluation
\| \| \| \| \| \|
,C) Encouraging the client to enroll in a smoking cessation program
\| \| \| \| \| \| \| \| \| \|
D) Providing the client with information on proper mouth care - CORRECT
\| \| \| \| \| \| \| \| \| \| \| \|
ANSWERS ✔✔Referring the client for further evaluation
\| \| \| \| \| \|
(ch18)
While examining a client's mouth, the nurse notes the presence of
\| \| \| \| \| \| \| \| \| \| \|
fasciculations (fine \|
tremors) of the client's tongue. How should the nurse best respond to this
\| \| \| \| \| \| \| \| \| \| \| \| \|
assessment
finding?
A) Have the client provide a 24-hour diet recall.
\| \| \| \| \| \| \| \|
B) Review the client's medication regimen.
\| \| \| \| \|
C) Prepare the client for a thyroid screening.
\| \| \| \| \| \| \|
D) Assess the client's cranial nerve function. - CORRECT ANSWERS
\| \| \| \| \| \| \| \| \| \|
✔✔Assess the client's cranial nerve function
\| \| \| \| \|
(ch18)
A client has just been diagnosed with a sinus infection accompanied by large
\| \| \| \| \| \| \| \| \| \| \| \| \|
amounts of \|
exudate. Which of the following assessment findings should the nurse
\| \| \| \| \| \| \| \| \| \|
anticipate along \|
with this condition?
\| \|
A) Crepitus over the maxillary sinuses
\| \| \| \| \|
, B) Frontal sinuses nontender to palpation
\| \| \| \| \|
C) Red, tender tympanic membrane
\| \| \| \|
D) Increased amounts of saliva production - CORRECT ANSWERS
\| \| \| \| \| \| \| \| \|
✔✔Crepitus over the maxillary sinuses \| \| \| \|
(ch18) \|
The nurse is inspecting a client's tonsils and notes that they make contact
\| \| \| \| \| \| \| \| \| \| \| \| \|
with the \|
client's uvula. The nurse would document this finding as which of the
\| \| \| \| \| \| \| \| \| \| \| \|
following?
A) 1+ \|
B) 2+ \|
C) 3+ \|
D) 4+ - CORRECT ANSWERS ✔✔3+
\| \| \| \| \|
(ch18) * \|
A decrease in tongue strength is noted on examination of a client. The nurse
\| \| \| \| \| \| \| \| \| \| \| \| \| \|
interprets this as indicating a problem with which cranial nerve?
\| \| \| \| \| \| \| \| \|
A) III \|
B) VI \|
C) VIII
\|
D) XII - CORRECT ANSWERS ✔✔XII
\| \| \| \| \|
