Jensen Ch. 12 Exam Questions with Correct Answers Latest Update 2025-2026
Which of the following would the nurse document as an abnormal finding with lymph node
assessment? - Answers Tender
A nurse is examining a client's neck and is preparing to palpate the thyroid gland. The nurse
would most likely expect to palpate how many lobes? - Answers 2
The nurse is assessing a client complaining of swelling in the neck. While palpating the neck,
the nurse finds a 2-cm lump that is fixed and hard. Why does this finding require emergency
investigation? - Answers This could be a sign of cancer
What is the most common type of hyperthyroidism? - Answers Graves' disease
Upon examination of the head and neck of a client, a nurse notes that the submandibular nodes
are tender and enlarged. The nurse should assess the client for further findings related to what
condition? - Answers Acute infection
A client presents to the emergency department with reports of neck pain and a sudden onset of
a headache. Upon examination, the nurse finds that the client has an increased temperature and
nuchal rigidity. The nurse recognizes these findings as most likely to be caused by what
condition? - Answers Meningeal inflammation
A client reports severe pain in the posterior region of the neck and difficulty turning the head to
the right. What additional information should the nurse collect? - Answers Previous injuries to
the head and neck
The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain
injuries. What should be included in these instructions? - Answers Always use seat belts.
When palpating the lymph nodes of the neck, the nurse assesses for which of the following
characteristics? - Answers Consistency, delineation, mobility, tenderness
Palpation of a 15-year-old boy's submandibular lymph nodes reveals them to be enlarged and
tender. What is the nurse's most reasonable interpretation of this assessment finding? -
Answers There is an infection in the area that these nodes drain.
A client presents to the emergency department with reports of neck pain and a sudden onset of
a headache. Upon examination, the nurse finds that the client has an increased temperature and
neck stiffness. The nurse recognizes these findings as most likely to be caused by what
condition? - Answers Meningeal inflammation
A client is having trouble turning her head to the side. Which of the following muscles should
the nurse most suspect as being involved? - Answers Sternocleidomastoid
The nurse is palpating a client's cervical vertebrae. Which vertebra can be easily palpated when
, the neck is flexed and should help the nurse locate the other vertebrae? - Answers C7
A nurse is preparing to examine a client from Southeast Asia who has been experiencing
chronic headaches. Which of the following should the nurse do in light of this client's cultural
background? - Answers Ask permission before palpating the head and neck
During the health history, a client describes recent episodes of intermittent facial pain lasting
several minutes. The nurse should recognize that this complaint is suggestive of what health
problem? - Answers Trigeminal neuralgia
A nurse has completed an assessment of a client's lymph nodes. Which of the following data
would the nurse document as an abnormal finding? - Answers Tender
Assessment of an adult female client's face reveals a moon shape, increased hair distribution,
and a reddened tone to the client's cheeks. What collaborative problem is most clearly
suggested to the nurse by these assessment data? - Answers RC: Cushing's syndrome
The nurse is preparing to assess the neck of an adult client. To inspect movement of the client's
thyroid gland, the nurse should ask the client to - Answers swallow a small sip of water.
The nurse assesses a client with noisy breathing including a gasping sound with respiration.
The nurse notes tracheal deviation from the usual midline position. Which conditions should the
nurse assess for further? Select all that apply. - Answers mediastinal mass
atelectasis
pneumothorax
goiter
The nurses assesses the thyroid gland of a client with recent weight loss. On auscultation, a low,
soft, rushing sound is heard over the lateral lobes. Which condition is most likely? - Answers
hyperthyroidism
Which of the following would the nurse suspect if assessment reveals a skull and facial bones
that are larger and thicker than normal? - Answers Acromegaly
After teaching a group of students about risk factors for traumatic brain injury, the instructor
determines that additional teaching is needed when the students identify which of the following?
- Answers Female gender
A woman brings her 1-month-old infant to the ED. She says the baby is not eating or drinking
well. The nurse finds the fontanels are depressed slightly. Why does this require further
assessment? - Answers This could be a sign of dehydration
A client is being assessed for a headache. Symptoms include throbbing and severe pain lasting
for the last 8 hours. The client also has a history of vomiting with the headache. What type of
Which of the following would the nurse document as an abnormal finding with lymph node
assessment? - Answers Tender
A nurse is examining a client's neck and is preparing to palpate the thyroid gland. The nurse
would most likely expect to palpate how many lobes? - Answers 2
The nurse is assessing a client complaining of swelling in the neck. While palpating the neck,
the nurse finds a 2-cm lump that is fixed and hard. Why does this finding require emergency
investigation? - Answers This could be a sign of cancer
What is the most common type of hyperthyroidism? - Answers Graves' disease
Upon examination of the head and neck of a client, a nurse notes that the submandibular nodes
are tender and enlarged. The nurse should assess the client for further findings related to what
condition? - Answers Acute infection
A client presents to the emergency department with reports of neck pain and a sudden onset of
a headache. Upon examination, the nurse finds that the client has an increased temperature and
nuchal rigidity. The nurse recognizes these findings as most likely to be caused by what
condition? - Answers Meningeal inflammation
A client reports severe pain in the posterior region of the neck and difficulty turning the head to
the right. What additional information should the nurse collect? - Answers Previous injuries to
the head and neck
The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain
injuries. What should be included in these instructions? - Answers Always use seat belts.
When palpating the lymph nodes of the neck, the nurse assesses for which of the following
characteristics? - Answers Consistency, delineation, mobility, tenderness
Palpation of a 15-year-old boy's submandibular lymph nodes reveals them to be enlarged and
tender. What is the nurse's most reasonable interpretation of this assessment finding? -
Answers There is an infection in the area that these nodes drain.
A client presents to the emergency department with reports of neck pain and a sudden onset of
a headache. Upon examination, the nurse finds that the client has an increased temperature and
neck stiffness. The nurse recognizes these findings as most likely to be caused by what
condition? - Answers Meningeal inflammation
A client is having trouble turning her head to the side. Which of the following muscles should
the nurse most suspect as being involved? - Answers Sternocleidomastoid
The nurse is palpating a client's cervical vertebrae. Which vertebra can be easily palpated when
, the neck is flexed and should help the nurse locate the other vertebrae? - Answers C7
A nurse is preparing to examine a client from Southeast Asia who has been experiencing
chronic headaches. Which of the following should the nurse do in light of this client's cultural
background? - Answers Ask permission before palpating the head and neck
During the health history, a client describes recent episodes of intermittent facial pain lasting
several minutes. The nurse should recognize that this complaint is suggestive of what health
problem? - Answers Trigeminal neuralgia
A nurse has completed an assessment of a client's lymph nodes. Which of the following data
would the nurse document as an abnormal finding? - Answers Tender
Assessment of an adult female client's face reveals a moon shape, increased hair distribution,
and a reddened tone to the client's cheeks. What collaborative problem is most clearly
suggested to the nurse by these assessment data? - Answers RC: Cushing's syndrome
The nurse is preparing to assess the neck of an adult client. To inspect movement of the client's
thyroid gland, the nurse should ask the client to - Answers swallow a small sip of water.
The nurse assesses a client with noisy breathing including a gasping sound with respiration.
The nurse notes tracheal deviation from the usual midline position. Which conditions should the
nurse assess for further? Select all that apply. - Answers mediastinal mass
atelectasis
pneumothorax
goiter
The nurses assesses the thyroid gland of a client with recent weight loss. On auscultation, a low,
soft, rushing sound is heard over the lateral lobes. Which condition is most likely? - Answers
hyperthyroidism
Which of the following would the nurse suspect if assessment reveals a skull and facial bones
that are larger and thicker than normal? - Answers Acromegaly
After teaching a group of students about risk factors for traumatic brain injury, the instructor
determines that additional teaching is needed when the students identify which of the following?
- Answers Female gender
A woman brings her 1-month-old infant to the ED. She says the baby is not eating or drinking
well. The nurse finds the fontanels are depressed slightly. Why does this require further
assessment? - Answers This could be a sign of dehydration
A client is being assessed for a headache. Symptoms include throbbing and severe pain lasting
for the last 8 hours. The client also has a history of vomiting with the headache. What type of
