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ATI Testing questions Exam 3 Health Assessment Questions and Answers (100% Correct Answers) Already Graded A+

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ATI Testing questions Exam 3 Health Assessment Questions and Answers (100% Correct Answers) Already Graded A+

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ATI Testing questions Exam 3 Health
Assessment Questions and Answers (100%
Correct Answers) Already Graded A+


A physician tells the nurse that a patient's 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 the area:
A)
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just above the diaphragm.
B)
just lateral to the knee cap.
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C)
at the level of the C7 vertebra.
D)
at the level of the T11 vertebra. —ANS: C
The C7 vertebra has a long spinous process, called the vertebra
prominens, that is palpable when the head is flexed.
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 there something terribly wrong?" The nurse's 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."

, 2
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C)
"That 'soft spot' you are referring to 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 baby's life." —ANS: D
Membrane-covered "soft spots" allow for growth of the brain
during the first year. They gradually ossify; the triangular-shaped
posterior fontanel is closed by 1 to 2 months, and the diamond-
shaped anterior fontanel closes between 9 months and 2 years.
The nurse notices that a patient's palpebral fissures are not
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symmetrical. On examination, the nurse may find that there has
been damage to cranial nerve:
A)
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III.
B)
V.
C)
VII.
D)
VIII. —ANS: C
Facial muscles are mediated by cranial nerve (CN) VII; asymmetry
of palpebral fissures may be due to CN VII damage (Bell's palsy).
A patient is unable to differentiate between sharp and dull
stimulation to both sides of her face. The nurse suspects:
A)
Bell's palsy.
B)
damage to the trigeminal nerve.
C)

, 3
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frostbite with resultant paresthesia to the cheeks.
D)
scleroderma. —ANS: B
Facial sensations of pain or touch are mediated by cranial nerve
(CN) V, which is the trigeminal nerve. Bell's palsy is associated with
CN VII damage. Frostbite and scleroderma are not associated this
problem.
When examining the face, the nurse is aware that the two pairs of
salivary glands that are accessible to examination are the _____
glands.
A)
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occipital and submental
B)
parotid and jugulodigastric
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C)
parotid and submandibular
D)
submandibular and occipital —ANS: C
Two pairs of salivary glands accessible to examination on the face
are the parotid glands, which are in the cheeks over the
mandible, anterior to and below the ear; and the submandibular
glands, which are beneath the mandible at the angle of the jaw.
The parotid glands are not normally palpable.
A patient comes to the clinic complaining of neck and shoulder
pain and is unable to turn her head. The nurse suspects damage
to cranial nerve (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

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C)
XII; percussing the sternomastoid and submandibular neck
muscles
D)
XII; assessing for a positive Romberg sign —ANS: B
The major neck muscles are the sternomastoid and the trapezius.
They are innervated by CN XI, the spinal accessory. The
innervated muscles assist with head rotation and head flexion,
movement of the shoulders, and extension and turning of the
head.
When examining a patient's cranial nerve (CN) function, the nurse
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remembers that the muscles in the neck that are innervated by
CN XI are the:
A)
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sternomastoid and trapezius.
B)
spinal accessory and omohyoid.
C)
trapezius and sternomandibular.
D)
sternomandibular and spinal accessory. —ANS: A
The major neck muscles are the sternomastoid and the trapezius.
They are innervated by CN XI, the spinal accessory.
A patient's laboratory data reveal an elevated thyroxine level. The
nurse would proceed with an examination of the _____ gland.
A)
thyroid
B)
parotid
C)

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