NURSING HEALTH ASSESSMENT 3rd Edition By Dillon – Test Bank
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Chapter 03: Assessing the Head, Face, and Neck
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse is assessing the patient’s turbinates. Which is an expected finding?
|
1) |
Dry and pink |
|
2) |
Moist and pink |
|
3) |
Dry and dark red |
|
4) |
Moist and dark red |
____ 2. The nurse is assessing the patient’s soft palate and notes erythema. What is the possible reason for this finding?
|
1) |
Congenital defect |
|
2) |
Cleft palate |
|
3) |
Infection |
|
4) |
Trauma |
____ 3. During a patient assessment, the nurse suspects that the patient may have cardiovascular disease. Which assessment finding supports the nurse’s suspicion?
|
1) |
Facial edema |
|
2) |
Jaw pain |
|
3) |
Facial spasm |
|
4) |
Temporal pain |
____ 4. Which cluster of assessment findings would the nurse expect to find in association with acute bacterial sinusitis?
|
1) |
Inflamed nasal mucosa; yellow drainage on posterior pharynx; perforated septum |
|
2) |
Yellow drainage on the posterior pharynx; pale and boggy nasal mucosa; fever |
|
3) |
Pale, boggy nasal mucosa; fever; perforated septum |
|
4) |
Inflamed nasal mucosa; yellow drainage on the posterior pharynx; fever |
____ 5. Which disease process is associated with tender, palpable cervical nodes along with painful vesicles?
|
1) |
Herpes simplex virus |
|
2) |
Hyperthyroidism |
|
3) |
Temporal arteritis |
|
4) |
Allergic rhinitis |
____ 6. The nurse is conducting a head, face, and neck assessment for a toddler-age patient. Which finding is expected for a patient of this age?
|
1) |
Anterior fontanel 2 cm open |
|
2) |
Posterior fontanel 2 cm open |
|
3) |
Anterior fontanel open, posterior fontanel closed |
|
4) |
Anterior and posterior fontanels closed |
____ 7. Which male patient is likely to have the least facial hair?
|
1) |
Chinese American |
|
2) |
African American |
|
3) |
Irish American |
|
4) |
Hispanic |
____ 8. A patient presents to the emergency department complaining of a headache. Which is the priority question when assessing this patient’s symptoms?
|
1) |
“Have you been diagnosed with temporomandibular joint (TMJ) syndrome?” |
|
2) |
“Have you had any recent trauma or injury?” |
|
3) |
“How often do you experience migraines?” |
|
4) |
“Have you recently experienced any neck strain?” |
