NURSING HEALTH ASSESSMENT 3rd Edition By Dillon – Test Bank
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?” |
