Maryville NURS330 Chapter 14 Quiz Latest 2022 May

NURS330 Individual Assessment

Chapter 14 Quiz

Question 1During an examination, the nurse finds that a patient’s left temporal artery is tortuous and feels hardened and tender, compared with the right temporal artery. The nurse suspects which condition?

  Bell palsy

  Crepitation

  Mastoiditis

  Temporal arteritis

 Question 2A male patient with a history of acquired immunodeficiency syndrome (AIDS) has come in for an examination and states, “I think that I have the mumps.” What should the nurse examine first?

  Thyroid gland

  Parotid gland

  Cervical lymph nodes

  Mouth and skin for lesions

The parotid gland may become swollen with the onset of mumps, and parotid enlargement has been found with HIV.

Question 3During an examination, the nurse knows that the best way to palpate the lymph nodes in the neck is described by which statement?

  Using gentle pressure, palpate with both hands to compare the two sides.

  Using strong pressure, palpate with both hands to compare the two sides.

  Gently pinch each node between one’s thumb and forefinger, and then move down the neck muscle.

  Using the index and middle fingers, gently palpate by applying pressure in a rotating pattern.

Question 4During a well-baby checkup, the nurse notices that a 1-week-old infant’s face looks small compared with his cranium, which seems enlarged. On further examination, the nurse also notices dilated scalp veins and downcast or “setting sun” eyes. The nurse suspects which condition?

  Craniotabes

  Microcephaly

  Hydrocephalus

  Caput succedaneum

Question 5During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The nurse suspects which condition?

  Rickets

  Dehydration

  Mental retardation

  Increased intracranial pressure

Question 6A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot whistle but the nurse notes he can still raise his eyebrows. What does the nurse suspect?

  Bell palsy

  Cushing syndrome

  Parkinson syndrome

  Experienced a cerebrovascular accident (CVA) or stroke

Question 7During a well-baby checkup, a mother is concerned because her 2-month-old infant cannot hold her head up when she is pulled to a sitting position. Which response by the nurse is appropriate?

  “Head control is usually achieved by 4 months of age.”

  “You shouldn’t be trying to pull your baby up like that until she is older.”

  “Head control should be achieved by this time.”

  “This inability indicates possible nerve damage to the neck muscles.”

Question 8A patient’s thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. What technique should the nurse use to assess for a bruit.

  Palpate the thyroid while the patient is swallowing.

  Auscultate the thyroid with the bell of the stethoscope.

  Palpate the thyroid while the patient holds their breath.

  Auscultate the thyroid with the diaphragm of the stethoscope.

Question 9A mother brings her newborn in for an assessment and asks, “Is there something wrong with my baby? His head seems so big.” Which statement is true regarding the relative proportions of the head and trunk of the newborn?

  At birth, the head is one fifth the total length.

  Head circumference should be greater than chest circumference at birth.

  The head size reaches 90% of its final size when the child is 3 years old.

  When the anterior fontanel closes at 2 months, the head will be more proportioned to the body.

Question 10A woman comes to the clinic and states, “I’ve been sick for so long! My eyes have gotten so puffy, and my eyebrows and hair have become coarse and dry.” For what condition should the nurse assess for other signs and symptoms?

  Cachexia

  Myxedema

  Graves disease

  Parkinson syndrome