Chapter 10- The Head and Neck

A) B) C) D)

1.During the physical examination the head and neck, the nurse palpates several nodules on the patient's thyroid gland. What would this finding suggest to the nurse? Grave's disease Thyroid cancer Metabolic process Endemic goiter

A) B) C) D)

2.A patient has an open draining wound located on the underside of the chin. Which lymph nodes should the nurse assess in this patient? Superficial cervical Preauricular Submental Tonsillar

A) B) C) D)

3.During the health interview of the head and neck, the patient tells the nurse about having a lump in the neck. Which question would the nurse ask to assess manifestations associated with this lump? “Do you have difficulty swallowing? “Do you prefer hot or cold weather?” “When did you first notice the lump?” “Is there more than one lump?”

A) B) C) D) E)

4.During the health interview of the head and neck, a patient tells the nurse about always feeling cold and preferring warm weather. What additional questions can the nurse ask to learn more information about the patient's symptom? (Select all that apply.) “Do you dress more warmly than other people? “Do you use more blankets that others at home? “Do you perspire more than others?” “Do you perspire less than others?” “Have you lost weight recently?”

A) B) C) D) E)

5.During the physical examination of the head and neck, the nurse palpates a lymph node after ensuring that it can move in which directions? (Select all that apply.) Up and down To the left To the right Side to side Immobile

A) B)

6.The nurse assesses an enlarged thyroid in a patient during the physical examination of the head and neck. What should the nurse do next? Displace the trachea to the right. Listen over the thyroid with a stethoscope. Page 1

C) D)

Ask the patient to sip and swallow water. Ask the patient to flex the neck forward.

A) B) C) D)

7.In which order will the nurse document findings from the physical examination of the head and neck? Lymph nodes, head, neck Neck, lymph nodes, head Lymph nodes, neck, head Head, neck, lymph nodes

A) B) C) D)

8.When documenting the findings from a physical examination of the head and neck, what will the nurse include when describing the patient's head? Eye color Hair color Hearing Complexion

A) B) C) D)

9.The nurse is planning to instruct a group of adolescents on ways to prevent traumatic brain injuries. What should be included in these instructions? Always use seat belts. Wear nonslip shoes. Install gates on stairs. Avoid throw rugs.

A) B) C) D) E)

10.A family member of a patient recovering from a traumatic brain injury asks the nurse what can be done to prevent future head injuries. What should the nurse instruct this family member? (Select all that apply.) Wear helmets when playing all contact sports. Never drive under the influence of alcohol. Avoid the use of throw rugs. Avoid skiing or riding on motorcycles. Wear shoes with heels when walking on ice.

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Answer Key 1.C 2.C 3.A 4.A, B, D 5.A, D 6.B 7.D 8.B 9.A 10.A, B, C

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