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Exam 14: Head, Face, and Neck, Including Regional Lymphatics

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Question 21

Multiple Choice

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During 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?

A) Crepitation
B) Mastoiditis
C) Temporal arteritis
D) Bell's palsy

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Question 22

Multiple Choice

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A physician tells the nurse that a patient's vertebra prominens is tender and asks the nurse to re-evaluate the area in 1 hour.The area of the body the nurse will assess is:

A) Just above the diaphragm.
B) Just lateral to the knee cap.
C) At the level of the C7 vertebra.
D) At the level of the T11 vertebra.

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Question 23

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The nurse is providing an educational session to parents in the community on concussions.The nurse shares some of the signs and symptoms to watch for after a head injury which can indicate a concussion and the need to seek medical attention: (Select all that apply.)

The nurse notices that an infant has a large, soft lump on the side of his head and that his mother is very concerned.She tells the nurse that she noticed the lump approximately 8 hours after her baby's birth and that it seems to be getting bigger.The nurse explains that this likely is:

During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull.The nurse suspects acromegaly and assesses the patient for:

During 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?

During an examination, the nurse knows that the best way to palpate the lymph nodes in the neck is by:

When examining a patient after a biopsy of the cervical lymph nodes, to ensure there is no damage to the major neck muscles, the nurse should check the function of cranial nerve:

The nurse needs to palpate the temporomandibular joint for crepitation.This joint is located just below the temporal artery and anterior to the:

The physician reports that a patient with a neck tumour has a tracheal shift.The nurse is aware that this means that the patient's trachea is:

A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger.During assessment, the nurse suspects a noncancerous finding as the lump:

A patient is unable to differentiate between sharp and dull stimulations to both sides of her face.The nurse suspects:

The nurse has just completed a lymph node assessment on a 60-year-old healthy female patient.The nurse knows that most lymph nodes in healthy adults are normally:

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

While performing a well-child assessment on a 5-year-old, the nurse notes the presence of palpable, bilateral, cervical, and inguinal lymph nodes.They are approximately 0.5 cm in size, round, mobile, and nontender.The nurse documents that the child:

A 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." The nurse will assess for other signs and symptoms of:

A patient has come in for an examination and states, "I have this spot in front of my ear lobe on my cheek that seems to be getting bigger and is tender.What do you think it is?" The nurse notes swelling below the angle of the jaw and suspects that it could be an inflammation of his:

A patient reports to the nurse that he has been experiencing excruciating headache pain on one side of his head, especially around his eye, forehead, and cheek that lasts approximately one-half to 2 hours, occurring once or twice each day.The nurse suspects that he is having:

A patient who is 7 months pregnant is at the clinic for her routine checkup.During assessment the nurse notes that the patient's thyroid is palpable.The nurse will:

The nurse notices that a patient's submental lymph nodes are enlarged.To identify the cause of the enlargement of the patient's nodes, the nurse assesses the: