Exam 3: Assessing the Head, Face, and Neck

Upon assessment, the nurse notes the patient has an enlarged thyroid. Which action is most appropriate?

Which disease process is associated with tender, palpable cervical nodes along with painful vesicles?

The nurse is assessing a patient's tongue mobility by assessing cranial nerve (CN) ____________________.

The nurse is assessing a patient who experienced a cerebrovascular accident (CVA) 24 hours ago. The patient does not have a gag reflex. Which conclusions by the nurse are appropriate based on this data? Select all that apply.

During the assessment of a preschool-age patient, the nurse expects the patient to have ________________teeth.

The nurse is conducting a health history on a patient who presents with epistaxis. Which questions are appropriate by the nurse? Select all that apply.

The nurse is providing care to a patient with allergic rhinitis. Which is an unexpected finding during the physical assessment?

A patient presents to the emergency department complaining of headache. Which is the priority question when assessing this patient's symptoms?

Which actions by the nurse are appropriate when auscultating the thyroid during a physical assessment? Select all that apply.

To facilitate palpation of the thyroid gland, which will the nurse ask the patient to do?

When assessing an adult patient's mouth who has not had the wisdom teeth removed the nurse anticipates the patient will have ________________teeth.

The nurse is conducting a neck assessment. Which instructions should be given to the patient when palpating the left thyroid lobe?

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?

During a patient assessment, the nurse suspects that the patient may have cardiovascular disease. Which assessment finding supports the nurse's suspicion?

During a neck exam, the nurse identifies a 1.5-cm hard, nonpainful anterior cervical node with an irregular surface. Based on this data, which does the nurse suspect?

Which muscles allow for movement, eating, and communication? Select all that apply.

A student is rushed to the school health clinic because of a nosebleed. The towel being held to the student's nose is saturated with blood. When the towel is removed, the bleeding continues in large quantities and is deep red. Which is the priority for the nurse to determine during the assessment process?

The nurse is assessing a pregnant patient. Which clinical manifestation does the nurse anticipate for this patient?

While examining the throat, the nurse notes that the patient's tonsils bilaterally extend beyond the anterior pillars and almost to the uvula. Which is an appropriate grade based on this data?

During an assessment of a school-age patient the nurse expects the sinuses may be underdeveloped because sinuses do not fully develop until the age of ____________________.