Deck 11: Head, neck, and Regional Lymph Nodes

Question 1

The face of a patient with Parkinson's disease typically

A) has sunken eyes and hollow cheeks.
B) is immobile and expressionless, with a staring gaze.
C) is thin, with sharply defined features and prominent eyes.
D) has a dusky blue discoloration beneath the eyes, with creases in the lower eyelids.

Answer 1

is immobile and expressionless, with a staring gaze.

Question 2

Which food or beverage should a patient with a history of migraine headaches avoid?

A) milk
B) aged cheese
C) tomatoes
D) beans

Answer 2

aged cheese

Question 3

An enlargement of the head without enlargement of the facial structures is known as

A) acromegaly.
B) craniosynostosis.
C) craniotabes.
D) hydrocephalus.

Answer 3

hydrocephalus.

Question 4

You detect a nonmobile fatty mass with a smooth circular edge when palpating deeply in a patient's scalp.This is most likely a

A) hematoma.
B) lipoma.
C) metastatic carcinoma.
D) subcutaneous emphysema.

Question 5

You are conducting a routine physical examination on a 34-year-old patient.When palpating the patient's thyroid gland using the anterior approach,you would first do which of the following?

A) ask the patient to swallow
B) displace the thyroid cartilage with your right thumb
C) grasp the elevated right lobe of the thyroid gland with your left thumb, index finger, and middle finger
D) palpate the isthmus

Question 6

To perform auscultation of a patient's thyroid gland,you would place the bell of your stethoscope over the

A) thyroid isthmus, then the right and left lobes.
B) right thyroid lobe, then the left lobe.
C) left carotid artery first.
D) right temporal artery, then the left temporal artery.

Question 7

A patient complains of pain and tenderness in her temporomandibular joint,and a clicking sound is heard on auscultation.These findings most likely are related to

A) arthritis.
B) dislocation.
C) displaced cartilage.
D) infection.

Question 8

Of the following diseases,which is most commonly found in women?

A) cervical spine trauma
B) degenerative cervical bone disease
C) lymphadenopathy secondary to Hodgkin's disease
D) head injury

Question 9

To perform palpation of the lymph nodes,the nurse would face the patient and palpate

A) first one side of the neck, then the other side.
B) following a systematic sequence in a clockwise manner.
C) moving the fingers from side to side, using firm pressure.
D) using the pads and tips of the middle three fingers.

Question 10

The boundaries of the neck's anterior cervical triangle are formed by the trachea,mandible,and

A) anterior cervical lymph nodes.
B) cervical vertebrae.
C) sternocleidomastoid muscle.
D) trapezius muscle.

Question 11

Your patient complains of hoarseness yet denies smoking,alcohol use,and recent upper respiratory infection.Which question is appropriate to examine the aggravating factors?

A) "Does drinking fluids or warm drinks help alleviate the hoarseness?"
B) "Do you have any pain in your neck or throat?"
C) "Have you been singing, yelling, or talking excessively recently?"
D) "Is your hoarseness continuous, or does it come and go?"

Question 12

Your patient's face appears round and swollen with periorbital edema and dry,dull skin.You suspect that she likely has

A) Cushing's syndrome.
B) Graves' disease.
C) hypothyroidism.
D) hyperthyroidism.

Question 13

To locate the temporomandibular joint,the nurse would palpate with both index and middle fingers on both sides of the face

A) anterior to the tragus of the ear.
B) inferior to the external meatus of the ear.
C) over the temporalis muscles.
D) posterior to the tragus of the ear.

Question 14

Lymphadenopathies related to Hodgkin disease are most commonly found in which group?

A) children
B) the elderly
C) teenagers and young adult females
D) teenagers and young adult males

Question 15

Your patient has limited range of motion of his neck,with crepitus on hyperextension.He has little pain,and there is no deviation or muscle spasm.These findings are most likely due to

A) meningitis.
B) muscle inflammation.
C) osteoarthritis.
D) torticollis.

Question 16

The nurse should include which of the following in the preoperative teaching plan for a patient with hyperparathyroidism who is scheduled to have a portion of his parathyroid gland removed?

A) Adhere strictly to a high-calcium diet.
B) Take over-the-counter supplements of vitamin D daily.
C) Maintain bed rest as much as possible.
D) Force fluids to at least 3,000 mL per day.

Question 17

The posterior cervical lymph nodes are located in the area formed by the sternocleidomastoid muscle and the

A) clavicle and the trapezius muscle.
B) mastoid and the scapula.
C) trachea and the clavicle.
D) trapezius muscle and the mastoid.

Question 18

You are conducting a physical examination on a patient and findings include three small nodules in the enlarged right lobe of the patient's thyroid gland.These findings most likely indicate

A) benign epithelial tumors.
B) carcinoma of the thyroid.
C) retrosternal goiter with adenomatous nodules.
D) thyroiditis with benign adenomas.

Question 19

When conducting a physical examination on your patient,you determine that which of the following is a normal finding of lymph node examination?

A) nontender, fixed, hard nodes
B) nonmobile, rubbery, erythematous nodes
C) small, discrete, movable nodes
D) enlarged node in the left supraclavicular area

Question 20

Before palpating the thyroid gland using the posterior approach,the nurse would instruct the patient to

A) avoid swallowing as you palpate.
B) lean backward slightly to enable you to locate the gland.
C) lower the chin slightly to relax the neck muscles.
D) place the forehead against a firm object to stabilize the head and neck.

Question 21

A(n)_____________________ headache is an example of a vascular headache.

Question 22

The nurse is examining a patient and notes enlarged thyroid glands.What should the nurse do next?

A) Contact the physician immediately.
B) Auscultate for bruits over the thyroid.
C) Inform the charge nurse of the findings.
D) Encourage the patient to lay in a semi-Fowler's position.

Question 23

What number of flexible cervical vertebrae make up the neck?

A) 5
B) 7
C) 9
D) 11

Question 24

The nurse implements which of the following interventions in the plan of care for a patient with hypothyroidism?

A) applying lotion for skin care
B) administering medications for diarrhea
C) scheduling periods of rest
D) providing a cool temperature in the room

Question 25

Your patient has been diagnosed with hyperthyroidism.Your examination of your patient would most likely reveal which of the following?

A) dyspnea
B) amenorrhea
C) tachycardia
D) seizures

Question 26

You are caring for a patient admitted with hypoparathyroidism.Of the following signs and symptoms,which would your patient most likely exhibit?

A) laryngeal spasm
B) osteitis fibrosa cystica
C) recurrent nephrolithiasis
D) proximal muscle weakness

Question 27

While conducting an examination,you notice that your patient's salivary glands are enlarged.You hypothesize that may be a result of which of the following? Select all that apply.

A) Tumor
B) Infection
C) Abscess
D) Allergies
E) Blocked duct
F) Eating hot, spicy foods

Question 28

Individuals most at risk for thyroid cancer are which of the following?

A) men age 20-30 years of age
B) women age 20-30 years of age
C) men age 40-50 years of age
D) women age 40-50 years of age

Question 29

The second cervical vertebra,called the ____________________,has an odontoid process that extends into the ring of the first cervical vertebra.

Question 30

Torticollis can be caused by which of the following? Select all that apply.

A) Hysteria
B) Allergies
C) Phenothiazine therapy
D) Parkinson's disease
E) Trauma such as sleeping with the head in an unusual position
F) Congenital, resulting from a hematoma or partial rupture at birth of the sterno- cleidomastoid, causing a shortening of the muscle

Question 31

Which of the following best describes craniotabes?

A) abnormal enlargement of the skull and bony facial structures
B) enlargement of the head without enlargement of the facial structures
C) profound state of wasting of the vital tissues that is associated with cancer, malnutrition, and severe chronic illnesses
D) softening of the skull caused by hydrocephalus or demineralization of the bone due to rickets, osteogenesis imperfecta, or syphilis

Question 32

A nursing instructor quizzes students on the signs and symptoms of hypothyroidism.Which responses by the students would indicate that further teaching is needed? Select all that apply.

A) Tachypnea
B) Constipation
C) Heat intolerance
D) Dry, cold, coarse skin
E) f. Impaired hearing, macroglossia
Hoarseness, puffy face

Question 33

When examining your patient's head,you note that the patient's skull has an abnormal shape.The patient also has exophthalmos and drooping eyes.You suspect that the patient has which of the following conditions?

A) craniotabes
B) acromegaly
C) hydrocephalus
D) craniosynostosis

Question 34

The vertebra prominens is found at which level in the human body?

A) C₁
B) C₂
C) C₇
D) T₁

Question 35

When palpating the mandible,the nurse would use the fingertips of both index and middle fingers to locate the temporomandibular joint

A) over the right thyroid lobe.
B) beneath the orbits of both eyes.
C) anterior to the tragus of the ear on both sides.
D) on the lower portion of the neck over the trachea.

Question 36

Palpation of the lymph nodes reveals firm,nontender,and fixed lymph nodes.This is suggestive of ____________________ lymphomas.

Question 37

Headaches considered to have an environmental etiology can be caused by which of the following? Select all that apply.

A) Odors
B) Tobacco smoke
C) Glaring or flickering lights
D) Carbon monoxide poisoning
E) Monosodium glutamate (e.g., Chinese food)
F) Change in barometric pressure (from weather or altitude)

Question 38

Which of the following are risk factors for thyroid cancer? Select all that apply.

A) Diet high in iron
B) Men age 30-40
C) Women age 55-65
D) Exposure to nuclear weapons
E) Family history of medullary thyroid carcinoma
F) Exposure to nuclear power plant accidents

Question 39

Asymmetry of the face occurs in ____________________ palsy and in a cerebral vascular accident.